The threat of euthanasia for mental illness, continues.

Alex Schadenberg

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Key Issues:

• The Canadian government defeated Bill C-218 and promised to introduce a bill to prevent euthanasia for mental illness as a sole criteria. The bill must become law before March 17, 2027.
• Dying with Dignity and Claire Brosseau launched a court case demanding that the court legislate from the bench to permit euthanasia for mental illness.

On October 7, 2026, Bill C-218, the private members bill that was sponsored by Tamara Jansen (MP) was defeated in parliament by a vote of 187 to 141. Bill C-218 would have amended the Criminal Code to prevent euthanasia for mental illness as a sole criteria.

The defeat of Bill C-218 was related to the announcement on October 7 at 12 noon by Justice Minister Sean Fraser and Health Minister Marjorie Michel promising that the federal government will introduce legislation this fall that will prevent the implementation of euthanasia for mental illness as a sole criteria. However, the government legislation will also permit euthanasia by advanced request.

Euthanasia by advanced request is a dangerous concept as it would permit doctors and nurse practitioners to kill someone who is incompetent, based on an advanced request.

We have not seen the language of the government bill, but even if the bill actually prevents (MAiD) euthanasia as a sole criteria it will not end the issue.

We urge the government to follow the recommendations from the report of the Special Joint Committee on Medical Assistance in Dying (AMAD): Mental Disorder as the Sole Underlying Medical Condition: A Complex and Challenging Conversation Among Canadians was released on June 17, 2026.

The AMAD Committee decided that Canada should not implement euthanasia for mental disorders as the sole underlying medical condition on March 17, 2027. The report concluded:

That the Government of Canada amend the Criminal Code to indefinitely exclude persons whose sole underlying medical condition is a mental illness from eligibility for medical assistance in dying.

It is great news that the AMAD Committee decided that Canada should not implement euthanasia for mental illness, but the battle has only begun.

It is important to note that euthanasia for mental illness, as a sole criteria, is currently scheduled to be implemented on March 17, 2027. The government is facing a time-line to pass their legislation.

Euthanasia for mental illness, as a sole criteria - Brosseau court case.

Dying with Dignity, a death lobby group, and Claire Brosseau, launched a court case demanding that the court legislate from the bench to permit Claire Brosseau to be killed by lethal poison based only on mental illness. If the court approves euthanasia for Brosseau, that would entitle others with mental illnesses to be killed by euthanasia.

The Euthanasia Prevention Coalition intervened in the Brosseau case to ensure that the salient arguments were offered in court.

On July 21/22, 2026 there was a hearing on the Brosseau case to deal with an "emergency" request, by Dying with Dignity and Brosseau, demanding that the court grant Brosseau an injunction to enable her to be killed by lethal poison.

Justice Carissima Mathen denied Brosseau and Dying With Dignity a lethal injunction but Mathen initiated a time-line for a full-hearing on the case that will may be heard in March 2027.

Even if the government passes a bill that clearly prevents euthanasia for mental illness the Brosseau court case may legislate from the bench and force parliament to permit euthanasia for mental illness as a sole criteria. Clearly, the Brosseau court case is very important.

The Euthanasia Prevention Coalition needs your financial support to continue our intervention in the case. The preparation and involvement in the July hearing cost around $50,000 and a full-trial, which may happen next Spring, will cost much more. (Donation Link).

From their the case will likely be appealed to the Ontario Court of Appeal and from their to the Supreme Court of Canada. Help us continue the battle (Donation Link).

Previous articles on this issue:

• EPC victory: Court denies Brosseau euthanasia for mental illness (Read).
• EPC intervention in euthanasia for mental illness court case (Read).
• Important insight into decision to reject euthanasia for mental illness (Read).
• EPC filed to intervene in euthanasia for mental illness court case (Read).
• Bill C-218 was defeated. What will happen next? (Read).

Ottawa keeps mucking up MAiD (euthanasia)

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Dr Ramona Coelho, who is a senior fellow at the Macdonald-Laurier Institute, an adjunct professor of family medicine at the University of Western Ontario's Schulich School of Medicine and a past member of the Ontario MAiD Death Review Committee was published by the National Post on October 16 with her article: Ottawa keeps mucking up MAiD.

In her Special to the National Post, Coelho is responding to Canada's federal parliament defeating Bill C-218, the bill that would have prevented euthanasia for mental illness, as a sole criteria, and the announcement, by the federal government, to expand euthanasia to approval by advanced directive.

