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Thursday, May 11, 2023

Links - 11th May 2023 (Euthanasia in Canada)

One in four Canadians supports euthanasia on grounds of poverty - "according to research by Research CO., a Canada-based public opinion researcher, over a quarter of the country would be content with a further loosening of the rules. Among Canadians, 27% believe that medical assistance in dying should be extended to people in poverty — a figure that rose to 41% among those aged 18-34 — while 28% agreed that assistance should be offered on the grounds of homelessness, 43% for mental illness, and 50% for being disabled. Since Canada legalised euthanasia in 2016, the country has gone on to become one of the most permissive euthanasia regimes in the world. In 2021, the Canadian parliament enacted Bill C-7, a sweeping euthanasia law which repealed a requirement that only those suffering from a terminal illness whose natural death was “reasonably foreseeable” could request euthanasia. Now, anyone suffering from an illness or disability which “cannot be relieved under conditions that you consider acceptable” can freely use medical assistance in dying.  Through the government’s MAID programme, which includes both assisted suicide (when providers give patients the means to end their own lives), and euthanasia (when a medical practitioner directly administers a patient’s lethal injection), medically assisted deaths have soared. According to official Government statistics, there were 12,689 written requests for MAID in 2021, 31.3% more than in 2020, which resulted in 10,029 medically assisted deaths that year (a 34.7% rise from 2020).  Astonishingly, medically assisted deaths accounted for 3.3% of all deaths in Canada in 2021. For comparison, in the state of California, which has a similar population (approximately 40 million) and which legalised euthanasia the same year as Canada, only 486 people died through the state’s assisted dying programme... over seven in ten Canadians (73%) are pleased with the status quo, believing that the right policies are in place to allow people to seek medical assistance in dying... a significant minority want the country to go even further, with one in five Canadians (20%) believing that medical assistance in dying should always be allowed, regardless of who requests it, versus 12% who say it should never be permitted."

Leaked slides reveal dark side of Canada's euthanasia policy - "Alexander Raikin, a writer based in Washington D.C., has unearthed a cache of publicly accessible but hitherto unreported training material created by the Canadian Association of MAiD Assessors and Providers (CAMAP), an umbrella group for the medical professionals involved in the peculiar process of providing death. This material, a small portion of which was recently published in an American magazine, The New Atlantis, reveals that those self-appointed guardians of life and death knew all along that many of the public defences for the practice were untrue.  CAMAP, a charity, has no official regulatory role under Canadian law for the provision of assisted suicide. Nevertheless, it has established itself as the de facto standard-setter for euthanasia providers in the country. In July this year, Canada’s federal health ministry announced that it would outsource assisted suicide training to CAMAP, along with a $3.3 million grant.   In public, its leaders deny that there is anything wrong with Canada’s euthanasia regime. Its head, Dr Stefanie Green, has performed more than 300 euthanasia procedures and says “the act of offering the option of an assisted death is one of the most therapeutic things we do”. She is a vocal defender of the practice: in an interview, she said that “you cannot access MAiD in this country because you can’t get housing. That is clickbait. These stories have not been reported fully”. In a seminar tellingly titled “Accessing Alternatives to MAiD: What is the role of the MAiD Assessor when resources are inadequate?”, Althea Gibb-Carsley, a recently retired MAiD professional in Vancouver, documents several real-life cases of patients who have sought to die because of a lack of housing or of other resources...   Although similar to stories already reported in the Canadian press, these cases are noteworthy because they have been documented by Canadian euthanasia providers themselves, despite their well-trodden public line that such things did not happen in real life. Nor is this the only area in which euthanasia providers’ public position differs from their private one. For instance, MAiD providers have been at pains to emphasise the rigorous nature of Canada’s procedural safeguards for euthanasia. On paper, they seem adequate: each demand has to be assessed and approved by two medical doctors or nurse practitioners.  What euthanasia providers don’t say out loud is that a patient who is turned down by one assessor can simply “doctor shop” for another one until a willing assessor is found...  As Raikin puts it, “There are many paths available to reach the end, and you only need to find one. The system makes it easy to die.”  This is only the tip of the iceberg. Raikin, who has collected two years’ worth of such training sessions and personally interviewed many of the protagonists, has shared with me details of many other shocking instances where MAiD providers admit in private what they strenuously deny in public.  Meanwhile, participants of these seminars continue to shape the public debate over euthanasia, using their status as ostensible experts to do so. Professor Downie, who told euthanasia providers that they can “ask as many clinicians as you want or need”, has just criticised the Canadian government for seeking to delay the introduction of MAiD for mental disorders because “she does not think a delay is the right decision from a legal and clinical perspective”. How easy should it be for someone to die? Downie does not say.  We implicitly trust our doctors with our lives; but what happens to their profession’s moral guardrails when they are entrusted with the task of killing instead of curing? We are beginning to find out."

