Wednesday, December 31, 2025

The Euthanasia Prevention Coalition works to Protect Your Life.

The Euthanasia Prevention Coalition (EPC) offers several ways to protect you from euthanasia and assisted suicide.

EPC asks you to share your personal stories related to euthanasia or assisted suicide. Many people have family or friends who died by euthanasia or assisted suicide under questionable circumstances. By sharing your story, you open the door to other people sharing their story.

1. The Life-Protecting Power of Attorney for Personal Care will protect you when you cannot make medical or personal care decisions for yourself.

This legal document enables you to appoint someone you trust to be your Power of Attorney for Personal Care (language differs based on jurisdiction). This document makes clear statements about euthanasia, assisted suicide and medical treatment options and guides medical practitioners and the person you have appointed to make medical and personal care decisions that protect your life, when you are unable to make decisions for yourself.

The Life Protecting Power of Attorney uses a basic format that is legal within most jurisdictions and also has available specific formats for jurisdictions with special requirements.
Americans purchase US State versions from EPC-USA for $15  (Purchase linkor contact EPC at: 1-877-439-3348 or info@epcc.ca.

2. EPC suggests that you write a straight forward letter to your physician explaining that you oppose euthanasia and assisted suicide and have that letter added to your medical file.

3. The Do Not Kill Me wallet card is available from EPC upon request or with a donation. The card provides further protection when sign and date, with a witness, on the back of the card.

EPC will send you Do Not Kill Me wallet cards by contacting us by email:
info@epcc.ca. or at: 1-877-439-3348. 

Euthanasia Prevention Coalition yearly friendship fee is $30 (individual) or $50 (group). Pay for your friendship online.
 
Donations can be made to EPC by (Online Donation Link) or (Paypal Donation Link) or send E-transfer donations to:  info@epcc.ca or call the EPC office at: 1-877-439-3348.

EPC works with the Compassionate Community Care charity (CCC) that offers practical advice and information for people when they or a loved one has questions related to medical treatment options or are concerned that a loved one is considering or being pressured to be killed by euthanasia or assisted suicide.

CCC developed a community based Visitor Training Program to provide training for you to visit people who are lonely and isolated. CCC also developed an Advocacy Training Program to help you to provide medical or personal care advocacy for people you know. CCC has also established a calling service to contact people who are lonely, isolated and vulnerable. Contact CCC at: 1-855-675-8749.

The powerful new film: Life Worth Living

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Purchase or rent the EPC film
 Life Worth Living. Purchase for $9.99 US or rent for $6.99 US (three days) through Salem Now  (Life Worth Living film Link).

Watch the powerful trailer for the 60 minute film.


The Euthanasia Prevention Coalition needs supporters to arrange for screenings of the film.

Life Worth Living features:
  • Alicia Duncan, whose mother died by euthanasia with conditions based on mental health, 
  • Kelsi Sheren, a Canadian military veteran who came back from combat with PTSD and other disabilities. Kelsi is a social media influencer and a life coach.
  • Roger Foley, a Canadian man living with a significant disability who has been pressured by hospital staff to request euthanasia.
  • Dr David D'Souza, an Ontario pain specialist.
  • Dr Catherine Ferrier, a Quebec Gerontologist and a leader of Physicians' Alliance against Euthanasia, 
  • Dr Will Johnston, a Vancouver family physician and leader of Euthanasia Resistance BC
  • Kathy Matusiak Costa, Executive Director of Compassionate Community Care,
  • Alex Schadenberg, (myself), author, keynote speaker, International leader opposing euthanasia and assisted suicide.
This is the first review we received of the film:
I just watched Life Worth Living and I have to say I'm so incredibly impressed. I can't contain my enthusiasm for this film. It's one of the best film projects on the subject of medical killing ever. I'd expect awards to be forthcoming for best documentary film. Lester.
Purchase or rent the EPC film Life Worth Living. Purchase for $9.99 US or rent for $6.99 US (three days) through Salem Now (Life Worth Living film Link).

