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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.

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MAiD

Even Canadian leftists are starting to recognize the ‘dystopian’ nature of MAiD

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From LifeSiteNews

By Alex Schadenberg

Euthanasia based on poverty or disability is rarely based on personal choice and autonomy, it is horrifying, it is profane, it is the outcome of a failed social welfare system, and it is indefensible.

David Moscrop wrote an excellent article that was published by Jacobin Magazine on May 2, 2024. Jacobin is an ideologically left magazine, which is concerned about Canada killing people with disabilities and the poor by euthanasia, known as MAiD (Medical Assistance in Dying).

The article begins with this quote:

Canada boasts one of the world’s highest assisted-death rates, supposedly enabling the terminally ill to die with dignity. However, this suicide program increasingly resembles a dystopian replacement for care services, exchanging social welfare for euthanasia.

Moscrop tells the story of Normand Meunier, the quadriplegic man in Québec who died by euthanasia after suffering from horrific neglect. Moscrop writes:

For want of a mattress, a man is dead. That’s the story, in sum, of a quadriplegic man who chose to end his life in January through medically assisted death. Normand Meunier’s story, as reported by the CBC, began with a visit to a Quebec hospital due to a respiratory virus. Meunier subsequently developed a painful bedsore after being left without access to a mattress to accommodate his needs. Thereafter, he applied to Canada’s Medical Assistance in Dying (MAiD) program.

As Rachel Watts writes in her report, Meunier spent ninety-five hours on a stretcher in the emergency room – just hours short of four days. The bedsore he developed ‘eventually worsened to the point where bone and muscle were exposed and visible – making his recovery and prognosis bleak.’ The man who ‘didn’t want to be a burden’ chose to die at home. An internal investigation into the matter is underway.

I find it interesting that the article states that Meunier chose to die by euthanasia when in fact he was put into an untenable situation. Moscrop then reinforces the concerns of the disability community:

Disability and other advocates have been warning us for years that MAiD puts people at risk. They warned that the risk of people choosing death – because it’s easier than fighting to survive in a system that impoverishes people, and disproportionately does so to those who are disabled – is real. Underinvestment in medical care will push people up to and beyond the brink, which means some will choose to die instead of ‘burden’ their loved ones or society at large. They were right.

Moscrop comments on how euthanasia is the outcome of a failed social welfare state:

A libertarian ethos partially underwrote the fact that not many people blinked when MAiD was initially rolled out. Taking a more expansive view of rights, many of those not swayed by rote libertarianism were convinced that concerns over bodily autonomy and compassion were reason enough to adopt MAiD. However, in the absence of a robust welfare state, and in the face of structural poverty and discrimination, particularly toward disabled people, there is no world in which the MAiD program can be understood to be ‘progressive.’

Indeed, last year, Jeremy Appel argued that MAiD was ‘beginning to look like a dystopian end run around the cost of providing social welfare.’ Initially supportive, he changed his mind on MAiD as he considered that the decisions people make are not strictly speaking individual but are instead collectively shaped and sometimes ‘the product of social circumstances, which are outside of their control.’ When we don’t care for one another, what do we end up with?

‘I’ve come to realize,’ wrote Appel, ‘that euthanasia in Canada represents the cynical endgame of social provisioning with the brutal logic of late-stage capitalism – we’ll starve you of the funding you need to live a dignified life [. . .] and if you don’t like it, why don’t you just kill yourself?’

READ: Young, healthy women being euthanized in the Netherlands should be a warning for Canada

Moscrop then comments on that euthanasia for psychiatric reasons has been delayed in Canada based on the lack of mental health care. He refers to the reality as grotesque and writes that this is the stuff of nightmarish science fiction. Moscrop comments on the broken social welfare system in Canada.

In Canada’s most populous province, Ontario, a recipient of disability support receives about $1,300 a month – a pittance they’re meant to stretch to cover food, shelter, and other basic needs. Ontario Works – the province’s welfare program – pays a current maximum of $733 a month. Meanwhile, rental costs for a one bedroom apartment routinely push toward an average of $2,000 a month in many cities. In April, in Toronto, a one bedroom apartment averaged almost $2,500 a month.

Moscrop challenges a statement by euthanasia activists James Downer and Susan MacDonald who stated:

Despite fears that availability of MAiD for people with terminal illness would lead to requests for MAiD driven by socioeconomic deprivation or poor service availability (e.g., palliative care), available evidence consistently indicates that MAiD is most commonly received by people of high socioeconomic status and lower support needs, and those with high involvement of palliative care.

By their own admission, the data on this matter is imperfect. But even if it were, the fact that ‘most’ patients who choose MAiD are better off socioeconomically is beside the point. Some are not – and those ‘some’ are important. That includes a man living with Amyotrophic Lateral Sclerosis who, in 2019, chose medically assisted death because he couldn’t find adequate medical care that would also allow him to be with his son. It also includes a man whose application listed only ‘hearing loss,’ and whose brother says he was ‘basically put to death.’ This story came a year after experts raised the concern that the country’s MAiD regime was in violation of the Universal Declaration of Human Rights.

In 2022, Global News said the quiet part out loud: poverty is driving disabled Canadians to consider MAiD. Those ‘some’ who are driven to assisted death because of poverty or an inability to access adequate care deserve to live with dignity and with the resources they need to live as they wish. They should never, ever feel the pressure to choose to die because our social welfare institutions are starved and our health care system has been vandalized through years of austerity and poor management.

Moscrop then states that Canada has the resources to prevent endemic poverty and provide adequate care, that poor people being euthanized by the state is profane.

