Wednesday, March 21, 2018

Dutch prosecutors investigating assisted suicide group.

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

The public prosecutor in the Netherlands has opened an investigation into an assisted suicide group that is counseling and providing a "suicide powder."

The assisted suicide group made headlines when a 19-year-old woman died by assisted suicide with the alleged involvement of this group. According to Reuters:
Prosecutors had been looking at the Final Wish cooperative since September... 
Final Wish made headlines last week when the father of 19-year-old Ximena Knol said on television the group should be shut down after his daughter’s suicide using a powder believed to be the same “Substance X” the association promotes.
Recently the public prosecutor in the Netherlands announced that they are investigating abuse of the euthanasia law in 4 assisted deaths in 2017.

According to the recently released 2017 euthanasia report, there were 6585 assisted deaths were reported in 2017, up another 8% from 6091 reported assisted deaths in 2016. 

The DutchNL news also reported that the number of assisted deaths for dementia or psychiatric reasons increased in 2017 to 169 people dying by euthanasia for dementia (3 were advanced dementia) and 83 people dying by euthanasia for psychiatric reasons.

The New England Journal of Medicine (NEJM) (August 3, 2017) published a major Netherlands study titled: End-of-Life Decisions in the Netherlands over 25 years that uncovers abuse of the law that examined ending of life in the Netherlands. The study found that there were 7254 assisted deaths (6672 euthanasia deaths, 150 assisted suicide deaths, 431 terminations of life without request) in the Netherlands in 2015. Based on the data in the study 23% of all assisted deaths were not reported and 431 assisted deaths were done without request.

The death lobby is out-of-control in the Netherlands. Don't make the Netherlands mistake. Don't legalize euthanasia.

Sunday, March 18, 2018

Connecticut assisted suicide bill would legalize euthanasia (homicide).

Please vote no on HB5417 which seeks to legalize assisted suicide and euthanasia in Connecticut.

Dear Committee Member,

Nancy Elliott
My name is Nancy Elliott. I am a former 3 term New Hampshire State Representative who served on the Judiciary Committee where I studied bills having to do with assisted suicide. I have been made aware of some disturbing issues with HB5417. I would like to bring to your attention a provision of HB5417 in Section 15 of the bill that would legalize euthanasia.

Sec. 15. (NEW) (Effective October 1, 2018) (a) Nothing in sections 1 to 14, inclusive, of this act or sections 16 to 19, inclusive, of this act authorizes a physician or any other person to end another person's life by lethal injection, mercy killing, assisting a suicide or any other active euthanasia.

The HB5417 states in section 15a that this bill does not authorize mercy killing or assisting a suicide, yet what the bill is authorizing is the exact definition of assisting a suicide, a mercy killing and as the bill rightly equates as active euthanasia. This double talk seems to be reassuring us that mercy killing, assisting a suicide and active euthanasia will not take place yet we know by the bills content that mercy killing, assisting a suicide and active euthanasia will take place and is in fact the intent of the bill.

(b) No action taken in accordance with sections 1 to 14, inclusive, of this act or sections 16 to 19, inclusive, of this act shall constitute causing or assisting another person to commit suicide [meaning active euthanasia] in violation of section 53a-54a or 53a-56 of the general statutes.

The bill states in section 15b again that no action taken will be considered causing or assisting a suicide. We know as already stated that the bill is the exact definition of causing and assisting a suicide. It further rightly defines assisting a suicide as active euthanasia. So if the act of assisting a suicide is legalized by this bill (but not allowed to be called that) then wouldn't active euthanasia also be legalized (but not allowed to be called that). You've heard the expression “a rose by any other name…”. Just because double talk is used to redefine this it does not change that this bill legalizes Assisted Suicide and by the bills own definition euthanasia.

(c) No person shall be subject to civil or criminal liability or professional disciplinary action, including, but not limited to, revocation of such person's professional license, for (1) participating in the provision of medication or related activities in good faith compliance with the provisions of sections 1 to 14, inclusive, of this act and sections 16 to 19, inclusive, of this act, or (2) being present at the time a qualified patient self-administers medication dispensed or prescribed for aid in dying.

Section 15c states that no person can be sued, held criminally liable nor professionally disciplined nor lose their license for doing what is the definition of assisting a suicide or the definition of euthanasia. This bill therefore legalizes euthanasia. It also does not provide for any liability of any person involved in said assisted suicide or euthanasia. I respectfully ask that you reject HB5417.