The Euthanasia Prevention Coalition needs your help.
  1. Purchase the Life Worth Living Film (Life Worth Living film Link)
  2. Arrange to have Life Worth Living shown in your community. Contact us at: info@epcc.ca
  3. You may want a speaker at the event to lead a discussion. Contact us at: info@epcc.ca

This blog rarely publishes anonymous comments and never publishes inappropriate ones

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Many people leave comments on the blog that we do not publish. Th EPCblog is moderated by myself and I will rarely publish comments that are left Anonymous. 

I made this decision, a few years ago, after receiving attacking or rude comments from people. Usually these attacks were made by an anonymous person but even if the person attaches their name to a rude or attacking comment, I will not publish it.

Further to that, I will often not publish comments that concern other divisive issues.

I do not publish comments that are illegal or inappropriate. [The death lobby often attempts to publish lethal drug ordering information on a EPC blog article.]

Sometimes, but not always, I will publishe excellent comments even though the person was Anonymous.

Whether the comment is positive or negative, I will usually not publish an anonymous comment.

Tuesday, December 30, 2025

Canadian actress seeking euthanasia for mental illness.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Claire Brosseau
Stephanie Nolen was published in the New York Times on December 29, 2025 with an article promoting Claire Brosseau, who was diagnosed with manic depression when she was 14 and now wants to die by euthanasia based on her mental illness alone.

Canada's federal government has currently scheduled to extend the euthanasia law to include mental illness alone on March 17, 2027.
 
Tamara Jansen (MP) has sponsored private members bill Bill C-218 that will prevent the extension of euthanasia to mental illness alone.
 
The story of Claire Brosseau is a propaganda to build greater acceptance for euthanasia based on mental illness alone. Recent polls indicate that the majority of Canadians do not support extending euthanasia to mental illness alone.
 
Brosseau, who is an actress that has appeared in multiple movies, TV shows and comedy festivals. Nolen explains:

Claire Brosseau is desperate to die.

She is 48 years old and has had a life she calls an “an embarrassment of riches.” She has a vast network of friends, a devoted family, the steadfast adoration of a small dog. She has performed to raucous laughter in some of North America’s most prestigious comedy clubs and festivals, acted in movies, written brutally funny television shows. She has traveled, shopped, danced and known herself to be deeply loved.

She also suffers from debilitating mental illness that decades of treatment have not tamed. Sometimes she is so crushingly sad that she sobs until her bones ache. Sometimes she feels as if she were standing on a ledge, flipping minute by minute between being sure that if she jumped she would actually fly, and wanting to hurl herself as hard as she can onto the ground.

She has tried more times than she can count to die by suicide. She has overdosed on drugs and cut her wrists. Once she deliberately ate peanuts to trigger her severe allergy, hoping to die of anaphylaxis.

In 2021, Ms. Brosseau, who lives in Toronto, learned of a coming change to Canadian law that would allow people who suffered with an incurable medical condition but were not near death to ask a doctor to end their life.

Brosseau has joined the legal challenge that was launched by the euthanasia lobby group, Dying With Dignity, challenging the legal restriction that prevents euthanasia for mental illness alone. Nolen reported:

In April 2024, Ms. Brosseau got an email from Dying With Dignity Canada, an advocacy organization, with a question. The group was planning to go to the courts to argue that the exclusion of people with mental illness from access to assisted death was discriminatory. They had one plaintiff — a war correspondent whose last 30 years had been a hellscape of PTSD. They wanted to know if Ms. Brosseau — who had been in touch with them from time to time for updates on the law — would be another.

She agreed immediately.

She assembled thousands of pages of medical files. She labored, with her fractured memory, to tell the lawyers preparing the case the story of her 34 years of illness.

Two physicians she had never met, but who already routinely conducted assessments for people seeking assisted deaths, one of them a psychiatrist, were assigned by the legal team to assess her. Both concluded that she would be eligible under the guidelines for chronic conditions — as a person with an irremediable illness that caused her persistent, intolerable suffering, who had the capacity to make sound medical decisions — if she were not excluded by her diagnosis.

Dr Gail Robinson, who is also professor of psychiatrist at the University of Toronto, considers Brosseau's request for euthanasia to be "a reasonable choice", Nolen reported:
“I would love her to change her mind,” Dr. Robinson told me. “I would hope that she would not have to do this. But I will support her.”

