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‘The treaty is done’: WHO pandemic treaty defeated, at least for now

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From LifeSiteNews

By Michael Nevradakis Ph. D., The Defender

The amendments to the International Health Regulations are far more threatening than the Pandemic Agreement because it can pave the way for a digital vaccination passport.

Also amendments are on the table providing that Member States have to organize within their national health system an authority that implements all instructions of the Director-General of WHO within their territory with intense obligations for surveillance.

Negotiations for the World Health Organization’s (WHO) proposed “pandemic agreement” – or “pandemic treaty” – and amendments to the International Health Regulations (IHR) have failed, for now at least.

The New York Times reported that negotiators failed to submit final texts of the two documents before the May 24 deadline for consideration and a vote at this year’s World Health Assembly taking place this week in Geneva, Switzerland.

The WHO said the proposals are intended to prepare for the “next pandemic.”

But critics called the proposals a global “power grab” that threatened national sovereignty, health freedom, personal liberties and free speech while promoting risky gain-of-function research and “health passports.”

“Sticking points,” according to The Times, included “equitable access to vaccines and financing to set up surveillance systems.”

Instead of considering a full set of proposals from both documents, a more modest “consensus package of [IHR] amendments” will be presented this week, according to the proposed text of the Working Group on Amendments to the International Health Regulations (2005) (WGIHR).

READ: 24 Republican governors tell Biden they will resist ‘unconstitutional’ WHO pandemic treaty

The text does not represent a fully agreed package of amendments and is intended to provide an overview of the current status and progress of the WGIHR’s work. …

The mandate of the WGIHR Co-Chairs and Bureau has now ended but we stand ready to support the next steps agreed by the Seventy-seventh World Health Assembly, including facilitating any further discussions if so decided.

The final report of the International Negotiating Body (INB) for the “pandemic agreement,” dated May 27, states “The INB did not reach consensus on the text.”

Mary Holland, CEO of Children’s Health Defense (CHD), credited global opposition to the WHO’s proposals for shutting them down. She told The Defender:

It is a huge tribute to civic action that the WHO treaty and regulations have apparently failed. While delegates to the World Health Assembly are still engaged in last-minute negotiations, outside of approved procedures they do not have a consensus to move forward with a legal infrastructure to conduct COVID operations.

This is great news for the world’s citizens and shows us how powerful we can be when we work together creatively.

The Times reported that negotiators plan to ask for more time. According to The Straits Times, “Countries have voiced a commitment to keep pushing for an accord.”

Opening the World Health Assembly on Monday, WHO Director-General Tedros Adhanom Ghebreyesus suggested efforts to finalize the two proposals will continue.

“We all wish that we had been able to reach a consensus on the agreement in time for this health assembly and crossed the finish line,” Tedros said, in remarks quoted by The Straits Times. “But I remain confident that you still will, because where there is a will, there is a way.”

Internist Dr. Meryl Nass, founder of Door to Freedom – an organization working to defeat the WHO’s proposals – celebrated the news and suggested the WHO’s efforts have failed irreversibly.

“The treaty is done,” Nass wrote on Substack. “Nothing in the treaty can rise from the ashes of the negotiations to be voted on this week.” She characterized the news as a “first round” win “in the war of democracy versus one-world government.”

WHO proposals ‘rolled out through lies and stealth’

Negotiations failed despite efforts by Tedros and others to persuade negotiators and WHO member states to agree on the two texts in time for a vote at the World Health Assembly.

At the World Economic Forum’s annual meeting in January, Tedros warned of the pandemic threat posed by a yet-unknown “Disease X” and said the pandemic agreement “can help us to prepare for the future in a better way because this is about a common enemy.”

In March, over 100 former world leaders, including former U.K. prime minister Tony Blair – a proponent of “vaccine passports” and digital ID – signed a letter urging WHO member states to finalize negotiations on the “pandemic agreement.”

Biden administration officials negotiating on behalf of the U.S. also pushed for the two documents to be finalized.

