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Assisted suicide activists should not be running our MAID program

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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. Itā€™s a classic case of regulatory capture, otherwise known as letting the foxes guard the henhouse.

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

ā€œSince 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,ā€ reads the report.

With $3.3 million in federal funding, ā€œCAMAP 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.ā€

Six clinicians in British Columbia formedĀ CAMAP, a national non-profit association, in October 2016. These six right-to-die advocatesĀ published clinical guidelinesĀ for MAID in 2017,Ā without seriously consultingĀ other physician organizations.

TheĀ guidelinesĀ educate clinicians on their ā€œprofessional obligation to (bring) up MAID as a care option for patients, when it is medically relevant and they are likely eligible for MAID.ā€ CAMAPā€™s guidelines apply to Canadaā€™sĀ 96,000 physicians,Ā 312,000 nursesĀ and the broader health-care workforce ofĀ two-million Canadians, wherever patients are involved.

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

Prime Minister Justin Trudeau tapped this ā€œtutoring serviceā€Ā to leadĀ 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 currentĀ director of CAMAP,Ā served as CEOĀ of Dying with Dignity from 2016 to 2019.

A founding member andĀ current chairĀ of the board of directors of CAMAP is also a member of Dying with Dignityā€™s clinician advisory council. One of the advisoryĀ councilā€™s co-chairsĀ is also a member of Dying with Dignityā€™s board of directors, as well as a moderator of the CAMAP MAID Providers Forum. TheĀ otherĀ advisory council co-chairĀ served on bothĀ the boards of CAMAP and Dying with Dignity at the same time.

Overlap between CAMAP and Dying with Dignity includesĀ CAMAPĀ founders, board members (past and present), moderators,Ā research directorsĀ 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,Ā described regulatory captureĀ 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 toĀ write the rulesĀ that regulate their industry. Doctors demand government regulations ā€” couched in the name of patient safety ā€” 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, theĀ world is watchingĀ Canada and trying to figure out what is going on with MAID and why weĀ are so differentĀ than other jurisdictions offering assisted suicide.

Canada moved from physician assisted suicideĀ being illegalĀ to becoming a world leader inĀ organ donationĀ after assisted death in the space of just six years.

In 2021, Quebec surpassed the Netherlands toĀ lead the worldĀ 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 toĀ patients choosing MAIDĀ instead of facing Canadaā€™s world-famousĀ wait timesĀ for care. Others note a lack ofĀ 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 oneā€™s stance on MAID,Ā regulatory captureĀ 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 ā€œWhen Politics Comes Before Patients: Why and How Canadian Medicare is Failing.ā€

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Dr. Robert Malone

WHO and G20 Exaggerate the Risk and Economic Impact of Outbreaks

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Poor quality modeling is being used by WHO and a G20 panel to project our risk of infectious disease pandemics and the financial requirements to address them.

Previously considered a once in a century event, major pandemics are now predicted to occur every 20 to 40 years.

Global authorities view this as an existential threat, and have called for a coordinated international response led by the World Health Organization or the WHOā€¦but not everyone agrees with this perspective.

Researchers from the University of Leeds, including policy experts, Professor Garrett Brown and Dr David Bell, are challenging the assumptions behind these dire warnings. They question whether the massive resources being allocated to pandemic preparedness are truly supported by the evidence.

One of their critiques centers on a chart frequently cited by the WHO, which appears to show a dramatic increase in the outbreaks over the past two decades. Brown and Bell say the chart omits crucial historical context and misrepresents today’s health threats.

Long-standing diseases like yellow fever, influenza, cholera, and the plague have been steadily brought under control, and outbreaks of diseases like monkey pox or natural coronaviruses have likely remained consistent over time, but whatĀ hasĀ changed, they say, is our improved diagnostic technology enabling us to distinguish diseases more readily than ever before.

Essentially, as surveillance increases, so does the likelihood of finding diseases that may have existed but previously went unnoticed.

In reality, mortality from infectious diseases has been declining for decades, thanks to advances in hygiene, nutrition, medical treatments and reduced poverty, even with COVID 2020, to 2021, mortality remained below 2010 levels.

The WHO has identified nine priority diseases for research and development, yet five of these diseases have never caused more than 1000 recorded deaths in history, aside from COVID 19, whose origins remain a topic of debate, the rest of the diseases are largely confined to specific regions, primarily in parts of Africa.

On the list the WHO also includes a hypothetical outbreak that they call disease X – it’s a placeholder for an unknown outbreak that could emerge in the future.

And while it’s intended to promote vigilance, its severity is entirely speculative and can encourage modelers to use catastrophic scenarios to estimate future risk, causing governments to make fear-based policy decisions based on little evidence.