Nancy Elliott
Former 3 term NH State Representative
Chair – Euthanasia Prevention Coalition - USA

Friday, March 16, 2018

Canadian man threatened by assisted death.

By Adrian Rhodes

We learned on March 16 2018 that Roger Foley, a 42 year old man diagnosed with various illnesses, who is disabled, has been experiencing abuse in home care and substandard care in hospital.
Roger Foley
The hospital abused him by threatening to charge him for his daily care; they also ‘offered medical aid in dying’ (sic). Foley did not ask to die, yet the hospital suggested it as an apparently good idea. From the source article

‘…administrators have tried to discharge him (Foley) from Victoria Hospital, have threatened to charge him the non-OHIP rate of $1800 a day to stay in a room and offered to refer him for a medically assisted death.’
Sign the petition: I support Roger Foley's plea assisted life not assisted death (Link).

Canadian man wants assisted life not assisted death.

Sign the petition: I support Roger Foley's plea assisted life not assisted death (Link).

Roger Foley
Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

CTV News reported that Roger Foley, who is lives with a cerebellar ataxia, a degenerative neurological condition, has launched a lawsuit naming the London Health Sciences Centre and the Southwest Regional LHIN, stating that they are offering him assisted death (MAiD) but they are not willing to provide him with an assisted life.

CTV News reported Foley as stating:
a government-selected home care provider had previously left him in ill health with injuries and food poisoning. Unwilling to continue living at home with the help of that home care provider, and eager to leave the London hospital where he’s been cloistered for two years, Foley is suing the hospital, several health agencies and the attorneys general of Ontario and Canada in the hopes of being given the opportunity to set up a health care team to help him live at home again -- a request he claims he has previously been denied.

“I have no desire to take up a valuable hospital bed,” Foley explained. “But at this point, it’s my only option.”
Foley has been offered euthanasia (MAiD), but Foley does not want to die - he simply wants to live at home. CTV News reported:
“I have been given the wrong medications, I have been provided food where I got food poisoning, I’ve had workers fall asleep in my living room, burners and appliances constantly left on, a fire, and I have been injured during exercises and transfers, When I report(ed) these things to the agency, I would not get a response.” 
“Unfortunately, the Ontario health-care system and the Ontario home-care system has broken my spirit and sent my life into a void of bureaucracy accompanied by a lack of accountability and oversight,”  
Foley has asked to manage his own home care team. Doing that is called “self-directed care,” and Ontario recently created an agency called Self-Directed Personal Support Services Ontario (SDPSSO) to help co-ordinate such activities. 
“I need self-directed funding in order to return to my home, I need to be able to hire my own workers to build my (home) care to work with me”
Foley's lawyer, Ken Berger, doesn't understand why they have not offered a solution for Foley. Berger stated:
the only two options offered to him have been a “forced discharge” from the hospital “to work with contracted agencies that have failed him” or medically assisted death. Refusing to leave the hospital and unwilling to die by a doctor’s hand, Foley claims he has been threatened with a $1,800 per day hospital bill, which is roughly the non-OHIP daily rate for a hospital stay. 
Foley’s statement of claim also alleges that his Charter rights “to life, liberty and security of the person” were violated when he was offered the above options without being given the chance to create a “safe and available self-directed assisted care option that would substantially alleviate his irremediable and intolerable suffering.”
Sign the petition: I support Roger Foley's plea assisted life not assisted death (Link).

 The Euthanasia Prevention Coalition supports Foley's case and all others who require assisted living not "assisted death." We believe in caring for people, not killing.

Behind the Curtain of Assisted Suicide Advocacy

This article was published by First Things on March 16, 2018

Wesley Smith
By Wesley Smith

The United States assisted suicide movement claims that it wants only a limited “reform” of law and medical ethics, restricting what it euphemistically calls “aid in dying” to competent adults with terminal illnesses for whom nothing else can be done to alleviate their suffering. But this claim isn’t true. Currently, no law permitting doctors to write lethal prescriptions mandates any objective medical determination that the patient is actually suffering. Indeed, a 2008 study published in JAMA Internal Medicine found that patients sometimes receive lethal prescriptions even when they are not experiencing serious pain or other noxious symptoms.

The falsity of the “limited license” narrative is further demonstrated by current policies and legislative proposals that are likely to be instituted broadly, should the assisted suicide movement prevail nationally.