Loyce Pace, assistant secretary for global affairs at the U.S. Department of Health and Human Services, told The Times. “Those of us in public health recognize that another pandemic really could be around the corner.”

In December 2023, Pace testified before Congress in support of the two documents. “It’s only a matter of time before the world faces another serious public health threat,” she said, noting the U.S. role in drafting some of the proposed IHR amendments.

But according to Nass, the entire pandemic preparedness project has been rolled out through “lies and stealth.”

“Globalists created legal documents replete with euphemisms and flowery language, always disguised to hide the documents’ true intentions,” she said. “But we saw through them and didn’t let them get away with it.”

Nass wrote that the “consensus” on the IHR proposals delivered to the World Health Assembly are “the flowery language ones, not the meaningful ones.”

There is one exception, Nass said. Referring to Article 5 of the IHR amendments, she noted that “the negotiators were fine telling nations to surveil their citizens and combat misinformation and disinformation.”

“Nearly all governments are already surveilling and propagandizing us,” Nass said. “So, while this provision is odious, it really doesn’t change anything.”

She also noted that while consensus was reached on Article 18, the implementation of “health passports” and other similar documents during a health emergency is now a “recommendation” instead of a requirement. Definite language – such as the word “shall” – has been removed from the text.

‘They are not going to go away’

Other legal experts and health freedom advocates welcomed the news but said the WHO will likely continue pushing for the two proposals.

Australian attorney Katie Ashby-Koppens, who helped advocate for New Zealand’s rejection of a previous set of IHR amendments last year, told The Defender, “I don’t know that we should be celebrating the failure to reach agreement at this stage as a milestone.”

Journalist James Roguski told The Defender, “Member nations and the WHO have not given up. To the contrary, they have every intention of continuing in their attempts to finalize the negotiations.”

“Now is not the time to celebrate,” Roguski continued. “Now is the time to come together in order to take focused and massive action.”

Dutch attorney Meike Terhorst told The Defender, “According to my information, if the pandemic agreement fails, then they can continue negotiations later this year, with the view of trying again at next year’s World Health Assembly.”

Terhorst added:

We were informed that the World Health Assembly will not vote on the Pandemic Agreement this week, but the member states will vote on the amendments to the International Health Regulations. They are negotiating as we speak in Geneva and they are working towards a deal at the end of this week, probably Saturday, June 1, 2024.

The amendments to the International Health Regulations are far more threatening than the Pandemic Agreement because it can pave the way for a digital vaccination passport.

Also amendments are on the table providing that Member States have to organize within their national health system an authority that implements all instructions of the Director-General of WHO within their territory with intense obligations for surveillance.  So we are by no means out of the danger zone. To the contrary.

“Given the WHO/World Health Assembly is a law unto themselves, and they desperately want these treaty reforms to pass, then the mandate to continue and finalize their negotiations may be extended,” Ashby-Koppens said.

Francis Boyle, J.D., Ph.D., professor of international law at the University of Illinois, told The Defender the WHO’s proposals were “the first time … that globalists spent an enormous amount of time, effort, money and brainpower to construct a worldwide totalitarian police state under the guise of protecting public health.”

Boyle said:

The WHO won’t back down from its proposals easily. They are not going to go away. They have come this far, and they will keep at it until they get their objective by hook or by crook. The only way to protect ourselves from these globalists is to pull out of the WHO.

But Nass believes the WHO may encounter difficulty in bringing back its proposals, telling The Defender it would be “unlikely to get far with either document unless they are pared down to what does not actually matter much to any nation.”

“I expect they will patch together a few [proposals] and vote yes and claim victory. But their major desires are all smashed,” Nass said. “They needed secrecy and ignorance, and they lost those advantages.”

Experts told The Defender a key factor in the WHO’s failure to achieve consensus on the two proposals was opposition from several nations – and by people worldwide.

“People and politicians around the world were educated about what was really being negotiated, what was really in the documents,” Nass said.