Facebook - "Canadian liberals: I oppose the death penalty because all life is sacred
Also, Canadian liberals: oh your life has inconveniences, you should consider medically assisted suicide to make your suffering easier"

Dr. Drew on Twitter - "Canada's Medical Assistance In Dying committee says assisted suicide should be permitted for some kids WITHOUT parental permission. Can "mature minors" give consent to end their lives?"
Auron MacIntyre on Twitter - "Wow reducing the age at which minors can consent to all kinds of horrific stuff who could have seen this coming?"

Kelowna man exasperated as elderly friend struggles to receive healthcare at home - "Randy Obenauer, 74, is suffering from a series of debilitating medical issues that have left him in need of constant in-home medical care.  Obenauer’s friend and neighbour, Vince Campbell, tells Castanet, “he's been on compensation for the last 10-15 years with an injury. But now he has heart and lung problems, he can't do a lot.”  Campbell says Obenauer managed to get by until about a year ago when his long-time care worker retired, and since then, it’s been a struggle to get the care he needs.  The situation took a turn for the worse recently when Obenauer had to have a catheter inserted to help with gall stone issues. He was treated in hospital and released on Friday. “There was no one else to pick him up so I had to go and get him,” Campbell says.  Since then, Obenauer has struggled with his catheter to the point where Campbell shared a video of him crying as he tried to deal with the issue himself... there was a time when Obenauer’s care providers were talking about signing him up for palliative care and B.C.’s medical assistance in dying program."

Facebook - "The strongest argument in favour of legal euthanasia is that it gives people who are suffering with a terminal illness and easy and safe end of life treatment But Canada's medically assisted dying law has shown that to be empirically false. Given Canada's suicide rates and suicide patters, there have been close to 0 people euthanized who would have sought suicide had euthanasia not been an option... in Canada nurses will pressure you to euthanize yourself if they feel you're a burden. So not only is suicide made easy, it's encouraged. It's one of the most despicable policies in existence. We know suicide is almost always wrong, yet apparently, some people think not only should it be easy, but it should also be encouraged. Imagine you could implement a policy that would triple the suicide rate, almost everyone would think you'd be evil for pursuing it. And yet that's exactly what medically assisted dying laws do"
This is in response to the claim that euthanasia lowers suicide rates because people are diverted from suicide to euthanasia, and the latter is more dignified.   There is the counter argument that without euthanasia, suicide rates would have risen even more.   But OTOH we already know that making suicide easier increases it

ONTARIO: Homeless, hopeless Orillia man seeks medically assisted death - "Due to what he sees as the state of the world, along with his circumstances and growing frustration with his lived experience, Tyler Dunlop says he simply sees no benefit in carrying on.  The 37-year-old has experienced homelessness on and off for the past 12 years, and he recently began the MAID process with a trip to Orillia Soldiers’ Memorial Hospital.  As an otherwise healthy, able-bodied, working man, Dunlop said the request came as a shock to local health-care providers...   His resolve to seek out MAID is so strong he refused the hospital’s offer to admit him for a psychiatric assessment...   Dunlop was born to a dysfunctional family, he said, experienced physical and sexual abuse in the foster care system as a child, has previously attempted suicide, and both of his parents have now passed away.   He lives with schizoaffective disorder and post-traumatic stress disorder as a result of his trauma, and he has long used alcohol as a means to cope...   Despite his efforts to succeed in life, he views MAID as the best path forward.  “There's just no direction, no aid. There's no incentive to keep living and contribute to society at all,” he said. “I looked at my future and I said, ‘What am I going to be in the next 10 years?’ Same thing: wandering around homeless.”...   Dunlop hopes to successfully pursue this path as an issue of “equality."     “Sometimes people are so damaged that this really is the only option. I'm trying to raise the issue of equality here,” he said. “I chose assisted dying because I know I'm not going anywhere. I've been in rehabilitation. I've accessed every resource possible to get better. Some of us can't.” The feelings behind his choice are amplified when he sees the deteriorating state of many people’s lives as a result of the ongoing housing crisis and widespread inflation."
Euthanasia advocates still pretend that it's always about preventing the suffering of the terminally ill