Assisted Suicide for the Mentally Incompetent: Legal assisted suicide is supposed to be available only to the mentally competent. But after California legalized doctor-prescribed death, the California State Department of Hospitals promulgated a regulation requiring state mental institutions to facilitate assisted suicides of institutionalized patients who are diagnosed with a terminal illness. As I have written previously, these are often people who have been involuntarily denied their freedom due to diagnosed mental illness, sometimes because of suicidal ideation. They are usually being treated with powerful psychotropic medications. In what universe could they possibly be deemed competent to make a reasoned decision in favor of assisted suicide?

California isn’t alone in opening the door to assisted suicide for the mentally incompetent. A pending bill to legalize assisted suicide in Delaware would allow the “intellectually disabled” who are terminally ill potentially to qualify for lethal prescriptions. Note how HB 160 defines the term:
“Intellectual disability” means a disability, that originated before the age of 18, characterized by significant limitations in both intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills.
Such people can’t legally enter contracts. They can’t control where they live. They would require a guardian’s consent to receive most medical treatments. They can’t consent to getting a tattoo! But these same developmentally disabled people would be able to receive assisted suicide if a licensed clinical social worker wrote a letter to the lethally prescribing doctor confirming “that the patient understands the information provided.”

Expanding Assisted Suicide Beyond the Terminally Ill: The oft-repeated promise that assisted suicide is only for those who are already dying no longer holds overseas. Countries such as the Netherlands, Belgium, Switzerland, and Canada don’t limit assisted suicide and euthanasia to the dying. It’s only logical: If eliminating suffering justifies eliminating the sufferer, there are many people with disabilities, chronic pain, dementia, mental illnesses, and so on who may experience far greater suffering, and for a longer time, than do the terminally ill. It should be no surprise that many countries have steadily expanded their laws’ killable categories over the years—including, in Belgium, joint lethal injections of at least three elderly couples who wanted to die for fear of the future suffering they expected would be caused by widowhood.

Advocacy for loosening the restriction has begun here, too. As the Washington Post recently reported, Oregon legislators are planning a push to eliminate the six-months-to-live rule, and to extend the option of euthanasia to people diagnosed with dementia. True, that bill is opposed by Compassion & Choices; but, at least in part, they oppose it because it “could give ammunition to critics and frustrate their efforts to bring the narrowly defined statute to as many states as possible.” In this regard, it is also worth noting that Compassion & Choices issued a press release applauding Canada’s Supreme Court for granting a very broad legal and positive right to receive euthanasia that extended far beyond the terminally ill—a press release subsequently scrubbed, one suspects, because it revealed how radical the organization’s views really are.

Child euthanasia: Assisted suicide advocates promise to limit medicalized killing to adults. But we have already seen that same promise broken in the Netherlands and Belgium. In the Netherlands, severely disabled and dying babies are subjected to infanticide under the “Groningen Protocol”—a bureaucratic baby euthanasia checklist—and children aged twelve and above can legally be given a lethal jab. Next door in Belgium, there are no age limits! Meanwhile, Canada is beginning to debate whether to expand its euthanasia laws to include at least “mature” children.

Child euthanasia has now received the imprimatur of one of this country’s most prominent euthanasia and assisted suicide advocates, professor and prolific author Margaret P. Battin. She recently wrote in the Dutch medical journal Pediatrics that there are “no good reasons” for failing to expand eligibility for assisted suicide to minors under age twelve, and she believes that many factors favor the expansion—including, notably, “the suffering of parents.” As far as I know, none of her colleagues in the movement have objected to or publicly criticized her radical proposal.

The assisted suicide movement pretends to have a very limited agenda. It pretends to advocate only a minor change—a “safety valve,” as they sometimes call it—in traditional medical ethics and public policy. But advocates sometimes give us glimpses of the more radical and extensive ultimate intentions behind their blithe assurances. For those who have eyes to see, let them see. 

Wesley J. Smith is a senior fellow at the Discovery Institute’s Center on Human Exceptionalism and a consultant to the Patients Rights Council.

Netherlands breaking records by killing its own.

This interview was published by OneNewsNow on March 16, 2018

Alex Schadenberg
The Netherlands has released an annual report on euthanasia deaths but an advocate against euthanasia says the numbers deserve scrutiny.

There were more than 6,500 deaths in 2017, an increase of eight percent over 2016, but Alex Schadenberg of the Euthanasia Prevention Coalition says a previous study suggests that 23 percent of patients killed by a doctor are not reported.

One reason for the increase, he observes, might be expanding the allowances for euthanasia, including mental patients who don't have a terminal condition.

