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Assisted suicide activists should not be running our MAID program

Published

12 months ago

6 minute read

From the MacDonald Laurier Institute

By Shawn Whatley

We should keep the right-to-die foxes out of the regulatory henhouse

The federal government chose a right-to-die advocacy group to help implement its medical assistance in dying legislation. It’s a classic case of regulatory capture, otherwise known as letting the foxes guard the henhouse.

In the “Fourth annual report on Medical Assistance in Dying in Canada 2022,” the federal government devoted several paragraphs of praising to the Canadian Association of MAID Assessors and Providers (CAMAP).

“Since its inception in 2017, (CAMAP) has been and continues to be an important venue for information sharing among health-care professionals and other stakeholders involved in MAID,” reads the report.

With $3.3 million in federal funding, “CAMAP has been integral in creating a MAID assessor/provider community of practice, hosts an annual conference to discuss emerging issues related to the delivery of MAID and has developed several guidance materials for health-care professionals.”

Six clinicians in British Columbia formed CAMAP, a national non-profit association, in October 2016. These six right-to-die advocates published clinical guidelines for MAID in 2017, without seriously consulting other physician organizations.

The guidelines educate clinicians on their “professional obligation to (bring) up MAID as a care option for patients, when it is medically relevant and they are likely eligible for MAID.” CAMAP’s guidelines apply to Canada’s 96,000 physicians, 312,000 nurses and the broader health-care workforce of two-million Canadians, wherever patients are involved.

The rise of CAMAP overlaps with right-to-die advocacy work in Canada. According to Sandra Martin, writing in the Globe and Mail, CAMAP “follow(ed) in the steps of Dying with Dignity,” an advocacy organization started in the 1980s, and “became both a public voice and a de facto tutoring service for doctors, organizing information-swapping and self-help sessions for members.”

Prime Minister Justin Trudeau tapped this “tutoring service” to lead the MAID program. CAMAP appears to follow the steps of Dying with Dignity, because the same people lead both groups. For example, Shanaaz Gokool, a current director of CAMAP, served as CEO of Dying with Dignity from 2016 to 2019.

A founding member and current chair of the board of directors of CAMAP is also a member of Dying with Dignity’s clinician advisory council. One of the advisory council’s co-chairs is also a member of Dying with Dignity’s board of directors, as well as a moderator of the CAMAP MAID Providers Forum. The other advisory council co-chair served on both the boards of CAMAP and Dying with Dignity at the same time.

Overlap between CAMAP and Dying with Dignity includes CAMAP founders, board members (past and present), moderators, research directors and more, showing that a small right-to-die advocacy group birthed a tiny clinical group, which now leads the MAID agenda in Canada. This is a problem because it means that a small group of activists exert outsized control over a program that has serious implications for many Canadians.

George Stigler, a Noble-winning economist, described regulatory capture in the 1960s, showing how government agencies can be captured to serve special interests.

Instead of serving citizens, focused interests can shape governments to serve narrow and select ends. Pharmaceutical companies work hard to write the rules that regulate their industry. Doctors demand government regulations — couched in the name of patient safety — to decrease competition. The list is endless.

Debates about social issues can blind us to basic governance. Anyone who criticizes MAID governance is seen as being opposed to assisted death and is shut out of the debate. At the same time, the world is watching Canada and trying to figure out what is going on with MAID and why we are so different than other jurisdictions offering assisted suicide.

Canada moved from physician assisted suicide being illegal to becoming a world leader in organ donation after assisted death in the space of just six years.

In 2021, Quebec surpassed the Netherlands to lead the world in per capita deaths by assisted suicide, with 5.1 per cent of deaths due to MAID in Quebec, 4.8 per cent in the Netherlands and 2.3 per cent in Belgium. In 2022, Canada extended its lead: MAID now represents 4.1 per cent of all deaths in Canada.

How did this happen so fast? Some point to patients choosing MAID instead of facing Canada’s world-famous wait times for care. Others note a lack of social services. No doubt many factors fuel our passion for MAID, but none of these fully explain the phenomenon. In truth, Canada became world-famous for euthanasia and physician-assisted suicide because we put right-to-die advocates in charge of assisted death.

Regardless of one’s stance on MAID, regulatory capture is a well-known form of corruption. We should expect governments to avoid obvious conflicts of interest. Assuming Canadians want robust and ready access to MAID (which might itself assume too much), at least we should keep the right-to-die foxes out of the regulatory henhouse.

Shawn Whatley is a physician, a Munk senior fellow with the Macdonald-Laurier Institute and author of “When Politics Comes Before Patients: Why and How Canadian Medicare is Failing.”

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MAiD

Nearly half of non-terminally ill Canadians who choose euthanasia say they are lonely

Published on December 19, 2024

By

From LifeSiteNews

By Anthony Murdoch

Of the 662 people who were not in danger of death but succumbed to medical assistance in dying last year, 47.1 percent cited as reasons for wanting to die ‘isolation or loneliness.’