Why medically assisted death for minors is a problem - "As soon as March, Canada could allow “mature minors” to die by euthanasia or assisted suicide without the consent of their parents. “Mature minors” is a loosely defined concept without a specific age; children who are considered able to make their own medical decisions would be able to request a medically assisted death.  To put that in context, before children in Canada can drive vehicles, they may be allowed to consent to physicians taking their lives. Equally appalling is the number of adults speaking in favor of expanding the law to include mature minors and also infants and the mentally ill. Dying With Dignity Canada has written in support of extending eligibility to minors, proposing 12 as the minimum age requirement. Dr. Louis Roy, from the Quebec College of Physicians, recently recommended in a parliamentary meeting that babies up to 1 year old be candidates for assisted suicide if they have “severe deformations or very grave and severe syndromes.” While Roy specified that this should be for babies with hopeless diagnoses or extreme suffering, bioethicist and physician Felipe E. Vizcarrondo has said that neonatal euthanasia cannot be “ethically permissible” and “there is much room for parental, physician, personal, social and economic bias.” In fact, 64% of Canadians support access to medically assisted death for “mature minors.” Medically assisted death for minors isn’t an entirely new phenomenon. Netherlands allows it for 12-year-olds with parental consent and 16-year-olds without it. Additionally, euthanasia for babies 12 months and younger is legal in Netherlands. Its neighbor to the south, Belgium, has no age restriction, but requires parental consent for children younger than 18 and mandates that the child have a terminal illness or be near death. Billed as health care and cloaked in seemingly compassionate language, medically assisted death is described by proponents as a way to preserve human dignity, but it seems to be a way to kill the vulnerable. U.N. officials have already written that Canadian euthanasia laws seem to violate the Universal Declaration of Human Rights and that they discriminate against the poor, the elderly and people with disabilities.  Of equal concern when it comes to children and young adults, whose minds have not yet fully developed, is that some may see medically assisted suicide as an escape for circumstances that are likely to improve... there is no question that medically assisted suicide provides what one Toronto physician has called a “perverse disincentive” for Canada’s publicly funded health care system to prefer death over expensive treatments and support. Canada already ghoulishly speaks of medically assisted death as a policy that can save millions of dollars. One Canadian patient with a degenerative brain disorder, Roger Foley, said that the director of ethics talked about the cost of keeping him in the hospital. When Foley asked about long-term care, the director said, “My piece of this was to talk to you, (to see) if you had an interest in assisted dying.” Another doctor reportedly called a mother “selfish” when she refused medically assisted death for her daughter."

Canada funded this assisted suicide 'activity book' for children - "The Medical Assistance in Dying (MAID) Activity Book was first published in July by the group Canadian Virtual Hospice."

Canadian man approved for euthanasia despite citing POVERTY as key reason for his decision - "Les Landry, 65, told assessors for the procedure he 'doesn't want to die' but has applied for medical assistance in dying (MAID) because he can't afford to live comfortably... A chronically-ill woman who featured in a controversial commercial about euthanasia in Canada had complained months earlier that she wanted to live but couldn't access healthcare. Jennyfer Hatch, 37, was the subject of a campaign by Canadian fashion giant La Maison Simons which documented her experience with end-of-life care before her death in October."
Simons took down the ad

Yuan Yi Zhu on Twitter - "This is for myself. I turned 65 on May 2nd and lost all m disabilities benefits and now a senior in poverty. I am not going to live my life like this."
"A Canadian doctor gave approval for euthanasia to a man after he wrote them this email. As was charmingly put to me once by an academic expert, to not allow poor people to commit suicide simply because they are poor would be discriminatory and rob them of their dignity."
Derek on Twitter - "Why can't the poor decide if they would rather die than be poor? You are being paternalistic here... I think the poor should be allowed to have the choice, yes. If they don't want to live in poverty it seems wrong to force them. Ideally, I'd like society to do better by them so they at least feel like they want to live but obviously that's too much to hope for."
Stephen Burrows on Twitter - "Should the poor be allowed to sell themselves into slavery?"
Derek on Twitter - "I think they are worse off than slaves. A slave is an asset and if they let you die they've lost something of value. Slaves had to be taken care of when they got sick. Now if you are too sick they just replace you."