On Saturday, CHD participated in a rally against the WHO proposals, across from the United Nations headquarters in New York.

Watch Mary Holland speak at the New York rally here.

This article was originally published by The Defender — Children’s Health Defense’s News & Views Website under Creative Commons license CC BY-NC-ND 4.0. Please consider subscribing to The Defender or donating to Children’s Health Defense.

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Censorship Industrial Complex

Scott Atlas: COVID lockdowns, censorship have left a ‘permanent black mark on America’

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From LifeSiteNews

Editor’s note: The following text is taken from a speech delivered by radiologist and political commentator Scott Atlas to the Independent Medical Alliance conference in Atlanta, Georgia, on April 5, 2025. Transcription provided by Dr. Robert Malone.

ATLANTA (Robert Malone) — First, thank you to the organizers, and to my many friends and supporters here. It’s great to be here – surrounded by people who believe in personal freedom!

At the recent international Alliance for Responsible Citizenship (ARC) forum in London, I was invited to address the question, “Can Institutions be Reformed?” Begun with Jordan Peterson, ARC joins voices from all over the world to discuss how to refresh the institutions and best values of Western heritage, values that provided the world with history’s most successful societies, particularly the commitment to freedom.

I asked that audience to first consider:

Why, at this moment in history, are we finally focusing on how institutions should be reformed, or if institutions can even be reformed?

After all, for decades we have been aware that our institutions were failing – editorialized, dishonest journalism; wasteful, corrupt government; and agenda-driven schools and universities increasingly unbalanced toward the left, with many conservative faculty and students often self-censoring, afraid to offer unpopular views.

The answer? It is COVID, the pandemic mismanagement specifically – the most tragic breakdown of leadership and ethics that free societies have seen in our lifetimes.

COVID fully exposed the massive, across-the-board, institutional failure – including the shocking reality of overt censorship in our country, the loss of freedoms and the frank violation of human rights – in this country, one explicitly founded on a commitment to freedom.

Yet, oddly, the pandemic remained invisible at the ARC conference, unmentioned by dozens of speakers addressing freedom. It was the elephant in the room – just as explaining the truth about lockdowns, the pseudoscience mandates on masks and social distancing, closing churches and businesses, prohibiting visits to elderly parents in nursing homes while they die – all are missing from post-election discussions today in the United States, including, notably, any of the very public statements and proclamations from the new administration about health care today.

Today, in the wake of COVID, we are left with an undeniable crisis in health. Trust in health guidance has plummeted more rapidly since 2019 than any other government institution, with almost two-thirds now rating the FDA and the CDC as “only fair or poor.”

Half of America no longer has much confidence in science itself. Trust in our doctors and hospitals dropped from 71 percent in 2019 to 40 percent in 2024. The loss of trust is part of the disgraceful legacy of those who held power, who were relied upon to use critical thinking and an ethical compass on behalf of the public, who were handed the precious gift of automatic credibility and almost blind trust.

To understand how to move forward to restore trust, it’s important to first acknowledge basic facts about the pandemic, and keep repeating them, because truth serves as the starting point of all rational discussion. And we must live in a society where facts are acknowledged.

Remember – lockdowns were not caused by the virus. Human beings decided to impose lockdowns.

Indeed, lockdowns were widely instituted, they failed to stop the dying, and they failed to stop the spread – that’s the data: Bjornskov, 2021; Bendavid, 2021; Agarwal, 2021; Herby, 2022; Kerpen, 2023; Ioannidis, 2024; Atlas, 2024.

Lockdowners ignored Henderson’s classic review 15 years earlier showing lockdowns were both ineffective and extremely harmful. They rejected the alternative, targeted protection, first recommended on national media in March 2020 independently by Ioannidis, by Katz, and by me (Atlas) – and then repeatedly for months – based on data already known back then, in spring of 2020. It was not learned 7 months later in 2020, when the Great Barrington Declaration reiterated it, or in 2021, or 2022, or more recently.