For Dr. Robinson, it is a clear case of discrimination: Ms. Brosseau is being denied medical care that is available to other Canadians purely because her chronic condition is a mental illness, not a physical one.

Dr. Mark Fefergrad, a psychiatrist who has been treating Brosseau believes that she can get better. Nolen reported him as stating:
But for Dr. Mark Fefergrad, Ms. Brosseau’s other psychiatrist, the nature of mental illness means assisted death must be considered differently. He knows Ms. Brosseau has endured periods of intense suffering, but he has also seen her improve, for a time, with some treatments.

“I believe she can get well,” he said. Using the common Canadian acronym for medical assistance in dying, he added, “I don’t think MAID is the best or only choice for her.”

The Euthanasia Prevention Coalition is promoting Bill C-218 to prevent euthanasia for mental illness alone from ever being implemented. (Link to the Bill C-218 campaign article).

EPC produced a social change film. Part of that film concerns euthanasia for mental illness. Please share our short video: No MAiD for Mental Illness (Video Link).

Canadian doctor warns Britain not to legalize assisted suicide.

To the UK, I offer this warning: do not open Pandora’s box

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Dr Mark D'Souza
Mark D'Souza, a Canadian physician and author, was published by Conservativehome on December 24, 2025 with an article titled: A warning from Canada on euthanasia - do not open Pandora's box.

D'Souza, a former palliative care physician who left the field of palliative medicine based on his concerns related to the lack of conscience rights states that:

Canada’s embrace of euthanasia has transformed from a supposed “rare and exceptional” measure into a dystopian nightmare.

What begins as a compassionate act inevitably morphs into a witch’s brew of moral ambiguity, economic incentives, and quiet coercion. Once the legal door opened, it quickly became apparent that for the activists driving the agenda, the revolution would not stop there.
D'Souza explains that once Pandora's box is opened the 'bait and switch' begins.
Canada’s journey began with the passage of Bill C-14 in 2016. This was neatly branded under the Orwellian doublespeak term of “Medical Assistance in Dying”, or MAiD for short; a name so sanitized, you might mistake it for a home-cleaning service.

At the time, the law restricted euthanasia to individuals whose deaths were “reasonably foreseeable.” The vagueness of this definition was intentional, leaving room for interpretation. Four years later, Bill C-7 removed even this restriction, permitting euthanasia for those whose deaths were not imminent. The next frontier – euthanasia solely for mental health conditions – has been temporarily delayed, but how long until it resurfaces?
D'Souza then covers the massive increase in Canada's euthanasia deaths:

In less than a decade, Canada has found something else to dominate besides ice hockey: euthanasia. In 2023, 4.7 per cent of Canadian deaths (15,427) were due to assisted suicide – just shy of the Dutch at five per cent – but we boast the fastest-growing euthanasia program in the world. Only 3.5 per cent of requests are declined, and with criteria so broad, poverty and homelessness now seem like valid justifications.
D'Souza must have written this article before Health Canada released the 2024 euthanasia data which indicating that:
The 2024 report indicates that there were 16,499 reported (MAiD) euthanasia deaths which was up by 6.9% from 15,427 in 2023. The 2024 report indicates that 5.1% of all Canadian deaths are euthanasia.

From legalization until December 31, 2024 there were 76,475 MAiD deaths in Canada. Considering that it is now at the end of November 2025, it is likely that there have been at least 92,000 MAiD (euthanasia) deaths in Canada since legalization. Based on the 2024 report there were at least 3,800 people who listed loneliness and isolation as a primary reason for being killed.
D'Souza then comments on euthanasia for loneliness and other concerns:
Lonely? Sign up today! Half of non-terminally ill applicants cite loneliness. Disabled or struggling with mental health? You’re encouraged to enroll. Even Canada’s prison system is in on the action. And in our public-only healthcare system, where patients languish on wait lists instead of receiving actual care – and where financial and housing supports are often non-existent – is ending your life truly an autonomous decision? It’s as if the government is saying if you can’t live with dignity, at least you can die with “dignity.”

