Military reports disturbing conditions in Ontario nursing homes.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

I have been writing about the tragic COVID-19 nursing home deaths. On April 14 I wrote about COVID-19 Triage guidelines and nursing home deaths and on May 13 I wrote about the New York State policy that may have led to thousands of nursing home resident deaths. 

In Ontario, nursing home residents comprise more than 75% of the COVID-19 deaths.  The Canadian military was called in to provide needed care and support in nursing homes that were strained by the COVID-19 outbreak.

According to a Global news report:

A total of 285 military members were working in Ontario care homes. In Quebec, more than 1,500 soldiers were sent to 25 long-term care homes, with up to 60 at each facility. More than two dozen Canadian soldiers have now tested positive for COVID-19.

This military intervention not only provided care for vulnerable people, it also provided an impartial witness to the care (or lack thereof), that the residents were receiving.

Military member providing care

Military personnel who were caring for nursing home residents released an horrific report of systemic nursing home elder abuse. According to the CBC News Report by Nick Boisvert:

Military service members, who have been providing assistance at the homes since April 28, say they have observed numerous forms of unhygienic and dangerous behaviour. 

The list of allegations includes:

• Repeated use of medical equipment between COVID-19 patients and others who had not tested positive, without it being disinfected.

• Improper use of personal protective equipment (PPE) by staff and doctors.

• Housing of COVID-19 patients with residents who had not tested positive.

• Staff reusing gloves or not washing hands between resident interactions.

• Staff being aggressive with residents during medical procedures.

• Residents calling for help with no response for up to two hours.

• The presence of insects, including cockroaches and ants.

Ontario Premier Doug Ford

Boisvert reported Ontario Premier Doug Ford stating in his press conference:

"It was so disturbing ... It was the worst report, most heart-wrenching report I have ever read in my entire life"

A Global News report stated:

The soldiers reported witnessing cockroaches, flies, rotten food, as well as residents left in soiled diapers or crying out for help for lengthy periods, the documents allege. At one facility, residents had not been bathed in weeks, they said. 

At a facility in Etobicoke, residents who tested positive for COVID-19 shared rooms with uninfected residents, separated only by a curtain, the documents said. 

It found “major concerns” at Eatonville about care, infection control and narcotics abuse. 

The Orchard Villa home had cockroaches and flies, and residents were “left in beds soiled in diapers.” New staff were not trained adequately, nor was protective gear used properly. 

It said staff were not always sitting residents up before feeding them, and that this may have contributed to the death of a resident who choked after being fed “while suppine.”

All of this and more is occurring in Ontario where we have universal healthcare. Please read the Global news report.

The horrific incidents outlined in the report reveal a culture disrespect and dehumanization towards people needing care. Philosophers like Peter Singer, who teach that people with certain cognitive conditions cease being persons have contributed to this epidemic of disrespect and harm.

This military report confirms the truth of what the community living movement believes, that it is essential for all human beings to have equality and inclusion in society. Institutionalizing people with disabilities or the elderly leads to exclusion and discrimination and eventual abandonment.

The abusive behaviour, mismanagement and dehumanizing conditions is heart breaking and leads me to state that: 

1. Doctors and nurse practitioners, who kill people by euthanasia make decisions based on societal attitudes towards living with physical and psychological needs.
2. The concept of "freedom of choice" does not apply to conditions and attitudes that lead someone to believe that people living with certain conditions are better off dead. Subtle and overt social pressures creates a cultural shift from a "choice to die" to an expectation to die.
3. Some people have asked to die by euthanasia to avoid living in a nursing home. This report may lead to a "clean-up of nursing, it will also lead to more euthanasia deaths.

We need a caring culture: a culture that does not institutionalize the elderly, infirm or people with disabilities, but rather offers compassionate community care. 

Policies that promote home care and enable people to live independently need to be implemented. For people experiencing dementia or Alzheimer's, a community such as Hogeweyk, in the Netherlands provide an excellent example of how this is done.

Institutionalizing and warehousing people results in a culture of abandonment, abuse and often death. 

Let's rethink the concept of nursing homes.

More articles on this topic:

• Report into nursing home deaths will not protect people from suspicious euthanasia deaths (Link).
• New York policy may have led to the deaths of thousands of nursing home residents (Link).
• COVID-19 Triage guidelines and nursing home deaths (Link).
• Pandemic palliative care protocol. Selecting people to die and abusing the purpose of palliative care (Link).
• Euthanasia doctor developed COVID-19 Triage guidelines (Link).