And the Birx-Fauci lockdowns directly inflicted massive damage on children and literally killed millions, especially, sinfully, the poor. “The U.S. alone would have had 1.6 million fewer deaths (through July 2023) if it had the performance of Sweden,” according to a review of 34 countries.  Bianchi calculates that over the next 15-20 years, the unemployment alone will cause another million additional American deaths – from the economic shutdown, not the virus.

Beyond a reckless disregard for foreseeable death from their policies, America’s leaders imposed sinful harms and long-lasting damage on our children, the totality of which may not be realized for decades. Mandatory school closings, forced isolation of teens and college students, and required injections of healthy children with experimental drugs attempting to shield adults will be a permanent black mark on America.

It is also worth remembering that this was a health policy problem.

While credentials are not the sole determinant of expertise, I was the only health policy scholar on the White House Task Force and advising the president. Virology is not health policy; epidemiology is not health policy. And while physicians are important in contributing, they are not inherently expert in health policy. Those are only pieces of a larger, more complex puzzle. The stunning fact is – I was the only medical expert there focused on stopping both the death and destruction from the virus and the death and destruction from the policy itself.

As Hannah Arendt observed in “Eichmann in Jerusalem”:

What has come to light is neither nihilism nor cynicism, as one might have expected, but a quite extraordinary confusion over elementary questions of morality.

More than massive incompetence, more than a fundamental lack of critical thinking, we saw the disappearance of society’s moral compass, so pervasive that we have rightfully lost trust in our institutions, leaders, and fellow citizens, trust that is essential to the function of any free and diverse society.

Why did free people accept these draconian, unprecedented, and illogical lockdowns?

This is the question. And the answer reveals the reason for today’s silence on the pandemic.

Clearly, censorship and propaganda are key parts of the explanation, tools of control that convinced the public of two fallacies – that a consensus of experts on lockdowns existed, and dissenters to that false consensus were highly dangerous.

Censorship first was done by the media companies themselves – when it counted most:

  • In 2020, before the Biden administration, when school closures and lockdowns were being implemented;
  • May 2020, YouTube bragged about its “aggressive policies against misinformation”;
  • August 2020, Facebook shamelessly admitted to the Washington Post it had already taken down 7 million posts on the pandemic;
  • My interviews as advisor to the president were pulled down by YouTube on September 11, 2020, by Twitter blocking me on October 18, 2020.

You might think the public – in a free society – should know what the advisor to the president was saying?

And what was the response to truth at America’s universities, our centers for the free exchange of ideas, including Stanford, my employer?

Censorship: character assassination, intimidation, and to me, formal censure.

Why is censorship used? To shut someone up, yes; but more importantly, to deceive the public – to stop others from hearing, to convince a naïve public there is a “consensus on truth.”

Truth is not a team sport.

Truth is not determined by consensus, or by numbers of people who agree, or by titles. It is discovered by debate, proven by critical analysis of evidence. Arguments are won by data and logic, not by personal attack or censoring others.

I am proud to be an outlier – happily proven right when the inliers are so wrong – but Cancel Culture is effective because it stops others from speaking. I received hundreds of emails from doctors and scientists all over the country, including from Stanford, from other professors, and from inside the NIH, saying, “Keep talking, Scott, you’re 100 percent right, but we’re afraid for our families and our jobs.”

And indeed, no one at Stanford Medical School – not a single faculty member there – spoke publicly against their attack on me. Only Martin Kulldorff, then a Harvard epidemiologist, wrote in and publicly challenged the 98 signatories at Stanford to debate on whether I was correct or not (none accepted that challenge!).

But that alone doesn’t explain today’s silence about that extraordinary collapse. It is not simply “issue fatigue.”

It is also that so many smart people, including many claiming to support the new “disruptors,” bought into the irrational measures when it counted most, when our kids and particularly the poor were being destroyed in 2020, uncomfortable to discuss and admit, but far more fundamental than the Sars2 origin, or Fauci, or the vaccine. That acquiescence, that silence, that cowardice, and that failure to grasp reality are inconvenient truths that no one wants to admit.

