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Alberta

Calgary judge rules against father opposing euthanasia of autistic non-terminally ill daughter

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6 minute read

From LifeSiteNews

By Clare Marie Merkowsky

On March 25, Justice Colin C.J. Feasby of the Alberta Court of King’s Bench overturned an injunction sought by the 27-year-old autistic woman’s father which previously prevented her from being killed via Canada’s Medical Assistance in Dying (MAiD) euthanasia program.

A Calgary judge has ruled that an autistic, non-terminally ill young woman can be put to death via euthanasia despite objections from her father, claiming that inhibiting her death could cause her “irreparable harm.”  

On March 25, Justice Colin C.J. Feasby of the Alberta Court of King’s Bench overturned an injunction sought by the 27-year-old autistic woman’s father which previously prevented her from being killed via Canada’s Medical Assistance in Dying (MAiD) euthanasia program.

“I do not know you and I do not know why you seek MAID. Your reasons remain your own because I have respected your autonomy and your privacy,” Justice Feasby wrote in his decision.  

“My decision recognizes your right to choose a medically assisted death; but it does not require you to choose death,” he added.  

Due to a publication ban, the young woman in the case is identified as MV while her father is listed as WV.  

MV, who is diagnosed with both autism and attention deficit hyperactivity disorder (ADHD), was approved for MAiD by two doctors and planned to end her life through euthanasia.  

However, according to court documents, her father argued that she is vulnerable and “is not competent to make the decision to take her own life.” Notably, MV still lives at home under the care of her parents.  

He also argued that she does not qualify for MAiD, pointing out that “she is generally healthy and believes that her physical symptoms, to the extent that she has any, result from undiagnosed psychological condition.”  

According to Feasby, his decision weighed the “harm” of preventing MV from having herself “medically” killed and her parent’s suffering while watching their daughter be killed.  

“The harm to MV if an injunction is granted goes to the core of her being,” he argued. “An injunction would deny MV the right to choose between living or dying with dignity [sic]. Further, an injunction would put MV in a position where she would be forced to choose between living a life she has decided is intolerable and ending her life without medical assistance.”

Feasby claimed that allowing MV to be euthanized is a better choice because “attempting to end her life without medical assistance would put her at increased risk of pain, suffering and lasting injury.” 

The ruling allows 30 days before MV can receive MAiD for her father to appeal the decision. So far, WV has not announced if he plans to appeal.  

Notably, MAiD does not yet apply to the mentally ill, as the Liberal government decided to delay the expansion of euthanasia to those suffering solely from such illnesses until 2027 following backlash from Canadians and prominent doctors.   

In January, provincial health ministers went a step further than seeking a delay in the provision, asking for the measure to be “indefinitely” postponed.  

The provincial health ministers’ appeal echoes that of leading Canadian psychiatrist Dr. K. Sonu Gaind, who testified that the expansion of MAiD “is not so much a slippery slope as a runaway train.”  

Similarly, in November, several Canadian psychiatrists warned that the country is “not ready” for the coming expansion of euthanasia to those who are mentally ill. They said that further liberalizing the procedure is not something that “society should be doing” as it could lead to deaths under a “false pretence.”   

The expansion of euthanasia to those with mental illness even has the far-left New Democratic Party (NDP) concerned. Dismissing these concerns, a Trudeau Foundation fellow actually said Trudeau’s current euthanasia regime is marked by “privilege,” assuring the Canadian people that most of those being put to death are “white,” “well off,” and “highly educated.”  

The most recent reports show that MAiD is the sixth highest cause of death in Canada. However, it was not listed as such in Statistics Canada’s top 10 leading causes of death from 2019 to 2022. When asked why MAiD was left off the list, the agency explained that it records the illnesses that led Canadians to choose to end their lives via euthanasia, not the actual cause of death, as the primary cause of death. 

According to Health Canada, in 2022, 13,241 Canadians died by MAiD lethal injections. This accounts for 4.1 percent of all deaths in the country for that year ,a 31.2 percent increase from 2021.     

While the numbers for 2023 have yet to be released, all indications point to a situation even more grim than 2022.  

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Alberta

Alberta takes big step towards shorter wait times and higher quality health care

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From the Fraser Institute

By Nadeem Esmail

On Monday, the Smith government announced that beginning next year it will change the way it funds surgeries in Alberta. This is a big step towards unlocking the ability of Alberta’s health-care system to provide more, better and faster services for the same or possibly fewer dollars.