Coelho comments on Canada's expansion of euthanasia in 2021:

Five years ago, Parliament made disastrous changes to Canada's assisted dying law, including one that was almost an afterthought. The government's original bill did not include expanding MAID for mental illness. The Senate added the expansion; the government — up against a court deadline that had already been extended four times — accepted it with a two-year delay. Within weeks, it was passed by the House under a closure motion.

Euthanasia for mental illness has been delayed until March 2027 and now it has been recommended that euthanasia for mental illness be indefinitely delayed, Coelho writes:

This year, a parliamentary committee where I testified recommended pausing it indefinitely. Now, the government's proposed approach is to cancel the expansion for mental illness, but let provinces decide whether to permit advance requests for MAID. While it's a relief that government will no longer approve MAID for mental illness, it is unconscionable that they will add advance requests.

Bill C-218 that would have excluded mental illness as a sole medical condition that was defeated in parliament on October 7 while on the same day, the government announced that they will introduce their own bill to exclude euthanasia for mental illness. Coelho argues that the government's bill should be judged based on three criteria.

First, we need to scrutinize its language on MAID for mental illness. Conservative MP Tamara Jansen's Bill C-218 would have permanently repealed the expansion but was voted down over a quibble about the term "mental disorder." The Liberals now owe Canadians legislation that ensures the expansion will never happen. Justice Minister Sean Fraser has promised an indefinite exclusion of MAID for mental illness as a sole condition, but we have yet to see the legislation, and a pause is not a repeal. This is important, because it is not possible to reliably determine that a person with mental illness will not recover, and a reasoned request for MAID for mental illness cannot be distinguished from suicidality.

Second, will the forthcoming bill go far enough? Thomas Dillon died at 45 after a psychiatrist offered him MAID. He was assessed outside a Tim Hortons, with his mental illness and addictions largely untreated. Dillon was deemed eligible for MAID because he also had a bowel disease.

In cases I reviewed on Ontario's MAID Death Review Committee, depression, trauma and isolation often drove requests that were approved, sometimes with no psychiatric expertise consulted, because there was also an accompanying physical diagnosis. Excluding mental illness as a "sole" condition is a good start, but the move still leaves other problems unaddressed. A better fix would be to repeal Track 2, the expansion to persons with disabilities who are not dying, entirely, as the United Nations Committee on the Rights of Persons with Disabilities has urged.

Third, the government bill will permit advance requests, leaving it up to provincial discretion. The current mental illness exclusion expires on March 17, 2027, so the bill has to pass before then. This last-minute addition mirrors the government's 2021 mistake: carrying through a major expansion on a MAID bill that must pass by a fixed date.

Coelho then comments on the expansion of euthanasia to include advanced requests:

Advance requests deserve their own debate, because the potential problems are serious. Consent given in advance cannot be fully informed; it often rests on fear of the future, not lived experience. My father had dementia, and his days held joy, laughter, love and dignity that neither he nor I could have foreseen. Ontario's review of dementia cases found requests for MAID can be driven by fear of future decline, families raising MAID repeatedly on a patient's behalf. It also found 86 per cent of these patients had not even received palliative care before MAID.

Coelho shows how Canadians do not know what teh euthanasia law permits:

Canadians are not aware of the breadth of cases our MAID law allows. A National Institutes of Health-affiliated survey found that while 73.3 percent of Canadians support the MAID law in general, this support collapses once respondents are shown what the law actually permits. Only 19.2 per cent of respondents correctly knew that a terminal illness is not required for MAID eligibility, and only 20.7 per cent knew that a patient may refuse effective, recommended treatment and remain eligible. And 56 per cent of Canadians polled In an Angus Reid study this year did not know that there was a planned mental illness expansion. 

Coelho challenges parliament to stop mucking up the euthanasia debate.

Stopping MAID for mental illness is necessary. But if it is achieved via a bill that must pass by March 2027, with advance requests attached, Parliament will have learned nothing from the last five years. A death cannot be appealed. Debate has to come first.

Some previous articles by Dr Ramona Coelho:

• The euthanasia committee got it right on mental illness. 
• Parliament must go further (Read). 
• Euthanasia can allow structural coercive forces to push people toward death (Read). 
• How euthanasia is rewriting the ethics of medicine (Read). 
• Disabled Canadians should never feel compelled to die (Read). 
• How euthanasia fails Canada's most vulnerable (Read).