"Often they have actually no medical condition causing their death," says Schadenberg, "but they have psychiatric distress and most of those deaths are caused by the euthanasia clinic." 
The numbers are likely to rise even more if euthanasia of disabled children is legalized but Schadenberg says even that allowance is not the sole reason if future data shows more dead people. 
"So you have this constant increase because what was once considered an exceptional case, or out of the ordinary, has become the ordinary," he says. "And the more the culture moves in that direction, the more euthanasia deaths you're going to have."

Tuesday, March 13, 2018

Fatal Flaws film and pamphlets. Order copies today.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition (EPC)

The Fatal Flaws film will change the way the culture views assisted death.

Many of our supporters purchased The Euthanasia Deception documentary and organized screenings throughout North America and all over the world. 

The Euthanasia Deception was designed as an advocacy film to oppose euthanasia and assisted suicide through personal stories but it also resulted in advocates of assisted death changing their mindThe Euthanasia Deception was a great success.

Fatal Flaws features personal stories from people who oppose assisted death but also interviews with leaders of the death lobbies in the Netherlands and the United States.

Through these stories, we uncover the Fatal Flaws associated with assisted death.

Fatal Flaws features incredible stories that have never been told before. The most shocking one concerns Margreet whose mother was euthanized in the Netherlands without consent. Please watch and share this film clip.

Fatal Flaws also features the story of Candice Lewis (25) (Link) from Newfoundland, Canada who was pressured by doctors to die by assisted death.

These two powerful stories are a small but important part of the Fatal Flaws film.

EPC is also producing a companion pamphlet to re-enforce the message of the film. The pamphlet is excellent for promoting the film or for distribution at a screening.

Fatal Flaws will be available in May 2018. The Euthanasia Prevention Coalition is taking pre-orders for the Film and the Pamphlets.

All prices for the DVD and pamphlets include taxes and shipping: All orders can be made online (Link).
  • DVD: $40 each, 3 for $100, or 10 for $300.
  • Pamphlets: $40 for 100, 300 for $100, or 1000 for $300.
Further Discounts: All orders can be made online (Link).
  • 1 DVD + 100 pamphlets for $75, 3 DVDs + 300 pamphlets for $180.
  • With any Fatal Flaws order, get The Euthanasia Deception documentary for $20.
Further bulk orders are available upon request.

Order the Fatal Flaws DVD with companion pamphlets online or call EPC at: 1-877-439-3348 or email: or mail your check to:
Euthanasia Prevention Coalition (EPC)
Box 25033 London, Ontario N6C 6A8 
OR Box 611309 Port Huron, MI 48061
The Fatal Flaws Film will change the way the culture views assisted death.

Monday, March 12, 2018

Public prosecutor investigates euthanasia deaths in the Netherlands

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

The DutchNL news reported that the regional euthanasia review committee's annual report was released indicating that the number of assisted deaths increased by another 8% to 6585 assisted deaths were reported in 2017.
The DutchNL news, indicated that the number of assisted deaths for dementia or psychiatric reasons also increased in 2017, with 169 people dying by euthanasia for dementia (3 were advanced dementia) and 83 people dying by euthanasia for psychiatric reasons.

The report also indicated that there were 4 deaths being investigated by the public prosecution service. The Guardian news reported the following:

The four cases being investigated have been referred to the prosecutor’s office by regional euthanasia committees, which monitor the system and alleged they had found problems. The cases were then found to warrant criminal investigation. 
Two deaths being examined by the prosecutor in Noord-Holland province involve a doctor employed by Levenseindekliniek, an end of life clinic. 
It is claimed that a 67-year-old woman, who lacked the capacity to express her own will because of Alzheimer’s, was euthanised in May last year despite the physician being unable to ascertain whether the request for death was voluntary and deliberate. 
In a second case, an 84-year-old woman was euthanised last June after claiming her life was “hopeless” because of several physical illnesses. It has been suggested that this was not sufficiently proven to be case.

The public prosecutor in Oost-Nederland is also investigating the euthanasia of a 72-year-old woman last April who had metastasised cancer but lapsed into a coma, leaving the physician unable to ascertain that the decision for euthanasia was voluntary and well-considered, the review committee said. 
In the fourth case, which is being investigated in The Hague, a euthanasia request from an 84-year-old woman was granted in February last year after the patient complained that her freedom of movement had been “very much restricted” by pulmonary emphysema. It has been claimed the physician concluded too easily that the suffering of the patient was hopeless.
The DutchNL article indicated that 12 of the euthanasia deaths were questionable:
Twelve cases were labeled by the monitoring committee as not being carefully carried out – these were mainly problems with medical care or not having an independent second opinion.
The New England Journal of Medicine (NEJM) (August 3, 2017) published a Netherlands study titled:End-of-Life Decisions in the Netherlands over 25 years.

