Sunday, January 18, 2026

Canadian Bioethicist: Euthanasia Should Not Be Considered ‘Special’

This article was published by National Review online on January 18, 2026.

Wesley Smith
By Wesley J Smith

Canada has leaped into euthanasia's moral abyss with a smile on its face. Since 2015, killable categories have expanded dramatically, from those whose death is "reasonably foreseeable'' — a category that was already so broad you could drive a hearse through it — to the chronically ill, people with disabilities, the frail elderly, and, starting next year, the mentally ill.

More than 16,000 Canadians were killed by doctors and nurse practitioners last year. It's the fifth-most-common cause of death in the country.

Many commentators point to these and other facts about Canada’s euthanasia regime to argue against legalization. Defenders of euthanasia know this and have mounted counternarratives trying to convince us that so many killings of such a varied numbers of people is an excellent outcome of a humane policy. The latest example is in the Canadian Journal of Bioethics, in an article by bioethicist and philosophy professor Wayne Sumner, in which he argues that euthanasia should be considered a ho-hum question, nothing to worry about.

Sumner shrugs at the dramatic increase in the numbers killed since legalization because euthanasia is just another medical treatment and should not be considered to be extraordinary. Indeed, to Sumner, doctors’ killing patients is really no different than performing hip replacements. Ditto abortion. And since an increase in abortion rates (to him) is a good, and no one objects to more hip replacements, what’s the problem with the statistical increase in deaths by euthanasia? From “What’s So Special About Medically Assisted Dying?”:
If we regard an increasing number of joint replacements or abortions as a success, with supply having risen to meet demand, why should we think that an increasing number of MAiD provisions is a failure, or somehow a problem? If more awareness, more providers, and more support are good things for these other services, why are they a bad thing for MAiD? Why should we think differently about MAiD than we do about other medical procedures? What’s so special about MAiD?
Let me count the ways.
  1. Euthanasia isn’t about improving life or treating disease, as a hip replacement is, but causing death of the patient. That makes the act different in kind from true medical treatments.
  2. Legalized killing changes culture. Once euthanasia becomes normalized, people become acclimated to the terminations of vulnerable people. For example, a recent poll of Canadians found that 28 percent of respondents approved strongly or moderately of allowing euthanasia for homelessness! Before legalization, I can’t imagine a pollster even asking the question.
  3. Legalization leads to the objectification of the killable caste. Hence, in Canada, the conjoining of euthanasia with organ-harvesting. Once that happens, organ donation can easily become a prime factor in a suicidal patient’s asking to die, as it offers society a utilitarian stake in suicidal patients.
  4. It can become a means of reducing medical costs. After all, what could be a cheaper “treatment” than a lethal jab?
  5. It can supplant the provision of proper medical care. Indeed, in Canada, several patients have been euthanized after they couldn’t access specialized care.
  6. If it is not “special,” why the need for guidelines and restrictions? If someone wants to be dead because they find continued life unacceptable, why say no?
Sumner makes the usual argument that killing is no different than refusing life-sustaining medical treatment, since both “shorten” life.
Even before MAiD was legalized, those who were so disposed had available to them a number of ways of managing their exit from the world. If their condition required life-sustaining treatment — whether this took the form of technological support or surgical intervention or continuing medication — they could refuse further treatment and so hasten their death. If it did not require such treatment, they still had the option of seeking death by refusing food and water. Plus, of course, the time-honoured method of death by overdose of pharmaceuticals.
Suicide is supposedly “time-honoured”! See what I mean about euthanasia changing culture?

Do people with mental illness have effective capacity to be approved for (MAiD) euthanasia?

The following post is part of a structured, multi-week, simultaneously published exchange between Kim Carlson and Paul Magennis, authors of MAiD in Canada, and Gordon Friesen, President of the Euthanasia Prevention Coalition. These alternating messages will explore deeply divergent views on Medical Assistance in Dying (MAiD), and no mutual endorsement is implied.