Today, disruption is sorely needed, and many are basking in the resounding victory of history’s most disruptive politician, President Donald J. Trump.

As promised, his new administration is moving quickly, disrupting on several fronts: national security, energy, trade, justice, immigration, and perhaps most importantly with Elon Musk’s effort to eliminate government waste and fraud, and protect our money. After all, the government has no money – it’s all our money, taxpayers’ money!

In health care, important changes in the status quo have also begun, first with Elon Musk’s much needed DOGE, streamlining tens of thousands of Department of Health and Human Services (HHS) bureaucrats while exposing massive fraud and waste in programs like Medicaid.

And Secretary of HHS Bobby Kennedy has also provoked an important, new national dialogue with his “Make America Healthy Again” mantra focused on wholesome foods to achieve the goal everyone readily supports – good health for themselves and their children. And no doubt, ensuring safety of all drugs and eliminating corruption in pharma and the food industry are also crucial to health. I am a strong supporter of those ideas.

We also have two excellent appointments in health – my friends and colleagues, Marty Makary to FDA and Jay Bhattacharya to NIH. Both Marty and Jay are highly knowledgeable, have top training and expertise, and are committed to critical thinking, to legitimate science, and most importantly to free scientific debate.

But I am concerned that most are simultaneously eager to “turn the page” on the human rights violations, the censorship, the true “constitutional crisis” – no setting the record straight, no official recognition of facts, no accountability? The ultimate disruptor won, and his disruptor appointees will now be in charge – so all is well?

Silently turning the page on modern history’s most egregious societal failure would be extraordinarily harmful. Failure to issue official statements of truth by the new government health agency leaders about the pandemic management would prevent closure for the millions who lost loved ones and whose children suffered such harms. And it would completely eliminate all accountability. Remember, only public accountability will prevent recurrence, and accountability is necessary to restore trust in institutions, leadership, and among fellow citizens.

My second concern: the era of trusting experts based solely on credentials must be over. But will that backlash against the failed “expert class” usher in a different wave of false belief? We cannot forget that legitimate expertise is still legitimate; that known, solid medical science is still valid; that unfounded theories based on simple correlations are not scientifically sound.

And we do not want to inadvertently replicate the cancel culture that harmed so many, with another wave of demonizing anyone who doesn’t 100 percent support the new narratives. It’s already begun – that if you disagree with any of the incoming opinions, then you must be “bought by pharma!” Blind support is just as bad as blind opposition; critical thinking must prevail.

What reforms are needed now?

  • The first step to restore trust is formal, official statements of truth on the COVID lockdowns, masks, and other pseudoscience mandates from new HHS, NIH, FDA, CDC, CMS leaders.
  • We need to forbid – by law – all shutdowns and reset that the CDC and other health agencies are (only) advisory. They recommend; they give information – they don’t set laws. They don’t have the power to set mandates. And if our guaranteed freedoms are not always valid, especially during crises, then they are not guaranteed at all.
  • We need to add term limits (5 years?) to all mid- and top-level health agency positions. We cannot continue the perverse incentives of career bureaucrats accruing personal power, like Anthony Fauci and Deborah Birx with their 30-plus years in government.
  • All new heads of HHS, FDA, NIH, CDC, and CMS should be prohibited from post-government company board positions in health sectors they regulate for ~5 years. It’s unethical, an overt conflict-of-interest. Why hasn’t that been announced?
  • We need to forbid drug royalty sharing by employees of the NIH, the FDA, and the CDC. $325 million of royalties were shared with pharma by those people over the 10 years prior to the pandemic. That’s a shocking conflict of interest.
  • We should forbid all mandates forcing people to take drugs. First, the essence of all ethical medical practice is informed consent. And what kind of a “free country” requires you to inject a drug into your child or yourself? No – that’s antithetical to freedom. In public health, you give the information… you shouldn’t need to force anything legitimate, but you do need to prove the case.
  • We need to require the immediate posting of discussions in all FDA, CDC, and NIH meetings. They work for us. What are they saying? We should know in real-time.
  • We need accountability for all government funding. We have 15+ universities getting >$500M/year from NIH alone. The essence of research is free debate. If they’re thwarting that with intimidation, like faculty censures, why would they be entitled to U.S. taxpayers’ money?

