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MAiD

MAiD advocate speaks out against expansion of euthanasia to the mentally ill

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Professor Sonu Gaind

From LifeSiteNews

By Carlos Prado and Dorothy Cummings McLean

‘not so much a slippery slope as a runaway train.’

A leading Canadian psychiatrist has testified that Canada is “not ready” to offer euthanasia to the mentally ill.

Doctor K. Sonu Gaind, who supports euthanasia under certain circumstances, testified on November 28 before the Special Joint Committee on Medical Assistance in Dying (MAiD) in Ottawa against expanding the practice.

“This expansion is not so much a slippery slope as a runaway train,” he declared.

Gaind underscored that he is not a “conscientious objector” to euthanasia and that he was the chair of his prior hospital’s MAiD team. His principal concern is to protect those with mental illness.

“MAiD is for irremediable medical conditions, ones that we can predict won’t improve,” he said.

“Worldwide evidence shows we cannot predict irremediability in cases of mental illness, meaning the primary safeguard underpinning MAiD is already bypassed,” he continued.

The leading psychiatrist added, “Scientific evidence shows we cannot distinguish suicidality caused by mental illness from motivations leading to psychiatric MAiD requests … .[There are] overlapping characteristics suggesting there may be no distinction to make.”

RELATED: Top Canadian psychiatrists urge gov’t to halt expansion of euthanasia to the mentally ill

Gaind directly addressed the claims of “discrimination” made by those in support of the expansion of MAiD, including Senator Stanley Kutcher and Dr. Mona Gupta.

“That is the ultimate discrimination.”

Gaind also took issue with statements made by Dr. Jocelyn Downie, a leading euthanasia activist and Trudeau Foundation Fellow.

“Professor Downie claimed, ‘Irremediability is a legal term rather than a clinical concept.’ Try those mental gymnastics on your constituents,” Gaind said dryly.

“Convince them it was okay their loved ones with mental illness got MAiD, not because of a clinical assessment based in medicine or science, but on the ethics of the particular assessor.”

RELATED: Trudeau Foundation fellow cites ‘privilege’ to justify expanding euthanasia to the mentally ill

Gaind criticized the euthanasia curriculum used by the Canadian Association of MAiD Assessors and Providers (CAMAP) for not teaching users how to differentiate between “suicidality” and “psychiatric MAiD requests.”

“A key problem with psychiatric MAiD assessments [is] the hubris of the assessor thinking they can determine irremediability and distinguish suicidality from psychiatric MAiD requests, when evidence shows they can do neither,” he said.

Based on all the evidence, Gaind is convinced that direct euthanasia should not be offered to the mentally ill.

“I’ve reviewed our legislation, the Health Canada practice standard, and the CAMAP training for MAiD for mental illness,” he said. “As someone who supports MAiD in general, I assure you: we are not ready.”

Gaind included in his fast-paced, passionate speech an admonishment of those who support expansion of MAiD.

“An echo chamber has driven expansion with reassurances but no safeguards,” he asserted. “It’s reassurance theatre.”

Gaind is a University of Toronto governor and professor of psychiatric medicine. In addition, he is Chief of the Department of Psychiatry at Toronto’s Sunnybrook Health Sciences Centre and past president of Canadian Psychiatric Association.

Former Bill C-7, which allows for euthanasia on the grounds of mental illness, was passed into law in early 2021. However, the eligibility of the mentally ill to be killed was delayed for two years. The exclusion was extended in February 2023 and then extended again in March to last until March 17, 2024.

In October this year, Conservative MP Ed Fast introduced Bill C-314, an effort to “amend the Criminal Code to provide that a mental disorder is not a grievous and irremediable medical condition for which a person could receive medical assistance in dying.”

When put to a vote, the Bill was defeated 167 to 150.

MAiD

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

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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

People with disabilities are vastly overrepresented in Canada’s latest assisted suicide figures

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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.

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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