MAiD
Canadian psychiatrist sounds alarm over Trudeau gov’t plan to expand euthanasia to the mentally ill
From LifeSiteNews
” someone not dying because of their condition, such as a mental disorder alone, seeking death is, by definition, suicidal. “
Dr. Harvey Chochinov, the well known professor of psychiatrisy from the University of Manitoba and the developer of dignity therapy, wrote an article that was published in the National Post on December 30, 2023 titled: Intensive compassionate caring — not MAiD — is the most effective way to address mental illness.
Chochinov writes:
It’s time to put the brakes on Medical Assistance in Dying (MAID) in Canada for those whose sole underlying medical condition is mental illness.
The federal government has tasked the Special Joint Committee on Medical Assistance in Dying to determine if Canada is ready to extend MAID eligibility, starting in March 2024, to patients with mental illness alone. Despite those convinced it is time, and safe, to launch what amounts to ‘psychiatric euthanasia,’ the special committee must pay attention to a murmur of protest that has grown to a roar: Ottawa, we’ve got a problem.
Current MAID eligibility requires a person have a grievous and irremediable medical condition. Unlike some cancers, and many neurodegenerative disorders, no mental disorder can be described as irremediable. To be sure, there are individuals whose mental affliction won’t improve, despite myriad treatments or psychosocial interventions. But there is currently no way to predict which patients won’t get better.
Studies of prognostic accuracy show psychiatrists are wrong half the time. I have cared for patients struggling with chronic suicidality; patients I worried might one day take their lives. I recall a woman with mind-numbing depression, who teetered precariously between life and death. One day, after years of countless drug trials, hospitalizations, electroconvulsive therapy, and various psychosocial interventions, she arrived for her appointment — three weeks into starting a new antidepressant — with a grin on her face.
‘The door is purple,’ she declared. I told her the door had always been purple, to which she replied, ‘I know, but now I care.’
Before that moment, no one — not me, not her friends or family and not anyone on The Special Joint Committee on Medical Assistance in Dying, nor any MAID assessor — could have predicted her recovery.
Chochinov then states that intensive, unwavering, compassionate care and caring — not MAID — offers the most effective way to address this kind of suffering.
The other reason not to launch psychiatric euthanasia is our inability to determine suicidality from those requesting MAID whose sole underlying medical condition is mental illness. According to the Canadian Association for Suicide Prevention, someone not dying because of their condition, such as a mental disorder alone, seeking death is, by definition, suicidal.
Similarly, the first item listed by the American Association of Suicidology differentiating physician hastened death and suicide is the patient must be dying. That certainly does not characterize patients who are mentally ill.
The euthanasia expansionists told the Special Joint Committee on Medical Assistance in Dying that “suicidality and having a reason to want to die are not at all the same.” Chochinov responds by stating:
We can say ‘six’ and ‘half-dozen’ are not the same as many times as we like. If we repeat it frequently, consistently and without equivocation, it might even sound convincing, but that doesn’t make it true.
Patients struggling with suicidality often have a reason to want to die, based on, for example, self-loathing, feeling like a burden or becoming worn down pursuing care and support that could sustain them. In those instances, the line between MAID and suicide simply vanishes.
Avoiding discrimination does not mean everyone is treated the same, but rather, that everyone gets equal access to what they need to thrive.
Time and again, committee members have asked witnesses when Canada’s psychiatric euthanasia program can be launched. I would suggest they behave like NASA. When a potentially catastrophic problem is identified before blast-off, space engineers don’t set an arbitrary new launch date, no more so than Health Canada announces a random release date of a new drug discovered to have unacceptable side-effects.
Ottawa, we have a problem.
The federal government would be well advised to scrap this mission. But if it insists on moving forward, launch should proceed only when the problems are solved, and not a moment sooner.
Reprinted with permission from Euthanasia Prevention Coalition.
MAiD
Nearly half of non-terminally ill Canadians who choose euthanasia say they are lonely
From LifeSiteNews
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.
Instances of people being offered MAiD as a solution to their health issues have become commonplace in Canada, as reported by LifeSiteNews.
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.
MAiD
People with disabilities are vastly overrepresented in Canada’s latest assisted suicide figures
From LifeSiteNews
By Alex Schadenberg of Euthanasia Prevention Coalition
In 2023, Canada recorded over 15,300 euthanasia deaths, with disabilities, poverty, and loneliness driving decisions. Assisted suicide represented 4.7 percent of all deaths in Canada last year.
On February 6, 2024, after obtaining the euthanasia data from Alberta, Ontario, and Québec, the Euthanasia Prevention Coalition published an article stating that there were approximately 15,300 euthanasia (MAiD) deaths in Canada in 2023.
On July 8, 2024 we published an article with links to the euthanasia data from Alberta, British Columbia, Manitoba, Nova Scotia, Ontario, and Québec. We again predicted that there were about 15,300 euthanasia deaths in 2023.