Dementia Justice Canada concerned about euthanasia by advance request.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Dementia Justice Canada says that they will continue raising concerns with Parliament and other lawmakers about MAiD by advanced request as they develop and consider the proposed legislation.

Angelico Dino reported for the Canadian Lawyer on October 13, 2026 that Dementia Justice Canada has serious concerns with euthanasia (MAiD) by advanced request. Dino reports:

Dementia Justice Canada has raised concerns about the federal government's plan to permit advance requests for medical assistance in dying (MAiD), urging Parliament to examine whether safeguards can adequately protect people living with dementia from coercion, undue influence and elder abuse.

The organization issued a statement following the federal government's October 7 announcement that it would introduce legislation to decriminalize and permit advance requests for MAiD.

Dementia Justice Canada is concerned about manipulation and pressure.

Dr. Fay Martin, a retired social worker and second vice-chair of Dementia Justice Canada, said people living with dementia may increasingly depend on others for care, communication, transportation, finances and community access.

“Those relationships can be loving and supportive, but they can also become controlling or abusive. The difficulty is knowing what is happening when fewer and fewer people are apt to see it,” Martin said.

Dementia Justice Canada points out that the United Nations Committee on the Rights of Persons with Disabilities urged Canada in March 2025 not to expand MAiD to include advance requests.

Heather Campbell Pope

Heather Campbell Pope, a lawyer and chair of Dementia Justice Canada is concerned about the consequences of failing to detect undue influence before MAiD takes place. Dino reports:

“A court can undo a will that was unduly influenced,” Pope said. “But once MAiD is provided, there is no meaningful remedy if we later find that the person was pressured to make the advance request, that they had changed their mind, or that they are going along with it because of pressure or coercion. It is simply too late.”

Dementia Justice Canada is a non profit that was founded in 2017 to advance the rights and dignity of people with dementia. 

Free online film screening of the Prescription Poison film on October 27.

Register for the free online screening of the Prescription Poison film: Averting Assisted Suicide in America 

Tuesday, October 27 at: 8 pm (Eastern Time) / 5 pm (Pacific Time).

The Prescription Poison film is produced by Alex Schadenberg, Executive Director of the Euthanasia Prevention Coalition and Frank Panico with Xs in the Sky films.  

Topic: Prescription Poison - Averting Assisted Suicide in America

Tuesday, October 27, 2026 8 PM Eastern Time/5 pm Pacific Time. 

Register in advance for the screening: (Registration Link). 

Prescription Poison is 43 minutes and will be followed by a discussion.

Prescription Poison is ground-breaking documentary exposing the expansion of assisted suicide in America.

The film seeks to awaken America to the growth of assisted suicide and warns Americans that, unless stopped, the Canadian system of killing will become a reality in America.

Many groups and individuals have purchased the Prescription Poison film to screen in their community.

Purchase the Prescription Poison film for $10 US (download) or $15 DVD at: Prescriptionpoison.com

Watch the Prescription Poison Trailer:

Topic: Prescription Poison - Averting Assisted Suicide in America.

Tuesday, October 27, 2026 8 pm Eastern Time/5 pm Pacific Time.

Register in advance for the free online screening: (Registration Link). 

Prescription Poison was also entered into several film festivals and will be screened at the Life in Focus Film Festival in Minneapolis Minnesota on November 7. (Link to film festival).

Life Worth Living won another award. Purchase it and screen it in your community

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The Life Worth Living film was entered and considered in several film festivals, The film was screened in several film festivals and it won at the Niagara International Film Festival in June 2026.

Life Worth Living will be screened at the Life in Focus Film Festival on November 7 in Minneapolis Minnesota on November 7. (Link to film festival).

The Life Worth Living film was also a finalist at the Remember the Future World Film Festival in Cannes France.

Recently we have had screenings in several cities including Edmonton and Winnipeg. 

Hearts and minds can change by purchasing and screening the award winning Life Worth Living film in your community.

Purchase the Life Worth Living film from the Euthanasia Prevention Coalition at: https://lifeworthlivingfilm.com

Watch the Life Worth Living film trailer:

Reviews 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.

Another review:

I have purchased the film "Life Worth Living" a couple of weeks ago and have watched it. I feel that it's a film that everyone should watch because it shows what is happening in the system of "health" care in Canada and it opens our eyes to the reality of how far our government and the medical system has gone in the direction of killing people instead of healing people.

I would like to ask permission to show this film for our parish community. Eva

EPC gave Eva permission to screen the film in her community. Arrange screenings of the film by contacting info@epcc.ca

 

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 chronic 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.