Netherlands euthanasia study uncovers abuse of the law. The study indicates that in 2015 there were 7254 assisted deaths (6672 euthanasia deaths, 150 assisted suicide deaths, 431 terminations of life without request) in the Netherlands.

A woman in the Netherlands was interviewed for the upcoming Fatal Flaws Film explaining how her mother died by euthanasia without request.

The Netherlands euthanasia law uses a voluntary self-reporting system, meaning the doctor who lethally injects the patient also submits the report. Since doctors do not self-report abuse of the law, therefore the law enables doctors to cover-up "abuse" of the law. The 431 terminations of life without request are usually not reported.

John Kelly: Incredible presentation explaining why the disability community opposes assisted suicide.

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition.

John Kelly, the New England Regional Director for the disability rights group, Not Dead Yet and the leader of Second Thoughts Massachusetts made an incredible presentation to the National Academies of Sciences, Engineering and Medicine (Health and Medicine division).

Kelly spoke at the workshop - Physician-Assisted Death: Scanning the Landscape and Potential Approaches.

Kelly's presentation is less than 17 minutes and yet he thoroughly explains why assisted suicide should not be legalized and why assisted suicide threatens the lives of people with disabilities, and others. 

I encourage everyone to watch this presentation.

Previous articles by John Kelly:

Wednesday, March 7, 2018

Netherlands 2017 euthanasia deaths increase by another 8%

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The DutchNL news is reporting that the regional euthanasia review committee's annual report was released indicating that 6585 assisted deaths were reported in 2017, increasing by 8% from 6091 reported assisted deaths in 2016.
According to the DutchNL news, the number of assisted deaths for dementia or psychiatric reasons also increased in 2017, with 169 people dying by euthanasia for dementia (3 were advanced dementia) and 83 people dying by euthanasia for psychiatric reasons.  

In 2016 there were 141 people who died by euthanasia based on dementia, up from 109 in 2015 and 60 people who died by euthanasia for psychiatric reasons, up from 56 in 2015. 

The DutchNL article indicated that 12 of the euthanasia deaths were questionable:
Twelve cases were labeled by the monitoring committee as not being carefully carried out – these were mainly problems with medical care or not having an independent second opinion.
The Netherlands euthanasia review committees are lying when they state that nearly all of the deaths are done according to the law. The fact is that they simply do not know how many assisted deaths occur outside of the law.

The New England Journal of Medicine (NEJM) (August 3, 2017) published a Netherlands study titled: End-of-Life Decisions in the Netherlands over 25 years.
The study indicates that in 2015 there were 7254 assisted deaths (6672 euthanasia deaths, 150 assisted suicide deaths, 431 terminations of life without request) in the Netherlands.

A woman in the Netherlands was interviewed for the upcoming Fatal Flaws Film  explaining how her mother died by euthanasia without request.

Since the Netherlands 2015 euthanasia report indicated that there were 5561 reported assisted deaths in 2015 and yet the data from the study indicated that there were 7254 assisted deaths in 2015. Therefore, based on the data from the study, 1693 (23%) of the assisted deaths were not reported.

The Netherlands euthanasia law uses a voluntary self-reporting system, meaning the doctor who lethally injects the patient also submits the report. Since doctors do not self-report abuse of the law, therefore the law enables doctors to cover-up "abuse" of the law. The 431 terminations of life without request are usually not reported.

Due to the design of the Netherlands law, it is impossible to know how many people actually die by an assisted death in the Netherlands. Sadly the Belgian and Canadian euthanasia laws contain the same Fatal Flaws as the Netherlands law.

Important articles on euthanasia in the Netherlands (2017):

Assisted suicide in Oregon: The reality.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The Lozier institute has published a thorough analysis of the reality of assisted suicide in Oregon by Richard Doerflinger based on the Oregon Health Authorities 2017 assisted suicide report.
Doerflinger, who is an associate scholar with the Charlotte Lozier Institute and a Public Policy Fellow at the University of Notre Dame’s Center for Ethics and Culture, examines the report based on key themes.