Ominously, physicians in my province of Ontario are legally required to omit any reference to euthanasia on death certificates, instead listing the underlying condition as the cause of death. The state’s Ministry of Truth enforces the fiction that these patients died naturally. Where in history has government-mandated linguistic misdirection to obscure uncomfortable truths ever ended well?
D'Souza then comments on the the goals of the death lobby:
Make no mistake: activists have always had grander ambitions. Even at the inception of Canada’s euthanasia program, they wanted access for minors and disabled infants, and advance requests for dementia. These were dismissed as alarmist speculation – until they weren’t. Just recently, Quebec approved advance requests for dementia.

What endgame do they envision? On-demand euthanasia, as commonplace as ordering from McDonald’s? Would you like fries with that?
D'Souza continues by commenting on the financial incentive to kill:
The economic pressures are undeniable. It’s estimated that euthanasia will save up to $139 million in precious healthcare dollars. (The Nazis also calculated government savings when people with disabilities were euthanized.) With an aging population, strained healthcare budgets, and intergenerational tensions over inheritance, euthanasia is quietly being smuggled in as a release valve for these societal challenges.
D'Souza then comments on the values that lead to uncontrolled euthanasia.
But at its core, this issue is a profound battle of values. Like wolves in sheep’s clothing, euthanasia activists often present themselves as paragons of compassion. But their definition is shallow. They claim to champion the downtrodden, suffering, and vulnerable. Yet true compassion demands depth. It means guiding addicts to detox and recovery, providing suffering individuals with palliative care and social supports, and creating the economic conditions whereby people can lift themselves out of poverty–not simply offering them a prescription for death.

In Canada, the values imposition became evident early on. When doctors objected to participating in any part of the euthanasia process on moral grounds, the activists insisted on “effective referrals,” which meant signing off on the procedure. It wasn’t enough for conscientious objectors to provide a patient’s chart or refer them to a hotline.
D'Souza then warns doctors of what happens to the medical system.
The message was clear: you must agree with us or face professional repercussions. That freedom of conscience is enshrined in the Canadian Charter of Rights and Freedoms was meaningless. This drive to enforce ideological conformity revealed the movement’s true nature. In 1984, Orwell suggested that it’s paramount for authoritarian regimes to control their subjects’ perceptions.

The field of medicine itself is being reformatted away from its foundational principle of “do no harm”, as well as the explicit forbidding of taking a life in our Hippocratic oath. This is part of a wider trend of medicine, where even this millennia-old oath has been rewritten to make medicine about social justice activism. Consequently, the patient’s well-being becomes subservient to the state’s moral vision.

As death cafés where people talk about death spring up around the world, and death doulas have become a profession, it looks like tradition is fighting a losing battle.

But re-engineering medicine’s ethical foundation wasn’t enough – the next step was to rebrand death itself. Activists teamed with the utilitarian Canadian government to romanticize death with first-rate marketing. Something that was until recently criminal has suddenly become accepted as a default moral position. To name just a few examples, euthanasia was briefly advertised in an urgent care waiting room, and Canadian fashion retailer Simons produced a glossy cinematic tribute to the assisted suicide of a woman in her thirties. (The Nazis, too, had their own propaganda films normalizing euthanasia.)
D'Souza continues by commenting on the pressure to expand killing.
But what starts as existential autonomy soon transforms into societal expectation. “Last resort” is where it starts, but I guarantee this is not where it ends. Give the activists an inch and they will take a mile.

Britain proposal includes a multidisciplinary panel representing law, psychiatry, and social work. That is a significant safeguard, but not a foolproof one. Even such luminaries can be bullied by activists who moralize dissenters as cruel and uncaring. The superficial social and emotional levers of control belong to the activists, and are very difficult to counter outside of a thorough debate.

As healthcare resources grow scarcer and societal narratives portray the elderly and disabled as burdens, euthanasia becomes less of a choice and more of an expectation. This is where the right to die will have transformed into a duty to die.
D'Souza ends his article with a final warning to the UK:

To the UK, I offer this warning: do not open Pandora’s box. Euthanasia is not merely a medical procedure; it is a profound shift in how society values life. Say no to state-sanctioned death. Because once you start down this path, there is no turning back, and inevitably the slippery slope gives way to freefall.
Thank you Dr Mark D'Souza for your excellent article.

Previous article by Dr Mark D'Souza (Article Link). 