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

Woman sought death by euthanasia. She lost her ability to cook.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

The New York Times on October 5, 2026 published an article titled: Assisted Death is not a choice of last resort in Canada by Dr Gary Rodin and Dr Madeline Li, who are professors of psychiatry at the University of Toronto.

 
The article explained that both of them work with patients with advanced cancer and have counselled and assessed patients for euthanasia and one of them has administered the drugs (poison) to end a persons life.

Dr's Madeline Li & Gary Rodin

Rodin and Li provided information about cases where the patient, through counselling, changed their mind or delayed being killed. The first story was a woman in her 70's who sought death based on losing her ability to cook:

We’ve seen how beneficial it is to pause and reflect with our own patients. One of them, a woman in her 70s, was the matriarch of her family, the one who made Sunday dinners. She sought and received approval for assisted dying after she lost the ability to cook. She felt she had lost her value to her family. Through counselling, she came to understand that her family valued who she was, not what she did for them. She decided not to go through with ending her life, at least for now. That Christmas, her family gathered and she sat proudly at the table, while others did the cooking and serving.

The woman was approved for euthanasia, based on her medical condition, but she was seeking death based on losing her ability to cook. The authors show how this woman found personal meaning in caring for her family and through counselling she was assured that she continued to have meaning for her family.

The next story was less uplifting, even though it showed counselling enabled this man to delay being killed. 

Another patient, a man in his 80s, refused a new treatment that might extend his life and instead requested and was approved for assisted dying. He survived the Holocaust as a child and viewed the freedom to choose the timing of his own death as a way of reclaiming what Hitler had taken away from his parents. However, his living family’s grief mattered to him, too, and they had concerns about him giving up too soon. With counselling, he chose to delay. Months later, he had adapted to his illness and continued to find meaning in his life. Eventually he got sicker and Dr. Li told him he was at risk of losing capacity to consent to assisted dying. This time, he chose the procedure, fully supported and surrounded by his family.

With the second story, Dr. Li suggests that his time to be killed had come. I understand that his medical condition had progressed, but the answer to human difficulty should never be medical homicide. 

This man could have had a fulfilling final months of life as he approached natural death. Counselling is a good response, but caring not killing, provides hope.

Dr Madeline Li

Dr Madeline Li was featured in the article by Elaina Plott Calabro, who wrote an exposé on Canada's euthanasia law that was published in the September 2025 edition of the Atlantic titled - Canada is Killing Itself.

Calabro interviews Madeline Li, an early euthanasia pioneer who had developed the euthanasia program at the University Health Network in Toronto in 2017. In 2018 Li started questioning the euthanasia program.

It was not long into her practice, however, that Li’s confidence in the direction of her country’s MAID program began to falter. For all of her expertise, not even Li was sure what to do about a patient in his 30s whom she encountered in 2018.

The man had gone to the emergency room complaining of excruciating pain and was eventually diagnosed with cancer. The prognosis was good, a surgeon assured him, with a 65 percent chance of a cure. But the man said he didn’t want treatment; he wanted MAID. Startled, the surgeon referred him to a medical oncologist to discuss chemo; perhaps the man just didn’t want surgery. The patient proceeded to tell the medical oncologist that he didn’t want treatment of any kind; he wanted MAID. He said the same thing to a radiation oncologist, a palliative-care physician, and a psychiatrist, before finally complaining to the patient-relations department that the hospital was barring his access to MAID. Li arranged to meet with him.

Li explained that the prevailing view was that a medical condition was considered incurable if it could not be cured by means acceptable to the patient.

In other words, the law is completely subjective. Someone who has a treatable condition can be killed by euthanasia. Li told Calabro that she agreed with this. Calabro continued:

This had made sense to Li. If an elderly woman with chronic myelogenous leukemia had no wish to endure a highly toxic course of chemo and radiation, why should she be compelled to? But here was a young man with a likely curable cancer who nevertheless was adamant about dying.

What was Li left with? According to prevailing standards, the man’s refusal to attempt treatment rendered his disease incurable and his natural death was reasonably foreseeable. He met the eligibility criteria as Li understood them. But the whole thing seemed wrong to her. Seeking advice, she described the basics of the case in a private email group for MAID practitioners under the heading “Eligible, but Reasonable?” “And what was very clear to me from the replies I got,” Li told me, “is that many people have no ethical or clinical qualms about this—that it’s all about a patient’s autonomy, and if a patient wants this, it’s not up to us to judge. We should provide.”