He first examines the problem with uncovering abuse of the law.

Physicians, witnesses, and others involved in the process need not comply objectively with the law’s requirements, but only show “good faith” compliance, exempting physicians from their usual obligation not to be negligent. The prescribing physicians need not refer a patient for psychological evaluation even in a clear case of clinical depression — such referral is required only if the doctors think the patient’s depression causes “impaired judgment.” So if they agree with the patient’s judgment that he or she is better off dead, there is no referral. 
the Oregon system is tailor-made to conceal, not reveal, abuses. The physicians involved in prescribing the drugs are the only people allowed to file reports on these cases. The Oregon Health Authority itself says it has no legal warrant to do anything but take this self-reporting at face value. If other doctors found that the patient is not eligible for assisted suicide, patient or family can simply keep trying other doctors until they find one ardently committed enough to assisted suicide to sign the forms – and it is only that last doctor who files a report. So the very cases that most cry out for investigation – in which other doctors had concluded that this patient is not eligible to receive lethal drugs – are those in which the only report is most likely submitted by ideologically committed physicians inclined to ignore or conceal problems. Those physicians are then told by the state to falsify the death certificate, listing the underlying illness as cause of death, so there will be no autopsy or independent scrutiny. And after filing an annual report from which all identifying information has been removed, the state destroys the original reports.
As I have always stated, the Oregon assisted suicide law is designed to protect physicians who are willing to prescribe lethal drugs.

He then examines the data in the 2017 assisted suicide report:
In 2017, there were 218 lethal prescriptions written and 143 patients died from these drugs. The annual increase in deaths has accelerated in the last four years, with almost twice as many assisted suicides in 2017 (143) as in 2013 (73). 
Fourteen of the 2017 deaths were from drugs prescribed in previous years. So of the 218 prescriptions filled in 2017, as many as 89 lethal barbiturate overdoses (with instructions on how to use them to take a life) are in the population, and the state that authorized their distribution has no idea what became of them. In all, 1,967 lethal prescriptions have been written and at least 1,275 patients have died from these drugs, leaving a total of 692 lethal overdoses unaccounted for.
He then examines the issue of mental health and assisted suicide:
From 1998 to 2012, only 6% of patients on average were referred for evaluation; this went down to just under 4% in 2013-2016, then 3.5% in 2017. The state has not cited a single case out of 1,275 in which a patient was found ineligible for assisted suicide because an evaluation found depression or other mental condition impairing judgment. 
...The essential question, then, is this: What checks are there against depression or other mental condition, misuse of the drugs by others with their own agendas, subtle or overt coercion, etc., at the time of death? 
The answer is: There aren’t any.
He then examines the oversight of the Oregon assisted suicide act:
The only person who can report on the circumstances at that time is the prescribing physician, and that person was only present 16% of the time in 2017 (an average of 15% for all years). In past years, a health care provider other than the prescribing physician was present 27% of the time on average; in 2017 that is down to 13%. Thus in 2017 no health care provider was present 71% of the time. 
Since the prescribing doctor, who is required to self-report the act, is rarely present at the death, therefore there is little to no oversight of the law.
Doerflinger then examined the definition of “Incurable and irreversible” terminal illness in the Oregon law based on the recent research by a Swedish investigator who communicated with the Oregon Health Authority. Doerflinger states:
Fabian Stahle, a Swedish investigator who contacted a state health official in Oregon to clarify how the phrase “terminal disease” is interpreted by those who monitor the law’s implementation. He found that patients are eligible for assisted suicide if the two doctors think they are likely to die in six months without any treatment — even if they could have been cured by treatment, or could live for years or decades if treated. If the patient refuses potentially curative treatment (as a suicidally depressed patient, for example, may well do), or treatment is denied by someone else like the physician or a health insurance company, that patient becomes “terminal” and can receive lethal drugs. Essentially you are terminal if, by withholding treatment, you can be made terminal.
He then uncovers further issues with the terminal definition:
Overall, the time from first request for the drugs, to death from those drugs, has been as long as 1,009 days (over five times the projected life expectancy); in 2017 it was as long as 603 days. 
In 2017, some 77% of the patients had various forms of cancer. Others had chronic conditions with a less predictable trajectory toward death, such as cardiac and respiratory conditions found in many seniors, neurological conditions like ALS (Lou Gehrig’s disease), and even metabolic conditions like diabetes. In 2016 the list included “benign and uncertain” growths; overall, three patients have been found eligible for the lethal drugs although doctors listed no illness at all.
The next question that he examined was the issue of uncontrolled pain.
The reality is that pain, or even concern about future pain, ranks low on the reasons that patients cite for getting the lethal drugs. In 2017, only 21% cited this concern (compared to an average of 26% in past years). The most common reasons are being “less able to engage in activities making life enjoyable” (88%), “losing autonomy” (87%), and “loss of dignity” (67%), all of which could be cited by someone with a chronic illness or long-term disability that is not terminal. The most significant change is that in 2017, some 55% of patients (compared to an average of 42% in past years) say they are obtaining the lethal dose because they are a “burden on family, friends or caregivers” – a feeling easily communicated to patients by those other parties, and by the existence of a government policy singling them out for “assistance” in suicide.
Further to that he examined the problems with assisted suicide's
In 2017, at least two patients had seizures after ingesting the drugs. Overall, at least 25 patients (including one in 2017 and three in 2016) regurgitated some of the dose, and seven overall have regained consciousness and died later of natural causes. (Interestingly, there is no record of anyone choosing to go through this a second time.) For 638 patients, 101 of them in 2017, it is not known whether such complications occurred, presumably because the prescribing physician who filed the report was not present. The time period from ingesting the drugs to death is unknown in most cases; in the 40 cases where it is known in 2017, patients took as long as 21 hours to die, compared to nine hours in 2016, with an overall maximum of 101 hours (over four days). In 2017 it took as long as four hours for the patient to lose consciousness, compared to a maximum of one hour previously; this figure is not known for 105 of the 143 patients in 2017.
Finally he examined the issue of medical treatment options:
One significant change: In 2017, only 31% of the patients had private health insurance (compared to 54% in 2016), and 68% had only governmental insurance such as Medicaid and/or Medicare (compared to 45% the previous year). This is troubling in light of Oregon’s Medicaid rationing plan, which has been known to deny potentially life-prolonging treatment to patients while highlighting the availability of assisted suicide. 
Not that private health insurance is a guarantee against rationing. In 2017, Nevada physician Brian Callister revealed that he had sought approval from insurance companies in Oregon and California (the latter also having an Oregon-style law) for two patients he thought could be cured by a treatment available in those states – in both cases, he says, the companies refused coverage for the treatment but suggested that he consider assisted suicide.
Richard Doerflinger concluded his article by stating:
This is the updated reality of physician-assisted suicide in the state whose law is seen as a model for the nation. Chronically ill seniors, potentially victims of untreated depression and the impression that they have become a “burden” on others, are nudged to a premature death that may be more gruesome than they’ve been led to believe, with no one usually present at the time of death to check whether they are competent, badgered by others, or overtly coerced toward that death. This is what has become known as “death with dignity” in Oregon, and advocates are working to spread it to far more states.
Clearly, the theory of assisted suicide in Oregon and the reality are very different.

