Former Lismore mayor Jenny Dowell has discussed her end-of-life planning, including her decision to pursue voluntary assisted dying (VAD). This follows a terminal cancer diagnosis.
A Battle Revisited: From Survival to Incurable Diagnosis
Dowell was initially diagnosed with breast cancer in 2008 shortly after becoming Mayor of Lismore, a battle she survived. After 17 years, she believed she was cancer-free.
However, in May, following a back injury, scans revealed incurable cancer in her spine and pelvis, which was determined to be a spread of previously undetectable cells from her original breast cancer.
Prioritizing Quality of Life Over Quantity of Time
She initially underwent a new hormone-blocking treatment, but severe side effects, including nausea, fatigue, and appetite loss, led her to discontinue it.
Faced with a prognosis of possibly six to twelve months, Dowell prioritized quality of life over the quantity of time.
In January 2026, she ceased all treatment, opting instead for pain management.
Navigating Voluntary Assisted Dying (VAD)
Dowell has since applied for VAD under New South Wales legislation. The process requires two independent medical assessments to confirm mental capacity and prognosis.
She is currently weighing the options of a doctor-administered or self-administered medication pathway, with a preference for the latter, which allows family to be present without medical personnel.
Family Support and Reflection
Her family, including her husband Ron and their two adult children, has expressed universal support for her decision, which Dowell states has brought her peace.
Dowell reflected on the 17 years between diagnoses as "the best 17 years of my public life" and expressed satisfaction with her life at 75.
Final Preparations and Community Gratitude
To manage increasing pain, Dowell practices daily mindfulness rituals. She has also made preparations for her funeral, including writing her eulogy and gifting personal belongings.
She indicated a desire to be remembered for caring and listening, and conveyed gratitude to the Lismore community, referring to it as her "soul place."