The first installment was published by Gordon Friesen on Monday, January 12, 2025. That below comes from Maid in Canada (MIC)

By Kim Carlson and Paul Magennis, who are the authors of the blog MAiD in Canada, which supports (MAiD).

Medical “Homicide”

Gordon Friesen is free to use the term “homicide” as he wishes, but it cannot be defended as neutral. Acts that would otherwise constitute crimes are routinely transformed in law by consent and specific legal conditions. Describing MAiD as “homicide” is as indefensible as calling surgery “aggravated assault.”

Friesen admits to avoiding the term “murder” because of its rhetorical consequences, writing in December[i] that “murder is just impossible to use. However, we know the truth.”

“Homicide” is offered not as a dispassionate technical definition—as claimed—but functions as a substitute that preserves Friesen’s moral claim while softening its impact.

Friesen’s opening remarks obscure the EPC’s frequently stated belief[ii] that MAiD is murder, raising questions about whether this exchange is being conducted in good faith.

Friesen’s Claims

Friesen’s argument rests on three claims: capacity in MAiD for mental illness is so impaired, too often impaired, or too difficult to assess that categorical exclusion is required.

Key Points

1.  Friesen fails to understand the legal standard of capacity, to whom it applies, and how it is assessed.

2.  All people are presumed to have capacity unless shown otherwise, including those with mental illness.

3.   People who lack the capacity to give consent cannot have MAiD. Nothing in Friesen’s argument alters this rule. Rather, he suggests excluding those who are capable, despite the absence of any legal or clinical basis to do so.

4.   The Canadian Psychiatric Association,[iii] in its position on MAiD for mental illness,[iv] affirms that assessing decisional capacity—including the stability, coherence, and durability of a person’s will in the presence of psychopathology—is a core psychiatric competency.

Capacity is Categorically Absent

At the EPC press conference,[v] Freisen asserted that “obviously…euthanasia for the mentally ill does not fit [the description of a person making ‘free, informed, competent, and adult choices’]”.

This claim that people living with mental illness are categorically unable to make serious, potentially life-ending decisions is unsupported by case law, statute, regulatory standard, or accepted medical or ethical framework.

The Supreme Court of Canada was explicit in Starson[vi] that mental illness must not be conflated with incapacity, and “the presumption of capacity can be displaced only by evidence that a patient lacks the requisite elements of [decision-making] capacity…”.

If Friesen’s position is that people with mental illness, as a class, lack capacity to consent to MAiD, then it is his responsibility to explain why this should override a legal and clinical framework that rejects categorical assumptions of incapacity and requires individualized assessment.

Capacity Too Often Absent

Friesen concedes that people living with mental illness can have decision-making capacity, including for serious medical decisions. This undermines his argument.

Friesen’s assertion that “[he] must only show that those people most likely to consider a recourse to medical homicide are themselves most likely to fall short of the exceedingly high-capacity bar” is incoherent. A claim about likelihood does not justify abandoning individualized assessment; it predicts ineligibility.

Individuals who do not have capacity cannot be eligible for MAiD.[vii] If someone “most severely affected…in the worst possible times” does not meet the capacity standard, that reflects the effectiveness of existing safeguards—not a failure of them.

Capacity Too Difficult to Assess

The difficulty of assessing capacity—regardless of diagnosis or seriousness of the decision—does not justify presuming incapacity or abandoning the effort. This claim is further undermined by evidence of high inter-rater reliability in psychiatric capacity assessments.[viii]

Friesen does not demonstrate why MAiD for this one group requires a unique exception to this established framework.

MAiD Requests as Cognitive Distortions

Friesen asserts, incorrectly and without evidence, that psychiatrists presume suicidal ideation arises from cognitive distortions caused by mental illness. No such presumption exists, and clinical approaches do not equate suicidal thoughts with decisional incapacity. Even where distortions may be present, that would not justify abandoning individualized assessment.