Moscrop then refers to a recent article by professor Trudo Lemmens who is a critic of Canada’s euthanasia law.

In a February piece for the Globe and Mail, University of Toronto law professor Trudo Lemmens wrote, ‘The results of our MAiD regime’s promotion of access to death as a benefit, and the trivialization of death as a harm to be protected against, are increasingly clear.’ In critiquing MAiD’s second track, which allows physician-assisted death for those who do not face ‘a reasonably foreseeable death,’ Lemmens points out that within two years of its adoption, ‘“track two”’ MAiD providers had ended already the lives of close to seven hundred disabled people, most of whom likely had years of life left.’

In raising concerns about expanding MAiD to cover mental illness, Lemmens added that ‘there are growing concerns that inadequate social and mental health care, and a failure to provide housing supports, push people to request MAiD,’ noting that ‘[a]dding mental illness as a basis for MAiD will only increase the number of people exposed to higher risks of premature death.’

Moscrop continues by referring to a commentary from disability leader Gabrielle Peters.

In 2021, Gabrielle Peters warned in Maclean’s that extending MAiD to cover those who weren’t facing an immediately foreseeable death was ‘dangerous, unsettling and deeply flawed.’ She traced the various ways in which a broader MAiD law could lead to people choosing to die in the face of austerity, adding an intersectional lens that is often missing from our discussions and debates over the issue.

She warned that we were failing to consider ‘how poverty and racism intersect with disability to create greater risk of harm, more institutional bias and barriers, additional layers of othering and dehumanization, and fewer resources for addressing any of these.’ And now here we are. We should have listened more carefully.

Moscrop ends his article by suggesting that euthanasia may be OK based on personal choice but it is indefensible when it is based on poverty.

While MAiD may be defensible as a means for individuals to exercise personal choice in how they live and how they die when facing illness and pain, it is plainly indefensible when state-induced austerity and mismanagement leads to people choosing to end their lives that have been made unnecessarily miserable. In short, we are killing people for being poor and disabled, which is horrifying.

It thus falls to proponents of MAiD to show how such deaths can be avoided, just as it falls to policymakers to build or rebuild institutions that ensure no one ever opts to end their life for lack of resources or support, which we could provide in abundance if we choose to.

I agree with most of Moscrop’s comments but I disagree with his statement that euthanasia is possibly defensible as a means of individuals exercising personal choice. Even though people with disabilities experience social devaluation in Canada, they may be still exercising personal choice when they ask to be killed.

The problem with modern writers is that they miss the fact that euthanasia is about killing people. Even if Canada had a greater level of equality, there would be people who ask to be killed based on their poverty or their concerns about homelessness.

The real concern is that Canada has given medical professionals the right in law to kill their patients. This is about people killing people.

Nonetheless Moscrop is right that euthanasia based on poverty or disability is rarely based on personal choice and autonomy, it is horrifying, it is profane, it is the outcome of a failed social welfare system, and it is indefensible.

Reprinted with permission from the Euthanasia Prevention Coalition.

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28-year-old Dutch woman to be killed by assisted suicide after doctors deem her autism ‘untreatable’

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28-year-old Dutch woman Zoraya ter Beek (YouTube Screenshot)

From LifeSiteNews

By Louis Knuffke

28-year-old Zoraya ter Beek plans to die by assisted suicide over her struggles with depression and mental illness, a trend which is increasing in The Netherlands.

A 28-year-old autistic woman is scheduled to die by assisted suicide in May in The Netherlands after struggling with depression and mental illness, with her psychiatrist telling her that her condition is untreatable and will never improve. 

Zoraya ter Beek, who does not suffer from any physical illness, has decided to end her life by assisted suicide after psychiatrists said they had exhausted any means of helping her deal with her mental illnesses, which includes borderline personality disorder, according to The Free Press. 

Her struggles with mental illness have prevented her from being able to finish school or start a career. 

READ: Canadian judge blocks imminent euthanasia death of 27-year-old autistic woman 

In testimony to the nihilistic attitude adopted in the choice to end her own life on account of suffering, Ter Beek has decided that after she has been killed, her body will be cremated without a funeral and her ashes scattered in the woods. 

Ter Beek’s choice to take her own life comes despite her admitted fear of death arising from the uncertainty of what happens after death. 

“I’m a little afraid of dying, because it’s the ultimate unknown,” she said. “We don’t really know what’s next – or is there nothing? That’s the scary part.” 

The diagnosis of autism and mental illness as “untreatable” and “unbearable” has become an increasing trend in The Netherlands, with a study published in June 2023 revealing 40 cases over a 10-year period from 2012 to 2021. In a third of those cases, those with autism or intellectual disabilities were told there was no hope of improving their lives, and so their condition was deemed “untreatable.” 

Irene Tuffrey-Wijne, a palliative care physician at Britain’s Kingston University, who led the study  which examined 900 cases, said, “There’s no doubt in my mind these people were suffering. But is society really OK with sending this message, that there’s no other way to help them and it’s just better to be dead?” 

Tim Stainton, director of the Canadian Institute for Inclusion and Citizenship at the University of British Columbia, added, “Helping people with autism and intellectual disabilities to die is essentially eugenics.” 

The scheduled killing of the 28-year-old autistic woman comes as The Netherlands continues to expand the scope of what legally qualifies for euthanasia, with a new law effective February 1 allowing the killing of terminally ill children aged 1 through 12 who are deemed to be “suffering hopelessly and unbearably.” 

The law allows parents to decide to kill their child even if the child is unwilling or unable to consent. 

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