Hello, Suicide Prevention Hotline? I Would Like a Medically-Assisted Death - "Whatever you might think about last year’s national crisis over unmarked graves at Indian Residential Schools across Canada, it offered the country at least one concept that presumably everyone can agree on: “Every Child Matters.”  Unfortunately, the federal Liberals seem unable to grasp the essential moral content of this assertion. If they could, there’d be no planned expansion of Canada’s already-expansive Medical Assistance in Dying (MAID) legislation. Yet the changes they have already implemented plus those set to take place early next year and into the future will mean that every child does not matter in Canada. Neither will every military veteran. Nor every senior. Nor anyone with a mental illness or physical disability. The ongoing changes to this country’s MAID legislation will deny Canada’s most vulnerable populations the protection that a caring and competent society owes them all... Suicide – of the privately-arranged variety – is often described as Canada’s “hidden epidemic.” In 2019 there were over 4,000 deaths by suicides, making it the ninth most common cause of death in pre-Covid Canada. The suicide rate among Indigenous people from 2011 through 2016 was three times higher than the national average for non-indigenous Canadians – rising to a staggering nine times higher for Inuit communities in the North... Since Covid-19, rates of mental illness have only grown as the associated lockdowns and other forms of government-imposed isolation took their toll... As this simultaneous broadening of MAID alongside new public and private investments in suicide prevention reveals, Canada has apparently decided to fight the problem of self-harm on two mutually irreconcilable fronts... In a recent essay in Law & Liberty, Amanda Achtman framed the dichotomy of Canada’s competing suicide policies as one in which society is attempting to decide, “Who gets suicide prevention and who gets suicide facilitation?”... For most of history the concept of a “good death” meant submission to an event beyond our control, indicative of a larger and lifelong acceptance of the mystery of life itself. Today MAID is supposed to portray assisted suicide as a corporeal work of mercy. That we have so quickly come to think of “dignified death” as a departure over which we exercise direct control – a kind of last moment of self-mastery or a sleight-of-hand by which we do for nature what nature is well-able to do on its own – is a victory of a purely materialistic sense of self. With MAID 2.0 we are witnessing the rapid erosion of a fundamental principle of Canadian political culture: that it is the state’s role to safeguard the vulnerable. This includes troubling evidence that Canadians in precarious positions are being pushed towards assisted dying as a legitimate “treatment” option... Derek Humphry, an early advocate of assisted suicide, admitted in his 1998 book Freedom to Die (co-written with Mary Clement) that, “In the final analysis, economics, not the quest for broadened individual liberties or increased autonomy, will drive assisted suicide to the plateau of acceptable practice.” Humphry predicted that cultural pressures would make choosing death appear as the moral choice for the economically impoverished or unproductive. Gone will be the once-powerful arguments of the inherent dignity of the human person, the infinite value we ascribe to our children and the long tradition of speaking about humans as something other than spreadsheet entries. Canadian philosopher George Grant warned half a century ago of this growing commodification of human life in the modern era. He foretold that an implicit totalitarian impulse would creep across North America “cozily and on cat’s feet,” systematically denying the right to life of “all those who cannot defend themselves. It will come in the name of the cost-benefit analysis of human life.”... as Swedish ethics researcher Fabian Stahle observed in the JEMH in 2017, “A wish to die most often is an expression of depression that can be treated with far better methods than a lethal prescription.”... if 4,000 annual private suicides are sufficient to spark widespread action from all levels of government, what should we think about another 10,064 suicides facilitated by government?"

Paralympian Christine Gauthier claims Canada offered to euthanise her when she asked for a stairlift - "A Paralympic army veteran told stunned lawmakers in Canada when she claimed that a government official had offered to give her euthanisia equipment while fighting to have a wheelchair lift installed in her home.  Retired corporal Christine Gauthier, who competed at the 2016 Rio de Janeiro Paralympics, testified on Thursday that the unnamed veterans affairs case worker had offered in writing to provide her with a medically-assisted dying device... Advocacy group Dying With Dignity describes the procedure as “driven by compassion, an end to suffering and discrimination and desire for personal autonomy.”"