People do not forfeit the presumption of capacity due to mental illness, cognitive distortions, or suicidal ideation.[ix]

EPC Overstating References

We’ve noticed EPC has a tendency to overstate what their references support.[x] Friesen claims that “most psychiatrists recognize” that a distinction between a desire for MAiD and suicidal ideation “could not be clinically established”, but the reference does not support that claim.

The article[xi] reflects the views of 43 psychiatrists—under 1% of psychiatrists in Canada[xii]—which cannot reasonably be described as “most,” nor do the authors claim to speak for the profession. At most, Friesen’s reference supports the claim that some psychiatrists hold this view. Nothing more, and certainly not “most”.

Friesen’s Conclusions

Capacity assessments can be complex in the context of mental illness (as they can be in many other circumstances, e.g., infection or brain injuries). Where Friesen fails is his belief that the only acceptable response is to deny all—and only—people with mental illness as their sole underlying medical condition the same presumption of capacity afforded to everyone else, absent individualized evidence to the contrary. The high bar is not for recognizing capacity, but for justifying its removal—a burden Friesen has not met.

No MAiD for decisionally incapable persons. This is already law.



[vi] Starson v. Swayze, 2003 SCC 32 (CanLII), [2003] 1 SCR 722, https://canlii.ca/t/1g6p9>, retrieved on 2026-01-17

[ix] Starson v. Swayze, 2003 SCC 32 (CanLII), [2003] 1 SCR 722, <https://canlii.ca/t/1g6p9>, retrieved on 2026-01-17

[xii] Canadian Psychiatric Association https://www.cpa-apc.org/faqs/


Friday, January 16, 2026

Is Euthanasia of Newborns with Disabilities next?

Alex Schadenberg
Executive Director, 
Euthanasia Prevention Coalition

Anna Farrow wrote an article that was published by the Western Standard on January 3, 2026 titled: Canada's Chilling Next Step - MAiD for babies.

Farrow explains how the disturbing concept of euthanasia of newborns was introduced into Canada's euthanasia debate:

Most Canadians disagree strongly with the concept of euthanasia for babies. We know this because every time the topic comes up, the public’s response is one of instant horror. So why does it keep coming up?

The issue first surfaced in 2022 when Louis Roy of the Quebec College of Physicians (CMQ) appeared before Parliament’s Special Joint Committee on Medical Assistance in Dying (MAiD). The committee was examining plans to expand MAiD beyond terminal illness to cover cases of mental illness as well as to accommodate advanced requests and mature minors. But Roy’s advocacy went even farther. He also suggested MAiD could be considered for “babies from birth to one year of age” who are born with severe deformities or disabilities.

Farrow continues:

The public response was immediate shock. On CBC Radio, Liberal Disabilities Minister Carla Qualtrough snapped, “There is no world where I would accept that.” The reaction was sufficiently negative that even pro-life activists assumed it was a dead-end issue.

This past September, however, several international media stories on Canada’s MAiD program have re-ignited the baby MAiD debate. A long feature in the magazine The Atlantic headlined “Canada is Killing Itself” compared Roy’s baby euthanasia proposal to the policies of Nazi Germany — an argument that caused instant outrage among pro-MAiD lobby groups. Then the British newspaper Daily Mail asked the CMQ for an update on its stance and was told the organization now believes “medical assistance in dying may be an appropriate treatment for babies suffering from extreme pain” and that “parents should have the opportunity to obtain this care for their infant.”
Farrow writes about the fact that the most recent Canadian euthanasia data indicates that in 2024 there were 16,499 euthanasia deaths with 76,475 recorded deaths from legalization until December 31, 2024.

Considering that we are now in January 2026, There has likely been at least 94,000 euthanasia deaths since legalization.

Farrow explains that, in the Netherlands, the Groningen protocol has been in place for many years, a protocol which permits euthanasia of newborns with disabilities.

Canada continues to debate euthanasia for mental illness alone.

In 2021, when Canada expanded its euthanasia law by passing Bill C-7, that legislation permitted euthanasia for mental illness alone, meaning that mental illness was the only criteria for approval. The issue of euthanasia for mental illness remains very contentious, which is why the previous Liberal government delayed the implementation of euthanasia for mental illness alone until March 2027.