Peter Singer, My Deathbed, And Why I Can’t Trust ‘MAiD’

Meghan Schrader
By Meghan Schrader  

Meghan is an instructor at E4 - University of Texas (Austin) and is a member of the EPC-USA board. 

One of the reasons that I decided to go back to school to get a Masters degree in Special Education instead of getting a PH.D in disability studies was so that I could stop thinking about Peter Singer so often. I was deeply shocked upon finding his “let’s kill disabled babies” screeds in college, and a lot of my musicology/disability studies research on how the history of eugenics influences contemporary narratives about euthanasia and disability was me trying to understand why turn of the twenty first century society had allowed such a hateful bully to have a platform. My inquiry into this matter led to published research on how pro eugenic narratives about disabled people and euthanasia were communicated in film music, and I loved my research. But, after I recovered from my first bout of psychotic depression, it occurred to me that if I didn’t refocus some of my intellectual energies, I might one day be in my 90s on my deathbed, ranting that Peter Singer was a scumbag. And a hospice nurse would say, “Yes, yes, dear, he’s dead now; he’s been dead for many years.” And then I would pass away peacefully, secure in the knowledge that Peter Singer was dead.

This intellectual entanglement might seem sort of ridiculous, and be kind of unhealthy, but I think my deep anger is understandable. Because in addition to comparing disabled people to chimpanzees and saying that disabled babies should be killed to contain healthcare premiums, Singer also thinks that it’s acceptable to rape some of us. 


In 2017 a therapist named Anna Stubblefield was arraigned on charges of having sexually assaulted D.J., a disabled man with cerebral palsy and cognitive impairment. She claimed that the sexual contact was consensual, but D.J.’s family disagreed. In a New York Times editorial about the case, Peter Singer and his colleague Jeff McMahan wrote:

If we assume that [the alleged victim, D.J.] is profoundly cognitively impaired, we should concede that he cannot understand the normal significance of sexual relations between persons or the meaning and significance of sexual violation. . . . In that case, he is incapable of giving or withholding informed consent to sexual relations; indeed he may lack the concept of consent altogether.

This does not exclude the possibility that he was wronged by Stubblefield, but it makes it less clear what the nature of the wrong might be. It seems reasonable to assume that the experience was pleasurable to him . . . it seems that if Stubblefield wronged or harmed him, it must have been in a way that he is incapable of understanding and that affected his experience only pleasurably.”

Kevin Mintz. A disability studies scholar with cerebral palsy, published an article about the Stubblefield case in the journal Disability and Society titled “Ableism, Ambiguity and the Stubblefield Case,” in which he notes:

“Philosophers Jeff McMahan and Peter Singer also marginalize and objectify D.J. in their op-ed in The New York Times. In particular, they argue that if D.J. truly is severely intellectually disabled, then it is not clear what harm was done to him if Stubblefield did, in fact, sexually assault him. Their logic is flawed because it supposes that for someone to be harmed, they have to actually perceive the harm being done to them. This would also imply that sex crimes against anyone who is incapable of perceiving harm are not explicitly harmful. What would that mean for cases involving children who might not understand when harm is being done to them, the unconscious, or the intoxicated?

As a professional in the field of human sexuality, I find this conclusion appalling and dangerous. There is not enough research on the effects of trauma in these kinds of cases to be able to definitively determine whether such assaults are or are not harmful in their own right.”

Yes: according to Singer and McMahon, DJ could not have the same human reaction to trauma as a neurotypical, able-bodied person, and therefore it was ok if Stubblefield used him as a sex toy. 

Oregon assisted suicide model proponents’ tolerance for people like Singer is one of the major reasons for why I do not support the Oregon model. What does publishing Singer and MacMahon’s column say about the New York Times, which loudly favors “MAiD” and also published an article saying that a man shooting his Alzheimer’s affected wife in the head was a “love story”? The Completed Life Initiative gave an “End of Life Pioneer” award to Connecticut “MAiD” activist Lynda Bluestien just a month after it gave Singer a platform at its Faith Sommerfield Memorial Lecture in 2023. Why should disabled people trust the judgment or intentions of a movement that rubs elbows with a man who thinks raping cognitively impaired people is ok? 