Ethical arguments against coercing provider participation in MAiD (medical assistance in dying) in Ontario, Canada - "It has historically been a crime in Canada to provide assistance to someone in ending their own life, however, this paradigm was inverted in 2015 when the Supreme Court of Canada (SCC) ruled that restrictions on this practice, within certain defined parameters, violated the right to life, liberty, and security of the person. Subsequently, recent legal and policy decisions have highlighted the issue of how to balance the rights of individuals to access MAiD with the rights of care providers to exercise conscience-based objections to participation in this process. We argue that there is significant harm and ethical hazard in disregarding individual and institutional rights to conscientious objection and since measures less coercive than the threat of regulatory or economic sanctions do exist, there should be no justification for such threats in Canada’s health care systems."
Someone said that if someone is unwilling to perform euthanasia, he shouldn't work in healthcare

Medically assisted deaths provide boost to organ donation in Ontario
I'm sure this has nothing to do with the boom in euthanasia

Medical assistance in dying: Woman with disabilities nears assisted death - "A 31-year-old Toronto woman who uses a wheelchair is nearing final approval for a medically assisted death request after a fruitless bid to secure an affordable apartment that doesn't worsen her chronic illnesses.  The looming approval for death surprisingly, makes her grateful. "Relieved and elated," Denise said...   Her story is disturbingly similar to one reported by CTV earlier in April. Sophia also suffered from Multiple Chemical Sensitivities. She received a medically assisted death in February, after fruitless attempts to get an apartment away from smoke and chemicals in her building...   "We've now gone on to basically solving the deficiencies in our social safety net through this horrific backdoor, not that anybody meant it that way, but that's what it's turned into," said David Lepofsky, disability advocate and Visiting Professor of Disability Rights at the Osgoode Hall Law School.  "With the right support, I have no doubt people with disabilities can live well in society. We all want people with disabilities to know that their lives have value," said Kobluk."

Ontario man requests euthanasia as an alternative to homelessness - "A 54-year-old St. Catharines man is about to apply for medical assisted dying (MAiD) not because he wants to die, but because he lacks social support and fears he has no other choice.  Amir Farsoud lives in endless agony from a back injury years ago. He says CityNews At worst, “he cries like a 5-year-old and doesn’t sleep for days.” Farosud also takes medication for depression and anxiety... Farsoud said his quality of life is not the reason he is applying for MAiD. He applied because he is currently at risk of losing his home and fears of becoming homeless and dying. “It’s not my first choice.”...   UN experts released a report in January 2021 stating that when “life-ending interventions are normalized for people who are not terminally ill or suffering at the end of their lives, such legal provisions tend to be based on erroneous assumptions – or off to draw strength from them about the inherent “quality of life” or “value” of a person with a disability’s life.”  In a letter sent directly to the Canadian government before the MAiD legislation was changed, the United Nations said it was concerned about the expanded access, specifically citing concern over a circumstance like the one Farsoud is facing . “It cannot be ruled out that when people with disabilities are offered an enhanced right under Bill C-7, they may choose to end their lives because of broader social factors such as loneliness, social isolation and lack of access to quality social services.” read the note...   Farsoud isn’t the first person with disabilities to consider MAID because they lack the resources available. CityNews previously spoke to Richard Ewaldwho has chronic obstructive pulmonary disease (COPD) and stage four liver disease and suffers from chronic pain and depression...   dr Kerry Bowman, a University of Toronto bioethicist, said MAID was not designed for this.  “Cases like [Faroud’s] are becoming more prevalent across the country,” Bowman said. “We were incredibly naïve as a nation to think that we could sever this vulnerability, disability and poverty and that it wouldn’t pose a problem. That’s a huge problem.”"
Weird. We keep getting told that this will never happen