Currently Canada is debating a private members bill (Bill C-218) that is sponsored by Tamara Jansen (MP) Bill C-218 would reverse the section of the law that will permit euthanasia for mental illness alone starting in March 2027.

Bill C-218 debate (Article Link).

As for euthanasia of children, the parliamentary euthanasia committee released a report in February 2023 calling on the extension of euthanasia in Canada to mature minors.

I responded to the February 15, 2023 (AMAD) report by stating:

The report by the Special Joint Committee on Medical Assistance in Dying (AMAD) was tabled in the House of Commons on February 15, 2023 calling for a drastic expansion of euthanasia (MAiD) in Canada. Among the recommendations, the report recommended that euthanasia be expanded to include children "mature minors."

Recommendation 19 in the report stated:

That the Government of Canada establish a requirement that, where appropriate, the parents or guardians of a mature minor be consulted in the course of the assessment process for MAID, but that the will of a minor who is found to have the requisite decision-making capacity ultimately take priority.

This means that parents or guardians may or may not be consulted, in the euthanasia death of a child that is deemed to have decision-making capacity.

To understand Recommendation 19 better we need to go back to the draft policy developed by the Hospital for Sick Children in Toronto on euthanasia for "mature minors" that was published as a report in the Journal of Medical Ethics in September 2018.

Sick Children's hospital draft policy applied the same "ethics" for mature minors to make medical decisions as for making a decision to be killed.

Euthanasia for mature minors is one issue but euthanasia of newborns with disabilities can only be described as eugenics.

Sadly, once killing by euthanasia becomes a legal option the law will continue to expand. There is only one ethical line in the sand, that being, it is illegal to kill. Once killing is OK the only remaining questions are: who can do the killing and for what reasons.

Previous articles about this topic:

Watch the powerful Life Worth Living film on January 26.

Join EPC and watch the powerful Life Worth Living film
on Monday January 26 at 7 pm (Eastern Time).

EPC will broadcast Life Worth Living by Zoom. Register in advance for this event: (Zoom registration link).

Life Worth Living has just been named a finalist at the Cannes World Film Festival and it is being considered by multiple film festivals.

Life Worth Living is 60 minutes long. After the completion of the broadcast we will have a discussion.

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.
Register in advance for this event: (Zoom registration link).

The first review we received of the film from Lester:
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.
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

Court case (Day 3) to force all healthcare institutions to provide euthanasia.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

St Paul's hospital Vancouver
The court case concerning the right of religiously affiliated healthcare institutions to refuse to participate in (MAiD) euthanasia began in a BC Court on Monday January 12 and will be heard for the next four weeks.

(Article for Trail Day 1) (Article for Trial Day 2)

Samantha O'Neill (34) died on April 4, 2023 by euthanasia (MAiD) after being transferred from St Paul's hospital in Vancouver to a Hospice that does euthanasia.

Suzanne Lazaruk reporting for the Vancouver Sun on January 14 explains:
The O’Neills, the pro-assisted death group Dying with Dignity, and a former St. Paul’s doctor filed the lawsuit to ask the B.C. Supreme Court to remove the exemption granted to religious groups such as the hospital’s operator, Providence Health Care, to allow them to opt out of assisted dying procedures.

The exemption is based on the section of the Canadian Charter of Rights and Freedoms, which guarantees the fundamental freedom of Canadians to follow their conscience and religion and not to act against their beliefs.
Lazaruk reported on the testimony of Meagan Mackay, a friend of Sam O'Neill:
Sam’s friend, Meaghan MacKay, on Wednesday testified that the transfer was upsetting to watch even though Sam was sedated through transport.