In the end, Li killed this man but she regretted it. This is the crux of the issue. Euthanasia is sold as choice and autonomy, but it requires another person to do the killing.

Rodin and Li are suggesting that a medical "pause" in euthanasia, through counselling, gives patients a chance to discover alternatives or to establish that their life has meaning. 

I agree with their premise but I find it to be counter intuitive if it still leads to killing.

Bill C-218 was defeated. Your advocacy made a difference.

This message was received from Tamara Jansen (MP) thanking people who advocated in support of Bill C-218. Your advocacy made a difference.

If you saw last week’s headlines, you may have thought Canadians struggling with mental illness were finally protected from MAiD.

I wish I could tell you that protection was now law.

On the morning of the vote on Bill C-218, the Liberals announced that they would introduce their own legislation to stop MAiD for people whose only underlying medical condition is a mental illness. But their announcement came with a deeply troubling condition: they intend to expand MAiD at the same time.

Canada already has one of the most permissive assisted-dying systems in the world. Serious concerns about safeguards remain, while Canadians struggle to access mental health treatment, disability supports and timely medical care.

Why is the government planning another expansion when so many people cannot get the care they need? 

Bill C-218 offered Parliament a focused way to protect Canadians struggling with mental illness. Instead of sending it to committee for study, the Liberals voted it down in favour of a promised bill Parliament has not yet seen. 

The March 17, 2027 deadline remains. Unless new legislation passes before then, MAiD will become legal for people whose only underlying medical condition is a mental illness.

By tying that urgently needed protection to a further expansion of MAiD, the Liberals are forcing Parliament to accept another expansion with little time for scrutiny and debate, or risk leaving vulnerable Canadians unprotected. 

I am deeply disappointed that C-218 was defeated. It was exactly the sort of bill that could have saved lives.

But I want you to know that your efforts mattered. Your letters, calls, prayers and conversations helped put pressure on the government to commit to stopping that expansion.

Now we must hold them to that commitment. Canadians should not have to accept a further expansion of MAiD to secure protection for people struggling with mental illness. 

I will keep pressing for that protection to become law before the deadline to ensure Canadians are offered treatment, support and the opportunity to recover.

👉 Watch my response following the vote:
https://www.facebook.com/share/v/1KZfwBUgvT/ 

👉 Watch my press conference:

https://www.youtube.com/watch?v=6fuWS1pz_ec

 

Thank you for standing with me. We have more work to do, and I remain determined to defend the right to recover.

With gratitude,

MP Tamara Jansen
Cloverdale—Langley City

Three Strikes and You're Dead.

This article was published by Amy Hasbrouck on her substack on October 14, 2026.

Euthanasia via advance request for people with dementia

Amy Hasbrouck

By Amy Hasbrouck, a disability rights activist,
Past President: Euthanasia Prevention Coalition

The Liberal government defeated the private members bill that would have prohibited MAiD for people whose requests were based only on a “mental disorder,” (either because it was sponsored by a conservative, or they didn’t want to bother amending the language) even as it announced a policy that would achieve the same end. This was just the latest in the Liberals’ highly (un)democratic moves undertaken with regard to state-sponsored killing of ill and disabled people.

At the same press conference, the Carney administration announced that while people with mental illness will be protected against the coercive effects of the MAiD regime, people with dementia will be thrown under the bus. Because the same prejudice that drives stigma and discrimination against people with a psychiatric disability applies equally (albeit with a slightly different flavour) to people with dementia; “You’d have to be out of your mind to want to live like that.” Euthanasia via advance request creates a motor coach sized loophole for abuse.

Under advance requests, people with dementia have three strikes against them.

The first strike occurs when the person receives a dementia diagnosis. People who have lived as non-disabled who receive any kind of disability diagnosis often face a revelation similar to opening a “Pandora’s box” of frightening ideas about what their life will look like in the future. Such ideas are based on prejudice and stereotypes, starting with children’s fairy tales, developing through movies and TV, then gaining momentum and toxicity on the internet and social media. A person facing a dementia diagnosis will hear dire predictions about loss of dignity and personhood, and be treated to sordid tales of elder abuse or failures of the inadequate, inappropriate and disempowering elder-care infrastructure.  