Nancy Elliott testimony to the Connecticut Public Health Committee. "Assisted suicide is bad public policy."

Nancy Elliott's testimony to the Connecticut Public Health Committee.

Dear Committee Member,

Nancy Elliott
This is my testimony opposing the intent of assisted suicide bill HB 5417. 

I am Nancy Elliott. I am a former 3 term New Hampshire State Representative and the Chair of Euthanasia Prevention Coalition USA

The three groups that are the target for assisted suicide are the sick, the elderly and the disabled. While there are many other problems with this kind of law, I am going to focus in on these three today.

It is said this is only for the sick and dying. One of the biggest problems is people who qualify for assisted suicide are not necessarily dying. Think of a 21-year-old otherwise healthy insulin dependent diabetic. He qualifies if he rejects his insulin. This would be the same for many other people with serious conditions, who take prescription medications. What about all the curable cancers? They qualify. What about the 5% of incorrect medical diagnosis? With Assisted Suicide on the table these mistakes can be deadly.

I was at an oral submission on assisted suicide in Massachusetts a few years back when a gentleman named John Norton gave evidence, that as a young man he was diagnosed with ALS. He stated that had assisted suicide been legal at that time he would have used it. A few years in, the disease’s progression just stopped. Now in his late 70’s he stated he has had a great life with children and a grandchild. With assisted suicide on the table he would have lost all of that.

Steering is a big deal with all three of the groups that I mentioned. At that same Massachusetts proceeding, a doctor stated that assisted suicide laws were something he was in favor of. He continued with his points and ended by saying that he felt it was the responsibility for a good doctor “to guide people to make the right choice”. I do not think he intended to say that, but is there any doubt that this pro suicide doctor would try to persuade his patients to follow his wishes concerning their assisted suicide.