She said she had heard how the assisted dying procedure was peaceful and beautiful, but she said the reality of Sam’s was that her final goodbyes were rushed because the transfer team was waiting. And she said the hospice didn’t appear set up to accommodate her arrival and Sam’s mother and a friend had to clear a room of medical aids before the gurney could be rolled in.
A witness for the plaintiffs Robert Chevarie, explained that his grandmother, who had also been transferred from a religiously affiliated hospital for euthanasia, suffered from being transferrered because of her obesity.

Chevarie is arguing that his grandmother should had euthanasia at the religiously affiliated hospital. Chevarie's testimony misses the fact that people are transferred everyday from one hospital to another for procedures. His grandmothers obesity would have been a problem whether the transfer was for euthanasia or for anything else. In today's healthcare system, hospitals cannot provide all procedures, whether it is a faith based institution or not.

Finally, Lazaruk reported that:
Also on Wednesday, Skolrood delivered his judgment on an application by Vancouver Coastal Health Authority, one of the defendants, ruling the evidence of the three plaintiff doctors should be limited to their observations and experience and not include opinions.

Their evidence will be used to establish that the assisted dying ban at the hospital caused the doctors moral distress, violating their Charter rights — the guarantee of their life, liberty and security of person, and their rights to freedom of conscience and religion.
This means that Justice Skolrood will only consider the observations and experience of the doctors involved and not their opinions.

On June 17, 2024; Dying with Dignity and the family of Sam O'Neill, who requested euthanasia at St Paul's Hospital in Vancouver but transferred to another facility to die by euthanasia, launched a Charter Challenge claiming that O'Neill's rights were infringed when she was transferred from St. Paul's Hospital to another facility for euthanasia.

One of the goals of the euthanasia lobby is to force all Canadian medical institutions to provide (MAiD) euthanasia.

Thursday, January 15, 2026

Court case (Day 2) to force all healthcare institutions to provide euthanasia.

The mother of Sam O'Neill, who is also the key plaintiff in the case, had not visited her daughter for more than a year, before her daughters death.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

St Paul's hospital Vancouver
The court case concerning the right of religiously affiliated healthcare institutions to refuse to participate in (MAiD) euthanasia began in a BC Court on Monday January 12 and will be heard for the next four weeks.

(Article on Day 1 of the trial)

Samantha O'Neill (34) died on April 4, 2023 by euthanasia (MAiD) was transferred from St Paul's hospital in Vancouver to a Hospice that was willing to do euthanasia. 

Suzanne Lazaruk reported on January 13 for the Vancouver Sun on day 2 of the trial. Lazaruk reports on the testimony by Sam O'Neill's mother.
Testifying at Day 2 of the trial before Chief Justice Ronald Skolrood, O’Neill was asked by her lawyer how the transfer made her feel.
“We believe our God is all loving and choosing to die from MAID isn’t a sin,” she said. “It makes us feel that she was made to feel less than she is.”

She likened it to watching a child being pushed down in the playground and seeking help from the principal and “they come over and kick them,” she said.

“That’s how appalling it is to me. And I’ve got to watch them beat them up. That’s how I feel.”

She also described how “horrible” it was to walk into Sam’s room at St. Paul’s the last time she spoke to her, just before her transfer to the hospice on April 4, 2023, the same day a doctor there helped her die.

When O’Neill saw her sitting on a commode in her room, “I was absolutely appalled and horrified and embarrassed for her,” she said.
Lazaruk then reports on the cross-examination of Sam O'Neill's mother:
Under cross-examination by a Providence lawyer, O’Neill agreed that she had never heard any hospital staff disrespect her daughter and she said Sam liked them and the feeling was mutual.

Despite her testimony that she felt the ban on assisted dying was an attack on Sam’s morality, “Nobody at the staff of Providence ever said anything that was disrespectful of your daughter’s morality, did they?” he asked.

“The doctors and the nurses were wonderful,” said O’Neill.
Lazaruk continued with the cross-examination of Sam O'Neill's mother.
But the lawyer suggested to her in questioning that Sam’s care was agreed upon by her and staff and that she wanted to keep short her visits with them until just before the transfer.

“Everything you saw, you understood to be the result of choices Sam had made?” he asked.