I realize that advocacy sometimes requires working with people with whom we might not agree, and I do not like everything every fellow euthanasia opponent does or believes, but I swear to God, none of the “MAiD” opponents that I work with has ever said that raping or killing people is ok. 

Alas, mainstream “MAiD” advocates are not alone in platforming people like Peter Singer. Singer has been referred to as “the most influential living philosopher.” As I’ve mentioned, the coercion I experienced in the Special Education system led me to want to help prevent even one person from being coerced into assisted suicide, but the second major disability justice reason why I cannot support the Oregon model is because so many people in this world love Peter Singer. A world that doesn’t know any better than to platform a man who thinks that raping disabled people is ok has not earned the responsibility to regulate death. 

Author Note: I’ve discussed my struggles with unfortunate, involuntary feelings of kind of “wanting” Peter Singer to die so that he can’t hurt disabled people anymore. However, that’s not a suggestion to harm Peter Singer. It’s wrong to kill people, it wouldn’t do the disabled community’s broader situation any good, and it’s not worth getting lost in the criminal justice system. 

Previous articles by Meghan Schrader (Articles Link). 

 

Monday, December 29, 2025

The Myth of a Safe Assisted Suicide Regime.

Alexander Raikin
Alexander Raikin was published by the Wall Street Journal on December 23, 2025 in response to a December 17 letter by Corinne Carey celebrating New York Governor Hochul's decision to sign the New York assisted suicide bill into law. 

Raikin is a visiting fellow in Bioethics at the Ethics and Public Policy Center, who has been published by multiple journals and news agencies. Raikin writes.

How humane is assisted suicide? Corinne Carey, from the advocacy group Compassion & Choices, suggests the answer is very (Letters, Dec. 17). New York’s bill places the decision only with a mentally competent patient, and “safeguards are in place to ensure that those who don’t qualify—say, those with eating disorders or psychiatric conditions—couldn’t receive it.”

No need to fear? Not quite.

That’s the same promise Compassion & Choices made in other states before legalization. Three years ago, the organization’s then chief legal advocacy officer—recently promoted to CEO—promised that Colorado’s legislation “does not and was never intended to apply to a person whose only diagnosis is anorexia nervosa.”

But physicians have simply stopped following the law. In at least Oregon, California and Colorado, patients with eating disorders have already qualified and died through assisted suicide. Despite the claim that this is illegal, in Colorado—the sole state to report “malnutrition” as a qualifying illness for assisted suicide—at least 30 MAID deaths between 2017 to 2024 were due to “severe protein calorie malnutrition.” The main lobby group for assisted suicide claims it is illegal to prescribe the “treatment” for eating disorders, and in response, the number of assisted suicides for eating disorders has increased nationwide.

Unfortunately, this follows a larger trend. A Washington state health department report in 2022 found that a third of all relevant physicians in the state failed to submit legally mandated compliance forms for assisted suicide. The result: The state looked hard at the practice, at the assisted-suicide physicians blatantly failing to follow the most minimal of safeguards, and then decided this year to discontinue “suspend” its monitoring program for the procedure.

Previous articles by Alexander Raikin. (Articles Link).

Bioethicist: Let Surgeons Kill Patients During Organ Harvesting

This article was published by the National Review online December 28, 2025.

Wesley Smith
By Wesley J Smith

The “dead donor rule” (DDR) is a legal and ethical mandate that requires vital organ donors to be truly dead before their body parts are procured. A corollary to the rule holds that people cannot be killed for their organs. The DDR promotes trust in the system and protects the vulnerable — but is flexible enough to permit living donations of one kidney and parts of a liver from altruistic donors.

Utilitarian bioethicists have long argued against the DDR and its corollary based on the notion that killing those who are dying or want to donate will relieve the suffering of people who want to live and need an organ. And here we go again. The Journal of Medical Ethics — out of Oxford — has published a long and complicated piece by Ohio bioethicist Lawrence J. Masek arguing that patients who want to donate should be able to be killed during — or as a direct result of — the organ-procurement process.

First, the author pulls a typical switcheroo often seen in bioethical discourse. Here’s a relevant example: We were assured over many years that brain dead is “dead.” Now, that this is accepted widely, many bioethicists are claiming that actually, it isn’t. If they are right, the DDR would preclude organ procurement from such patients. But these bioethicists claim instead that procuring organs from those diagnosed as brain dead also means that we can harvest comatose patients whose brains are clearly functioning.

