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Great Reset

Assisted suicide activists should not be running our MAID program

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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 physicians312,000 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 CAMAPserved 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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International

Switzerland’s new portable suicide ‘pod’ set to claim its first life ‘soon’

Published on

From LifeSiteNews

By Clare Marie Merkowsky

In what feels like a dystopian movie, Switzerland’s new portable death “pod” to allow people to kill themselves is on track to claim its first victim this year. 

In a July 16 press conference, Florian Willet, chief executive of pro-euthanasia organization The Last Resort, announced that Switzerland will “soon” use its portable suicide pod to end a life for the first time.

“Since we have people indeed queueing up, asking to use the Sarco, it’s very likely that it will take place pretty soon,” Willet said, eerily describing it as a “beautiful way” to die.   

The pod is called Sarco, short for sarcophagus, the name of the coffins in which ancient Egyptian pharaohs were buried. The futuristic-looking 3D-printed capsule was first unveiled in 2019 for assisted suicide in Switzerland but was met with controversy.  

It’s founder, Philip Nitschke, who has been nicknamed “Dr. Death” for his attempt to “glamorize” suicides, explained how the pod works in a recent interview with the South China Morning Post.  

Once a person is inside the pod, they are asked who they are, where they are and if they know what happens when they press the button. 

The death in the pod can also be activated by a button, gesture, voice control, or blink of the eye for those who cannot vocally or physically communicate due to severe illness or mobility issues.  

After they answer, a voice says, “If you want to die press this button.” Once the button is pressed, the pod is flooded with nitrogen causing the oxygen to plummet from 21 per cent to 0.05 per cent in the air in less than 30 seconds. 

“They will then stay in that state of unconsciousness for … around about five minutes before death will take place,” Nitschke explained.  

The death inside the pod is filmed, and the footage is handed to a coroner. 

The push to debut the pod this year comes after the pod was banned earlier this month after prosecutors questioned the legality and ethics of the pod, pointing out that it is unclear who is responsible for the death and who operates the pod.   

Switzerland has allowed assisted suicide since 1942, with its only requirements being that the person freely chooses death, is of sound mind, and that their decision is not motivated by selfish reasons. 

The county’s broad euthanasia policy has made it a tourist attraction from those around the world who wish to end their lives.  

In addition to the legal question of who is responsible for the death, pro-life organizations have condemned the pods for trivializing death and undermining the dignity of life.   

“Philip Nitschke’s device has been condemned by a broad range of commentators,” James Mildred, director of engagement for pro-life organization Christian Action Research and Education (CARE), said 

“Many people feel that it trivialises, and even glamourises, suicide,” he explained.  

“We believe that suicide is a tragedy that good societies seek to prevent in every circumstance,” Mildred continued. “There are ethical ways to help human beings that don’t involve the destruction of life.” 

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Censorship Industrial Complex

New federal legislation should remind Canadians of Orwell’s 1984

Published on

From the Fraser Institute

By Jake Fuss and Alex Whalen

The legislation seeks to punish citizens not just for what the governments deems as “hate speech” but also grants the state power to bring Canadians before tribunals on suspicion that they might say something hateful in the future.

This year marks the 75th anniversary of George Orwell’s classic novel 1984 (and it’s been 40 years since the actual year 1984). In the novel, Orwell explains the dangers of totalitarianism by exploring what happens when government exercises extreme levels of control over citizens including censoring and controlling language. While Canada is a relatively free country in 2024, there are aspects of Orwell’s world reflected in government policy today.

The Human Freedom Index, published annually by the Fraser Institute and Cato Institute, defines freedom as a social concept that recognizes the dignity of individuals by the absence of coercive constraint. In a free society, citizens are free to do, say or think almost anything they want, provided it does not infringe on the right of others to do the same.

Canada currently fares relatively well compared to other countries on the Human Freedom Index, placing 13th out of 165 countries. However, our score has dropped six spots on the index since 2008 when Canada recorded its highest ever rank.

This is not surprising given the Trudeau government’s recent efforts to control and manage the free exchange of ideas. The recent Online Streaming Act imposes various content rules on major streaming services such as Netflix, and requirements to extract funds to be redirected toward favoured groups. The Act seemingly seeks to bring the entire Internet under the regulation of a government body.

In another piece of recent legislation, the Online News Act, the government attempted to force certain social media platforms to pay other legacy news outlets for carrying content. In response, the social media platforms chose simply not to allow content from those news providers on their platforms, resulting in a dramatic reduction of Canadians’ access to news.

Now, a new piece of federal legislation—Bill C-63, the Online Harms Act—seeks to control language and grant government power to punish citizens for what the government deems to be unfavourable speech.

The government has sold Bill C-63 as a way to promote the online safety of Canadians, reduce harms, and ensure the operators of social media services are held accountable. In reality, however, the bill is Orwell’s Big Brother concept brought to life, where government controls information and limits free exchange. The legislation seeks to punish citizens not just for what the governments deems as “hate speech” but also grants the state power to bring Canadians before tribunals on suspicion that they might say something hateful in the future. Not surprisingly, many have raised concerns about the constitutionality of the Bill, which will surely be tested in court.

Put differently, the Bill dictates that citizens may not only be punished for speech crimes, but also punished when another person or group of individuals believes they are likely to commit such a crime. The legislation outlines punishment mechanisms at the government’s disposal, including electronic monitoring devices, house arrest or jail time. Frighteningly, if the government doesn’t like what you say or even suspects they won’t like what you might say, then you could face serious repercussions.

That sounds eerily similar to Orwell’s concept of the Thought Police. In 1984, a secret police force investigates and punishes “thoughtcrimes,” which are personal and political thoughts unapproved by the state. The Thought Police monitor citizens and arrest anyone who engages in such crimes, to prevent personal autonomy and freedom of thought, thus providing the state with immense power and control over the populace.

The big government approach inherent in the Online Harms Act and others is antithetical to the idea of personal freedom. Famed English philosopher J.S. Mill was particularly observant in recognizing the perils of controlling and punishing speech government officials deem “dangerous.” In his book On Liberty, Mill stated “If any opinion is compelled to silence, that opinion may, for aught we can certainly know, be true. To deny this is to assume our own infallibility. Secondly, though the silenced opinion be an error, it may, and very commonly does, contain a portion of the truth; and since the general of prevailing opinion on any subject is rarely or never the whole truth, it is only by the collision of adverse opinions that the remainder of the truth has any chance of being supplied.”

Orwell’s famous novel provides a guidebook for what governments should avoid doing at all costs. Unfortunately, hints of 1984 have seeped into government policy in Canada today. The erosion of personal freedom is not something we should take for granted anymore.

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