The Irish Medical Council has updated its ethical guidelines for doctors. But the question must be asked: Why has the Irish Medical Council removed such an explicit and clear instruction from its ethical guidance and while the parliamentary deliberations are still in progress? There are other noticeable changes in this first updating of the Irish Medical Council’s conduct and ethics guide since 2016. According to the Iona Institute, Ireland’s Minister for Health “oversees appointments” to the Irish Medical Council, while “GPs were not consulted” ahead of the removal of Article 46.9 and the prohibition against the deliberate killing of a patient. It is hard not to conclude that there has been a fundamental shift in how medical ethics are to be carried out in Ireland.