See how that works? Rather than stick to the rule, expand it and pretend it is not being stretched.

This is Masek’s tactic too. He claims that since taking one kidney in an altruistic living donation harms the patient through reduced kidney function without violating the DDR, it is also okay to take the liver of a patient that will lead to death a few hours later.

Similarly, he suggests surgery to save a fetus harms the mother through incisions and the like, which she accepts as of less importance than the life of her baby. He also says an emergency C-section that will likely lead to the death of the mother to save the baby is an example of harm caused that should also permit doctors to procure vital organs while the donor is still alive. From the article (citations omitted):
Performing the c-section would cause blood loss, which would be the cause of the woman’s death, so the do-not-kill principle prohibits the c-section in this case, even though the only alternative is allowing both the woman and her child to die. I see the fact that a principle requires allowing two patients to die instead of saving one patient as a problem for the [DDR do not kill] principle.
He also claims palliation at the end of life as another example:

Another objection to the do-not-kill principle is that it prohibits lethal palliation [misnomer alert!], such as the use of an analgesic that relieves pain but also has the side-effects of slowing respiration and causing death. Lethal palliation is widely accepted even among proponents of the DDR
And, he even claims that volunteering to have one’s organs taken to save others is akin to other “heroic” life sacrifices:
If people may jump on a grenade to save other soldiers or jump in front of a speeding motorcycle to save a child, then they may sacrifice their lives by donating a heart or other vital organ. I agree that sacrificing one’s life to save another by jumping on a grenade or in front of a motorcycle is analogous to sacrificing one’s life to save another by donating a vital organ.
But these examples are utterly sophistic. The (stacked deck) medical hypotheticals Masek offers either do not kill the patient, or if death comes in the C-section hypothetical and end-of-life palliation [which is not known as “lethal palliation”] examples, they would be cases of death as undesired and unintended side effects (which can happen in any medical procedure). (This is the principle of double effect, which Masek misapplies in his piece.)

Moreover, in the C-section and palliation examples–as well as refusing life support–the patient might not die as a result of the care. You never know.


Jumping on a grenade to save other soldiers is not the same as the soldiers throwing that person on the grenade, which would be more akin to a surgeon killing for organs. Because whether death happens immediately, say by taking a heart, or takes hours after taking a liver, harvesting vital organs from a living person is intended to kill that patient to save the life of another. Besides, such extraordinary exigencies as the grenade example cannot be the basis of reasoned public policy.

Transforming doctors into killers would open the door to all sorts of gruesome policies, such as euthanasia by organ harvesting. Yes, Masek goes there:
Another reason to accept the DDR is the belief that anyone who denies the DDR must defend euthanasia. Permitting lethal organ procurement would enable patients to commit suicide by donating their vital organs, but the same is true of permitting lethal palliation and the refusal of life support. That a person could do X (eg, donate vital organs, take a lethal painkiller or refuse life-support) as a means of killing oneself does not mean that anyone who does X intends to kill. (I do not defend organ donation euthanasia, which is donating a vital organ in order to end one’s life in order to end suffering, which would be an example of intending death as a means of relieving suffering, because I have argued that lethal organ procurement is not necessarily an example of intending death.)
Please. Take a liver and there can be only one outcome. The patient would know it. The doctors would know it.

Besides, euthanasia conjoined with organ harvesting is already allowed in Belgium, New Zealand, Australia, Netherlands, and Canada–and in some cases that has been an inducement for choosing to be killed or affected the timing of when the death facilitation would take place–to widespread media applause.

Why do I bother to discuss this and other such articles here? Isn’t professional discourse akin to arguing about how many angels can dance on the head of a pin?

No! Public policy is often formulated through this very kind of back and forth in professional journals. This kind of top-down policy making is why feeding tubes can be legally withdrawn from unconscious patients and gender-confused children can be administered puberty blockers in many jurisdictions.

Which is why I try to bring these ivory-tower discussions into the public square. People need know what is being planned for them. Because as I always say, if you want to see what is going to go very wrong in society next, read bioethics, medical, and science journals. Some of the articles published there will curl your toes.