Ethics of medically-assisted death questioned as some turn to it as an alternative to poverty - "In a letter sent directly to the Government of Canada ahead of the change in MAiD legislation, the UN said it was concerned with the expanded access, specifically citing concern with a circumstance like Farsoud faces.  “It is not beyond possibility that, if offered an expanded right as per Bill C-7, persons with disabilities may decide to end their lives because of broader social factors such as loneliness, social isolation, and lack of access to quality social services”...   Professor of Law and Bioethics Trudo Lemmens said he was firmly against the expansion of the MAID criteria to include those whose death was not foreseeable.  “We have now a law that singles out people and sends the message basically that disability is an understandable reason to end your life, and which sends a message that the quality of life and the value of continuing to live with disabilities is less than for a person who doesn’t have a disability.”  Lemmens said physicians who sign off on MAiD, knowing social supports is a motivating factor of choosing to die, are contributing to this...   Dr. Kerry Bowman, a bioethicist from the University of Toronto, agrees that this is not what MAiD was designed for.  “Cases like [Farsoud’s] are emerging with increasing frequency across the country,” Dr. Bowman said. “We were unbelievably naive as a nation to think that vulnerability, disability, poverty that we could parcel that off and it wasn’t going to be a problem. It’s a huge problem.”  When asked about whether those with disabilities should have the right to choose MAiD, Dr. Bowman agreed. “But again, what does that say about a society when the right to choose is based on the fact that they’re unable to work? They’re living with disability and in pain and society is just allowing them to choose death and death becomes an option to cover. And this is really morally very, very wrong”... Lemmens said the country has created a system where “ending of life is an easier and cheaper solution than actually investing in health care and social support.” He believes the government should be going back to the drawing board."

How Canada ignored warnings that euthanasia would immediately go too far - "It’s a nightmare scenario that was envisioned by no shortage of ethicists and health figures when assisted death was first written into Canadian law. But with few exceptions, these warnings were ignored by the various court rulings that ultimately forced Canada into adopting the world’s most permissive regime of legal euthanasia... Notably, Carter v. Canada directly contradicted another Supreme Court decision from just 22 years before — that was even written by some of the same justices. In 1993’s Rodriguez v. British Columbia, the Supreme Court had dismissed a Charter appeal against the assisted suicide ban, arguing that such a measure would violate the Charter’s “underlying hypothesis” of the sanctity of human life. “Given the concerns about abuse and the great difficulty in creating appropriate safeguards, the blanket prohibition on assisted suicide is not arbitrary or unfair,” read the 1993 ruling.  But by 2015, the Supreme Court had decided that denying citizens the option to end their own lives violated Charter guarantees against the “security of the person.” As for the prospect of abuse, this was dismissed almost entirely. Assisted suicide was already legal in Belgium in 2015, and had similarly yielded a number of controversial cases in which state-sanctioned death was extended to citizens without terminal illnesses.  This included a severely depressed 34-year-old woman who suffered from suicidal ideation, and two twin brothers who opted for assisted suicide when they began to go blind.  Belgian bioethicist Etienne Montero was even flown in to say as much before the court. “Strict safeguards” were an illusion, he told the court. “Once euthanasia is allowed, it becomes very difficult to maintain a strict interpretation of the statutory conditions.”   But the Canadian justices dismissed the Belgian experience as “the product of a very different medico-legal culture” and said it offered no lessons for Canada...   The Liberal-dominated House of Commons was far less cavalier when it came time to encode assisted death into an Act of Parliament.  The resulting legislation, Bill C-14, extended medical assistance in dying (MAID) only to “competent adults whose deaths are reasonably foreseeable.”  This was done to defend the “interests of vulnerable persons in need of protection,” according to the bill, which received support from 15 members of the Conservative caucus. During parliamentary debates over the bill, a non-partisan cross-section of MPs spoke to their fears of greenlighting an assisted suicide regime that could unwittingly extend to the disabled or the mentally ill.  The NDP’s Joe Comartin warned of “mercy killings” becoming a regular component of an underfunded Canadian health-care system. “The risk we have is sending a message to the country that life is expendable, that we are prepared to say that we do not care enough for people to take care of them,” he said.  A Conservative, Joy Smith, raised the experience of Dutch bioethicist Theo Boer, an initial supporter of euthanasia in the Netherlands who ultimately became a fierce critic when he saw it being applied well beyond rare cases of terminal illness or unbearable pain. “Once the genie is out of the bottle, it is not likely to ever go back in again,” said Boer in 2014... John C. Wootton, wrote in a letter to the Canadian Medical Association Journal that MAID’s core issue was that it was a 100 per cent successful procedure, with no way of telling whether it was a mistake. “Because few other medical acts can be accomplished with such impunity, we are likely to become more and more comfortable with it, and more and more permissive as times goes by,” he wrote.  But it was another court ruling that would once again push the envelope on Canada’s assisted death regime. In the 2019 decision Truchon and Gladu v. Canada, the Quebec Superior Court ruled that extending assisted suicide only to Canadians with terminal illnesses was similarly a violation of the “security of the person.” Here again, the prospect of euthanasia going too far was almost entirely dismissed."

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