To understand the significance of this change, you must understand the consequences of the current (and outdated) approach.

Currently, the Alberta government pays a lump sum of money to hospitals each year. Consequently, hospitals perceive patients as a drain on their budgets. From the hospital’s perspective, there’s little financial incentive to serve more patients, operate more efficiently and provide superior quality services.

Consider what would happen if your local grocery store received a giant bag of money each year to feed people. The number of items would quickly decline to whatever was most convenient for the store to provide. (Have a favourite cereal? Too bad.) Store hours would become less convenient for customers, alongside a general decline in overall service. This type of grocery store, like an Alberta hospital, is actually financially better off (that is, it saves money) if you go elsewhere.

The Smith government plans to flip this entire system on its head, to the benefit of patients and taxpayers. Instead of handing out bags of money each year to providers, the new system—known as “activity-based funding”—will pay health-care providers for each patient they treat, based on the patient’s particular condition and important factors that may add complexity or cost to their care.

This turns patients from a drain on budgets into a source of additional revenue. The result, as has been demonstrated in other universal health-care systems worldwide, is more services delivered using existing health-care infrastructure, lower wait times, improved quality of care, improved access to medical technologies, and less waste.

In other words, Albertans will receive far better value from their health-care system, which is currently among the most expensive in the world. And relief can’t come soon enough—for example, last year in Alberta the median wait time for orthopedic surgeries including hip and knee replacements was 66.8 weeks.

The naysayers argue this approach will undermine the province’s universal system and hurt patients. But by allowing a spectrum of providers to compete for the delivery of quality care, Alberta will follow the lead of other more successful universal health-care systems in countries such as Australia, Germany, the Netherlands and Switzerland and create greater accountability for hospitals and other health-care providers. Taxpayers will get a much better picture of what they’re paying for and how much they pay.

Again, Alberta is not exploring an untested policy. Almost every other developed country with universal health care uses some form of “activity-based funding” for hospital and surgical care. And remember, we already spend more on health care than our counterparts in nearly all of these countries yet endure longer wait times and poorer access to services generally, in part because of how we pay for surgical care.

While the devil is always in the details, and while it’s still possible for the Alberta government to get this wrong, Monday’s announcement is a big step in the right direction. A funding model that puts patients first will get Albertans more of the high-quality health care they already pay for in a timelier fashion. And provide to other provinces an example of bold health-care reform.

Nadeem Esmail

Senior Fellow, Fraser Institute
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Alberta

Alberta’s embrace of activity-based funding is great news for patients

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From the Montreal Economic Institute

Alberta’s move to fund acute care services through activity-based funding follows best practices internationally, points out an MEI researcher following an announcement made by Premier Danielle Smith earlier today.

“For too long, the way hospitals were funded in Alberta incentivized treating fewer patients, contributing to our long wait times,” explains Krystle Wittevrongel, director of research at the MEI. “International experience has shown that, with the proper funding models in place, health systems become more efficient to the benefit of patients.”

Currently, Alberta’s hospitals are financed under a system called “global budgeting.” This involves allocating a pre-set amount of funding to pay for a specific number of services based on previous years’ budgets.

Under the government’s newly proposed funding system, hospitals receive a fixed payment for each treatment delivered.

An Economic Note published by the MEI last year showed that Quebec’s gradual adoption of activity-based funding led to higher productivity and lower costs in the province’s health system.

Notably, the province observed that the per-procedure cost of MRIs fell by four per cent as the number of procedures performed increased by 22 per cent.

In the radiology and oncology sector, it observed productivity increases of 26 per cent while procedure costs decreased by seven per cent.

“Being able to perform more surgeries, at lower costs, and within shorter timelines is exactly what Alberta’s patients need, and Premier Smith understands that,” continued Mrs. Wittevrongel. “Today’s announcement is a good first step, and we look forward to seeing a successful roll-out once appropriate funding levels per procedure are set.”

The governments expects to roll-out this new funding model for select procedures starting in 2026.

* * *

The MEI is an independent public policy think tank with offices in Montreal, Ottawa, and Calgary. Through its publications, media appearances, and advisory services to policymakers, the MEI stimulates public policy debate and reforms based on sound economics and entrepreneurship.

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