More broadly, I and others are working on policies to ensure the free exchange of ideas – the essence of all legitimate science, the basis for the mission of education.

Ideological gatekeeping in public discourse has no place in free societies, especially in science and health.

Here’s the point – the solution to misinformation is more information. No one should be trusted to be the arbiter of truth.

Ultimately, most solutions come from individuals, and ultimately, it is individuals, not institutions, who will save freedom.

I fear we still have a disastrous void in courage in our society today.

To quote CS Lewis, “Courage is not simply one of the virtues, but the form of every virtue at the testing point.”

We cannot have a peaceful, free society if it’s filled with people who lack the courage to speak and act with certainty on Hannah Arendt’s “elementary questions of morality.”

Finally, to the young people here, never forget what GK Chesterton said:

Right is right, even if nobody does it. Wrong is wrong, even if everybody is wrong about it.

Reprinted with permission from Robert Malone.

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MacDonald Laurier Institute

Rushing to death in Canada’s MAiD regime

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Macdonald-Laurier Institute By Ramona Coelho for Inside Policy

Canada legalized Medical Assistance in Dying (MAiD) in 2016, encompassing both euthanasia and assisted suicide. Initially limited to those nearing their natural death, eligibility expanded in 2021 to individuals with physical disabilities, with eligibility for individuals with mental illness in 2027. Parliamentary recommendations include MAiD for children. A recent federal consultation explored extending MAiD to those who lack capacity via advance directives, an approach Quebec has already adopted, despite its criminal status under federal law.

Despite its compassionate framing,  investigative journalists and government reports reveal troubling patterns where inadequate exploration of reversible suffering – such as lack of access to medical treatments, poverty, loneliness, and feelings of being a burden – have driven Canadians to choose death. As described by our former Disability Inclusion Minister, Canada’s system at times makes it easier to access MAiD than to receive basic care like a wheelchair. With over 60,000 MAiD cases by the end of 2023, the evidence raises grave concerns about Canada’s MAiD regime.

I am a member of Ontario’s MAiD Death Review Committee (MDRC). Last year, the Chief Coroner released MDRC reports, and a new set of reports has just been published. The first report released by the Office of the Chief Coroner, Waivers of Final Consent, examines how individuals in Track 1 (reasonably foreseeable natural death) can sign waivers to have their lives ended even if they lose the capacity to consent by the scheduled date of MAiD. The second, Navigating Complex Issues within Same Day and Next Day MAiD Provisions, includes cases where MAiD was provided on the same day or the day after it was requested. These reports raise questions about whether proper assessments, thorough exploration of suffering, and informed consent were consistently practised by MAiD clinicians. While MDRC members hold diverse views, here is my take.

Rushing to death, Ignoring Reversible Causes of Suffering

In the same-day or next-day MAiD report, Mrs. B, in her 80s, after complications from surgery, opted for palliative care, leading to discharge home. She later requested a MAiD assessment, but her assessor noted she preferred palliative care based on personal and religious values. The next day, her spouse, struggling with caregiver burnout, took her to the emergency department, but she was discharged home. When a request for hospice palliative care was denied, her spouse contacted the provincial MAiD coordination service for an urgent assessment. A new assessor deemed her eligible for MAiD, despite concerns from the first practitioner, who questioned the new assessor on the urgency, the sudden shift in patient perspective, and the influence of caregiver burnout. The initial assessor requested an opportunity for re-evaluation, but this was denied, with the second assessor deeming it urgent. That evening, a third MAiD practitioner was brought in, and Mrs. B underwent MAiD that night.