Brown and Bell are concerned that so much focus on speculative pandemic preparedness is diverting critical resources away from urgent health issues such as tuberculosis and malaria.

Tuberculosis alone kills 1.3 million people annually, while malaria accounts for over 600,000 deaths, mostly among children.

Although testing and treatment for these diseases is relatively inexpensive, their funding could be at risk as more resources are directed towards hypothetical future threats in 2022 a high level, independent panel was convened by the G20 to review our risk of pandemics and the financial requirements to address it.

But again, the two main pieces of evidence the panel relied on to draw its conclusions grossly exaggerated the actual risk of a pandemic.

The first report provided by the G20 panel analysed the major outbreaks of the past two decades, and it was poorly referenced, excluding Covid-19 and the 2009 swine flu, which caused fewer deaths than seasonal flu, the total number of deaths from these events over the last 20 years was under 26,000 a relatively insignificant figure in the context of global disease burdens.

The second report was from Metabiota, a former private. US based corporation, the two graphs provided appear to show an exponential increase in recorded outbreaks. Yet the researchers point out that this trend aligns with the development of modern diagnostic technologies, which naturally increase the detection of previously unnoticed diseases, indeed, the absence of recorded disease outbreaks in the 60s coincides with a lack of technology and communication systems needed to document them.

Metabiota report also included data from an article published in theĀ British Medical JournalĀ in 2023 it shows the rise in mortality outbreaks over the last decade is almost entirely due to Ebola outbreaks – and when these Ebola deaths are excluded from Metabiota data – the mortality trend over the last two decades shows a clear decline – a finding that contradicts the narrative of increasing pandemic risk, the financial demands of the pandemic agenda are another concern.

The G20 panel relied on a report released by the World Bank and the WHO in 2022, which sought $31.1 billion in funding, and an additional World Bank report, using poorly supportive data, sought another 10 to 11 billion annually.

On top this report referenced a 2020 study by Maryanne, which also claimed to show an increase in the frequency of disease outbreaks, but closer inspection reveals the opposite, a sharp decline in disease outbreaks between 2010 and 2020 – and like the Metabiota report – this World Bank report overlooks the fact that the development of new diagnostic tests could account for any observed increase In disease outbreaks since 1960.

Finally, the WHO report exaggerates the economic impact of outbreaks by including extraordinary costs of actions, such as stimulus packages, while downplaying the costs of endemic diseases used for comparison.

This creates a false impression that these relatively low fatality outbreaks were costlier than other diseases, and that such costs could be fully avoided while preparing for pandemics is undoubtedly important.

Brown and Bell argue that the narrative of escalating pandemic threats is misleading. They suggest that the risk from naturally occurring disease outbreaks may actually beĀ decreasingĀ with the rise in detected outbreaks, primarily a result of better diagnostic tools.

Researchers warn that essential global priorities such as cancer, tuberculosis, malaria and nutrition support could be neglected. For example, funding for nutrition development dropped 10% in 2020 and has yet to return to pre pandemic levels.

If resources continue to be diverted towards speculative future scenarios, proven efforts to combat the world’s deadliest diseases may be overshadowed and ultimately cause more harm than good.


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Business

Publicity Kills DEI: A Free Speech Solution to Woke Companies

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For years, major corporations bragged about their wonderful Diversity, Equity, and Inclusion (DEI) programs. Theyā€™re good for business and morally correct, they said. So why are they now cutting those programs?

Robby Starbuck says these programs once got a lot of buy-in, because people wanted to be nice! But DEI came to mean much more than just being nice.

Starbuck says what it looked like in practice was ā€œcrazy trainingsā€ and ā€œovertly racist hiring practices.” Now lots of people agree with him.

Companies actually take notice when Starbuck tells his many followers about their DEI programs. Often the programs get dropped.

Thatā€™s the power of free speech.

After 40+ years of reporting, I now understand the importance of limited government and personal freedom.

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Libertarian journalist John Stossel created Stossel TV to explain liberty and free markets to young people.

Prior to Stossel TV he hosted a show on Fox Business and co-anchored ABCā€™s primetime newsmagazine show, 20/20. Stosselā€™s economic programs have been adapted into teaching kits by a non-profit organization, “Stossel in the Classroom.” High school teachers in American public schools now use the videos to help educate their students on economics and economic freedom. They are seen by more than 12 million students every year.

Stossel has received 19 Emmy Awards and has been honored five times for excellence in consumer reporting by the National Press Club. Other honors include the George Polk Award for Outstanding Local Reporting and the George Foster Peabody Award.

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