These laws are abusive in their very nature. To suggest to someone that they should kill themselves is abuse. My husband was terminally ill and I went to a lot of doctor appointments with him. If medical personnel were to suggest assisted suicide to him, he would have been devastated. While he never would have done that, it would be like saying to him, "You are worthless and should die." That is abuse! The proponents say that would never happen, but that did happen to an Oregon woman named Kathryn Judson. She had gone to a doctor’s appointment with her seriously ill husband and feeling exhausted she sunk into a chair where she overheard the doctor pitching assisted suicide to her husband with the clincher, “Think of your wife.” They left and never went back. The husband went on to live another five years.

Next seniors are at risk and very easily fall victim to coercion as the process is very open to that. In most states, heirs can be there for the request and even speak. Anyone can pick up the lethal dose. Once in the house all oversight is gone, there is no witness required at the death. Even if they struggled who would know. If that is not enough, the death certificate is falsified to reflect a natural death. All the information is sealed and unavailable to the public. Even if someone suspected foul play, the death certificate says no crime here. Taking advantage of seniors is epidemic in the States. Look at the case of Thomas Middleton. He made Tami Sawyer his trustee and moved into her home. Within a month he was dead by Oregon’s assisted suicide law. Two days after his death Ms. Sawyer listed his house and sold it and deposited the money into three companies she owned with her husband. We will never know if or how much coercion or foul play took place in that case.

Finally those with a disability are at risk. Most people that “qualify” for assisted suicide at that point in their life have a disability. Many with long term disabilities and have been labeled as terminal all their lives. Without meds, treatments, and assistance they would not survive. This is about disability. If you have a disability you are encouraged to give up and commit suicide. If, on the other hand, you are young and healthy, you are given suicide prevention counseling. This is discrimination against people with disabilities. Why should they trust that they will not be coerced into assisted suicide, when they are already discouraged to seek treatments and are not treated fairly? When you think about it this is a law that is written just for them. It is a “special” carve out, for the sick, elderly and disabled.

In closing, I just want to add that assisted suicide has been rejected in over 100 legislative, ballot initiative and judicial attempts in the USA, including my state New Hampshire. The more it is studied the more uncomfortable people become with it.

Thank you for the opportunity to address this bill. Please reject HB 5417. It is bad public policy.

Nancy Elliott
Chair - Euthanasia Prevention Coalition - USA

Tuesday, March 6, 2018

Second Thoughts Connecticut Opposes Assisted Suicide HB 5417

This message was sent by the disability rights group, Second Thoughts Connecticut to the members of the Connecticut Public Health Committee,

Cathy Ludlum
Dear Members of the Public Health Committee,

With all due respect, and on behalf of our members at Second Thoughts Connecticut, we are writing to express our outrage that yet another bill to legalize assisted suicide is being raised this year.

Similar bills were raised in 2013, 2014, and 2015. Each one resulted in a grueling 12-15 hour hearing, putting great stress on legislators, the public, and especially on disabled people like ourselves, many of whom find it hard to travel and stay out for hours at a time.

Not only were these bills pulled each year before the JF deadline, but each time they were pulled earlier in the process, indicating that whatever support the concept may have had in 2013 had eroded.

Stephen Mendolsohn
This is not surprising. Initially, people often think that assisting someone to die is the compassionate course. Once they read the bill, consider its implementation, and understand the discrimination it entails, support drops. They have second thoughts.

It’s bad enough to have to go through this ordeal all over again. We were shocked to see that HB 5417 (An Act Concerning End-Of-Life Care) is exactly identical to HB 7015, which was heard in 2015. The only things that have been changed are the title and the effective date. All of the testimony opposing the 2015 bill is still relevant. If there are no new ideas, and none of our previous concerns have been addressed, why would the outcome be any different?

Furthermore, this bill deals with life and death. It was not taken seriously enough to draft a new bill, or even remove the reference in Section 18 to the Office of Protection and Advocacy for Persons with Disabilities, which no longer exists. How much thought was put into the impact this legislation would have on our well-being?

We urge you to withdraw HB 5417. There is nothing new here, and this concept has failed to pass a single committee in three consecutive years. In baseball, after you strike out three times, you sit down for a while.

Thank you.

Cathy Ludlum and Stephen Mendelsohn
Second Thoughts Connecticut