The focus should have been on ensuring adequate palliative care and support for Mrs. B and her spouse. Hospice and palliative care teams should have been urgently re-engaged, given the severity of the situation. Additionally, the MAiD provider expedited the process despite the first assessor’s and Mrs. B’s concerns without fully considering the impact of her spouse’s burnout.

The report also has worrying trends suggesting that local medical cultures—rather than patient choice—could be influencing rushed MAiD. Geographic clustering, particularly in Western Ontario, where same-day and next-day MAiD deaths occur most frequently, raises concerns that some MAiD providers may be predisposed to rapidly approve patients for quick death rather than ensuring patients have access to adequate care or exploring if suffering is remediable. This highlights a worrying trend where the speed of the MAiD provision is prioritized over patient-centered care and ethical safeguards.

MAiD without Free and Informed Choice

Consent has been central to Canadians’ acceptance of the legalization of euthanasia and assisted suicide. However, some cases in these reports point to concerns already raised by clinicians: the lack of thorough capacity assessments and concerns that individuals may not have freely chosen MAiD.

In the waiver of final consent report, Mr. B, a man with Alzheimer’s, had been approved for MAiD with such a waiver. However, by the scheduled provision date, his spouse reported increased confusion. Upon arrival, the MAiD provider noted that Mr. B no longer recognized them and so chose not to engage him in discussion at all. Without any verbal interaction to determine his current wishes or understanding, Mr. B’s life was ended.

In the same-day or next-day MAiD report, Mr. C, diagnosed with metastatic cancer, initially expressed interest in MAiD but then experienced cognitive decline and became delirious. He was sedated for pain management. Despite the treating team confirming that capacity was no longer present, a MAiD practitioner arrived and withheld sedation, attempting to rouse him. It was documented that the patient mouthed “yes” and nodded and blinked in response to questions. Based on this interaction, the MAiD provider deemed the patient to have capacity. The MAiD practitioner then facilitated a virtual second assessment, and MAiD was administered.

These individuals were not given genuine opportunities to confirm whether they wished to die. Instead, their past wishes or inquiries were prioritized, raising concerns about ensuring free and informed consent for MAiD.  As early as 2020, the Chief Coroner of Ontario identified cases where patients received MAiD without well-documented capacity assessments, even though their medical records suggested they lacked capacity. Further, when Dr. Leonie Herx, past president of the Canadian Society of Palliative Medicine, testified before Parliament about MAiD frequently occurring without capacity, an MP dismissed her, advising Parliament to be cautious about considering seriously evidence under parliamentary immunities that amounted to malpractice allegations, which should be handled by the appropriate regulatory bodies or police.  These dismissive comments stand in stark contrast with the gravity of assessing financial capacity, and yet the magnitude is greater when ending life. By way of comparison, for my father, an Ontario-approved capacity expert conducted a rigorous evaluation before declaring him incapable of managing his finances. This included a lengthy interview, collateral history, and review of financial documents—yet no such rigorous capacity assessment is mandated for MAiD.

What is Compassion?

While the federal government has finished its consultation on advance directives for MAiD, experts warn against overlooking the complexities of choosing death based on hypothetical suffering and no lived experience to inform those choices. A substitute decision-maker has to interpret prior wishes, leading to guesswork and ethical dilemmas. These cases highlight how vulnerable individuals, having lost the capacity to consent, may be coerced or unduly influenced to die—whether through financial abuse, caregiver burnout, or other pressures—reminding us that the stakes are high – life and death, no less.

The fundamental expectation of health care should be to rush to care for the patient, providing support through a system that embraces them—not rush them toward death without efforts to mitigate suffering or ensure free and informed consent. If we truly value dignity, we must invest in comprehensive care to prevent patients from being administered speedy death in their most vulnerable moment, turning their worst day into potentially their last.


Dr. Ramona Coelho is a family physician whose practice largely serves marginalised persons in London, Ontario. She is a senior fellow at the Macdonald-Laurier Institute and co-editor of the new book “Unravelling MAiD in Canada” from McGill University Press.

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