READ: Canadian seniors say they were offered euthanasia when faced with increased hospice costs
On December 11, 2024, Canada’s Ministry of Health released the Fifth Annual Report on Medical Assistance in Dying which indicates that there were 15,343 reported euthanasia deaths representing 4.7 percent of all deaths in 2023.
Why did Canada’s Ministry of Health wait until December 2024 to release the 2023 euthanasia data when the report essentially concerns numbers and data while lacking information on the actual reason for people wanting to be killed by euthanasia?
Interesting data in the report:
- Of the 15,343 reported euthanasia deaths: 95.9 percent were Track 1 deaths (the person was deemed to have a terminal condition); 4.1 percent were Track 2 deaths (the person was deemed as not having a terminal condition).
- People with disabilities accounted for 33.5 percent of the Track 1 euthanasia deaths and 58.3 percent of the Track 2 euthanasia deaths. In 2022, 27 percent of Canadians were people with one or more disabilities. People with disabilities are over-represented in Canada’s euthanasia statistics.
- 95.8 percent of those who died by euthanasia were Caucasian (White) while fewer than 1 percent were First Nations people. In 2022, 69.8 percent of Canadians euthanized were Caucasian and 5 percent were First Nations people.
What is happening in British Columbia, Ontario and Québec?
When analyzing the Fifth Annual Report we question, “What makes British Columbia, Ontario and Québec different than the rest of Canada?” In 2023, euthanasia deaths increased by 36.5 percent in Québec, 30.3 percent in Ontario, and 18 percent in British Columbia. When examining the data from the other seven provinces, the next highest rate of increase was Alberta with a 6.4 percent increase in euthanasia deaths.
Québec has the highest euthanasia rate with 5601 reported euthanasia deaths – this represents 7.3 percent of all deaths and 36.5 percent of all Canadian euthanasia deaths. Canada’s 2021 Census indicated that 23 percent of Canadians live in Québec.
We question the accuracy of the Québec euthanasia data. CBC Radio Canada reported on March 9, 2024, that the Québec government had reported that there were 5,686 reported euthanasia deaths in 2023, but the Fifth Annual report states 5,601.
The analysis of the Québec Commission on End-of-Life Care Eighth Annual Report (April 1, 2022 – March 30, 2023) by Amy Hasbrouck indicated that there were 190 euthanasia deaths that may not have been reported by the doctor or nurse practitioner who carried out the death. 190 unreported euthanasia deaths is serious.
Euthanasia for frailty was listed as a reason in 1,392 deaths, representing more than 9 percent of all euthanasia deaths. In 92 euthanasia deaths, frailty was listed as the only reason.
Euthanasia for chronic pain was listed as a reason in 933 deaths, with 23 of the deaths listing chronic pain as the only reason.
Euthanasia for dementia was listed as a reason in 241 deaths, with 106 of those deaths listing dementia as the only reason.
Similar to other jurisdictions, the reason for seeking euthanasia was highly oriented to the person’s social condition.
- 96 percent listed “Loss of ability to engage in meaningful activities,”
- 87 percent listed “Loss of ability to perform activities of daily living,”
- 70 percent listed “Loss of dignity,”
- 55 percent listed “Inadequate pain control.”
It is important to note that loneliness and isolation was listed in more than 21 percent of all euthanasia deaths representing more than 3,200 people.
People with disabilities should be concerned that more than 50 percent of those who died identified “loss of independence” and almost 50 percent listed being a perceived burden on family, friends, or care givers.
People with disabilities should also be concerned that “other conditions” was the highest identified factor for euthanasia. For people with disabilities, 46.2 percent of the Track 1 deaths were based on “other conditions” and 62.9 percent of the Track 2 deaths were based on “other conditions.” “Other conditions” is not further defined and indicates a serious concern with discrimination of people with disabilities.
We recognize another concern related to the difference in income levels for Track 1 and Track 2 euthanasia deaths. People who died by Track 2 euthanasia were more likely to have a lower income than the Track 1 deaths.
More analysis of the Fifth Annual Report needs to be done. The report includes more information than previous years’ reports but it does not examine why people are asking for euthanasia nor does it uncover deaths that may be outside of the parameters of the law.
In October 2024 the chief coroner of Ontario released a report from the Ontario MAiD Death Review Committee reporting that between 2018 and 2023 there were euthanasia deaths driven by homelessness, fear, and isolation and that poor people are at risk of coercion, indicating that Canadians with disabilities are needlessly dying by euthanasia. The data from the Ontario Death Review report indicates that in the reported time period there were at least 428 non-compliant euthanasia deaths and 25 percent of the euthanasia providers violated the law.
The Ontario MAiD Death Review report has three parts (Part 3) (Part 2) (Part 1).
The federal government needs to do a complete review of Canada’s experience with euthanasia.
Reprinted with permission from the Euthanasia Prevention Coalition.
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