“I can’t answer that,” said O’Neill, who said Sam had chosen not to see her mother for the year before her death, until the last day.
In other words, Sam O'Neill refused to let her mother visit until the last day of her life. The mother may not have been involved with any of her daughters medical decisions.

On June 17, 2024; Dying with Dignity and the family of Sam O'Neill, who requested euthanasia at St Paul's Hospital in Vancouver but transferred to another facility to die by euthanasia, launched a Charter Challenge claiming that O'Neill's rights were infringed when she was transferred from St. Paul's Hospital to another facility for euthanasia.

One of the goals of the euthanasia lobby is to force all Canadian medical institutions to provide (MAiD) euthanasia.

Tuesday, January 13, 2026

Court case to force all healthcare institutions to provide euthanasia began on January 12 in Vancouver.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The court case concerning the right of religiously affiliated healthcare to refuse to participate in (MAiD) euthanasia began in a BC Court on Monday January 12 and will be heard for the next four weeks.

One of the goals of the euthanasia lobby is to force all Canadian medical institutions to provide (MAiD) euthanasia.

On June 17, 2024; Dying with Dignity and the family of Sam O'Neill, who requested euthanasia at St Paul's Hospital in Vancouver but transferred to another facility to die by euthanasia, launched a Charter Challenge claiming that O'Neill's rights were infringed when she was transferred from St. Paul's Hospital to another facility for euthanasia.

Susan Lazaruk reported for the Vancouver Sun on January 12 that:
Her parents, Gaye and Jim O’Neill, are among the plaintiffs suing Providence, the province and Vancouver Coastal Health Authority on constitutional grounds, citing Section 7, which guarantees the life, liberty and security of a person, and Section 2, which protects freedom of conscience and religion, including none.

The plaintiffs argue the Catholic institution should not have the right to deny a legal procedure in a building partly funded by taxpayer dollars.
The British Columbia government defended it's agreement with Providence Health. Lazaruk reported:
The province’s lawyer, Alison Brown, said in her opening argument the province will show the medical transfers of those requesting assisted dying are routine and the hospital doesn’t deny patients who request it the chance to access it outside of the hospital.

Brown said the plaintiffs’ position is that moving a patient for MAID, even to a room next door in the same hospital, is “still constitutionally impermissible.” But she argued that can’t be accommodated in Canada’s health care system and “it’s not what the Constitution compels.”

“There’s no positive and specific entitlement under the Constitution to access a health-care service in a specific room,” she said.
I reported on June 27, 2023 that the euthanasia lobby was using the story of Samantha O'Neill (34), who died on April 4 by euthanasia (MAiD) after being transferred from St Paul's hospital in Vancouver to St. John’s Hospice.

Katie DeRosa reported for The Vancouver Sun on June 23 that Dying With Dignity and O'Neill's family initiated a campaign to pressure the BC government to force Catholic hospitals to kill their patients by euthanasia. DeRosa reported:
O’Neill’s family and Dying with Dignity Canada say it’s unacceptable that a taxpayer-funded hospital like St. Paul’s — which is getting a $2 billion replacement in 2027 — forces dying patients to leave its facility to get MAID.

Dying with Dignity’s CEO Helen Long told DeRosa:

such policies will remain in place unless there’s a successful court challenge.
Outside Shoreline Space
In December 2023, The BC government responded to the euthanasia lobby campaign by expropriating property from Providence Healthcare to build a euthanasia killing centre next to St. Paul's hospital.

On May 30, 2025 while on a speaking tour in British Columbia, I visited the Shoreline Space euthanasia killing centre that is attached to St. Paul's Hospital (Providence Health) in Vancouver.

It is not enough for the euthanasia lobby group that the BC government built a killing centre (green shed) that connects to St. Paul's hospital.

It is the goal of the euthanasia lobby to force every medical institution to provide (MAiD) euthanasia in Canada.

This case will decide whether or not religiously affiliated healthcare institutions can continue to exist in Canada.