Official government data shows that about half of Canadians who are not terminally ill yet wanted to end their lives via state-sanctioned assisted suicide did so last year because they said they were lonely.

According to data published by Health Canada on December 11 in its fifth annual report on medical assistance in dying (MAID), 15,342 people were approved for and died by euthanasia in 2023.

A total of 14,721 of these deaths were in cases where illness or disability were likely down the road or considered “reasonably foreseeable.” These are called Track 1 MAiD deaths.

However, 662 deaths were people who were not dying. Of these Track 2 deaths, 47.1 percent cited as reasons for wanting to die “isolation or loneliness.” By comparison, about 21.1 percent of Track 1 deaths reported the same feelings for wanting to die by doctor-led suicide.

The report stated that “social isolation and loneliness are shown to have a serious impact on physical and mental health, quality of life, and longevity.”

Of the Track 2 deaths, 35.7 percent lived alone, compared with 30.2 percent of Track 1 deaths. Of Track 1 deaths, the average age was 77.7 years. The average age of Track 2 deaths was 75.

Of note is that this year’s Health Canada report on MAiD is the first to include so-called “verbal” requests from individuals as official. Previously, those who wanted to die via assisted suicide had to submit a form to Health Canada in order to be officially recorded as a request to die by suicide.

Under Prime Minister Justin Trudeau, whose Liberal government legalized MAiD in 2016, the deadly program has continued to relax its rules on who is eligible for death.

As reported by LifeSiteNews, 1 in 20 Canadian deaths in 2023 came from assisted suicide.

Last week, LifeSiteNews reported how a senior Canadian couple said that a hospice care center presented euthanasia to one of them as an option because they could not afford increased care costs on their fixed income.

Canadian pro-life leaders have criticized the Trudeau government’s continued push for expanding MAiD.

Indeed, most Canadians fear the nation’s euthanasia regime unfairly targets those who are financially and socially vulnerable while still supporting the immoral practice in general.

In 2021, the program expanded from killing only terminally ill patients to allowing the chronically ill to qualify. Since then, the government has sought to include those suffering solely from mental illness.

The number of Canadians killed by lethal injection under the nation’s MAiD program since 2016 stands at close to 65,000, with an estimated 16,000 deaths in 2023 alone. Many fear that because the official statistics are manipulated the number may be even higher.

Canada had approximately 15,280 euthanasia deaths in 2023.

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MAiD

Saskatchewan seniors say they were offered euthanasia when faced with increased hospice costs

Published on December 15, 2024

By

From LifeSiteNews

By Anthony Murdoch

Most Canadians fear the nation’s euthanasia regime unfairly targets those who are financially and socially vulnerable

A senior aged Canadian couple has said that a hospice care center presented euthanasia to one of them as an option as they were facing increased care costs they could not afford on their fixed income.

71-year-old Fred Sandeski from Saskatchewan, who suffers from chronic obstructive pulmonary disease (COPD) along with a host of other ailments such as diabetes and epilepsy, and his wife Teresa, who also has failing health, say death via Canada’s Medical Assistance in Dying euthanasia program was suggested to them when they realized they would not be able to cover the costs associated with increased care at a hospice center.

According to the Epoch Times, when Fred started with palliative care, “they were just listing us the availability of what options they had for us,” and MAiD was presented as “one option.”

Thankfully, Sandeski refused MAiD, saying, “I really, really believe that the Lord has put me on this earth for a reason, and he’s not going to let me go until I’m done.” 

Sandeski’s plight was brought to the attention of the provincial government of Saskatchewan by the opposition New Democratic Party’s shadow minister for seniors, Keith Jorgenson, who encouraged Saskatchewan Health Minister Jeremy Cockrill to help the couple.

In response, Cockrill said that he had reached out to the Sandeskis and would “find a solution that’s going to work for Fred and Theresa this week.” 

He added that when it comes to the care home having offered them MAiD as a solution to their plight, he would “hope that any health care professional in this province, having those discussions with a patient has a strong understanding of the patient’s health and familial context.” 

Instances of people being offered MAiD as a solution to their health issues have become commonplace in Canada, as reported by LifeSiteNews.  

Indeed, most Canadians fear the nation’s euthanasia regime unfairly targets those who are financially and socially vulnerable while still supporting the immoral practice in general.   

Recently, the United Conservative government of Alberta said it would push back against the Canadian federal government’s continued desire to expand euthanasia in the nation, announcing it will be launching a review of the legislation and policies surrounding the grim practice, which will include a period of public engagement.  

Under Prime Minister Justin Trudeau, whose government legalized MAiD in 2016, the deadly program has continued to relax who is eligible for death.

In 2021, the program expanded from killing only terminally ill patients to allowing the chronically ill to qualify, as since then the government has sought to include those suffering solely from mental illness.

The number of Canadians killed by lethal injection under the nation’s MAiD program since 2016 stands at close to 65,000, with an estimated 16,000 deaths in 2023 alone. Many fear that because the official statistics are manipulated the number may be even higher.   

Canada had approximately 15,280 euthanasia deaths in 2023. 

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