The second strike comes when the person making the advance request, in the aftermath of a shocking diagnosis and in the face of acute disability discrimination and doomsaying, must designate a decision-maker, and describe the conditions that will trigger their demise. The person probably won’t receive much balanced information to counteract the above-mentioned negative stereotypes and horror stories, nor are they likely to hear about the positive aspects of living with dementia, such as:

• The potential for creativity – Art, painting, music and crafting – given time and lack of inhibition. Creative activities require less memory or language, and allow for emotional expression.
• Connection through music: The areas of the brain that process and remember music are often preserved longer. Familiar songs can trigger joy, comfort, and active engagement even with profound memory loss.
• Lowered self-expectation and fewer demands can encourage experimentation and free up energy for hobbies and creative pursuits.
• Jokes and humour can be recycled. Favourite movies or TV shows are new again.
• Living in the Moment: Many people are more able to focus on the present, appreciating sensory pleasures—such as a warm cup of tea, a pet, or a walk outside—without the burden of past regrets or future anxieties.
• Reframing Priorities:
• A diagnosis often prompts people to let go of trivial stressors, slow down, and focus on what brings happiness and connection.
• Advocacy and Purpose: Some people with early-stage dementia find renewed identity and purpose in public speaking, writing (such as poetry or memoirs), and advocacy to challenge social stigmas.
• Strengthened Relationships: Shifting the focus away from traditional ideas of “success” to emotional presence can foster deeper, more authentic bonds between partners, family members, and caregivers.
• Incentive for Wellness: Adopting lifestyle changes—such as regular physical exercise, balanced nutrition, social activities, and cognitive stimulation—can improve overall physical health, mood, and mental clarity.
• Preserving Independence: Utilizing daily routines, assistive technology and devices, visual reminders, and self-directed supports helps maintain autonomy, dignity, and a sense of being useful, valued, engaged and in control.

However most general practitioners are not familiar with geriatric rehabilitation and independent living supports. More typically, the “triggering” conditions are listed as a litany of losses that are presented as undignified and intolerable, such as forgetting the names of one’s spouse or children, losing bladder and/or bowel control, being unable to prepare meals or needing help to eat; despite the fact that everyone lives with these realities during the course of their lives.  

The third strike happens months or years later, when the designated person decides that the conditions for death have been met. This assumes, of course, that the designee is still alive, available, not alienated, won’t benefit from the person’s demise, and has not burned out from unsupported caregiving, and so can make a deliberate and unbiased determination.

Even if the person has adapted to their disabilities, and has made peace with their dementia, any sign of dissatisfaction – passing frustration, or even just having a bad day – will likely be taken as indicating that they have reached the end of their rope, and want to “get it over with.” Disinterest in, or ambivalence about pursuing euthanasia may be deemed as demonstrating incompetence, since the person is expressing a different view to that stated when they were “competent.”

The euthanasia process having been set in motion, any further expressions or gestures of disagreement or resistance will be interpreted not as a desire to live, but either as desperation to have the process finished, or simply as evidence of incompetence. Such behaviour may be met with deception (clandestine administration of sedatives) and even physical force, in order to honour the person’s wish to avoid a “dehumanizing and undignified death.”

Strike three. You’re dead.

Death doctor promotes euthanasia for mental illness.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Jean Marmoreo, who is a family physician who practised in downtown Toronto for 45 years and became one of Canada’s first euthanasia doctors in 2016, wrote an opinion article that was published in the Globe and Mail on October 9, 2026 supporting euthanasia for mental illness, as a sole criteria.

Marmoreo's article fits the general position of the death lobby who have "drank the kool-aid" and view killing people by poison as just another procedure. Marmoreo states:

I was among the first physicians in this country to provide medical assistance in dying when it became legal in 2016. For more than 10 years, I have helped people die with the dignity this country promised them. So I am firm in saying that when Ottawa this week said it planned to bar those whose sole underlying condition is a mental disorder from requesting an assisted death, it wasn’t prudence dressed up as caution; it was politically driven cowardice in the face of controversy surrounding an individual’s Charter rights of bodily autonomy.

Marmoreo writes what the death lobby always write, that is to refer to the law as preventing someone from "requesting an assisted death" rather than stating the truth, that the law is preventing a doctor from killing a person, when their only condition is a mental disorder.

The euthanasia lobby writers use this tactic to change the issue to "freedom of speech" (request) rather than the doctor having the right to kill, which is more controversial.

Marmoreo then refers to killing people, whose sole underlying condition is a mental disorder, as being a "Charter" issue. This statement assumes that the Supreme Court of Canada, in Carter, decided that people have the right to be killed, even if their only condition is a mental disorder.

Marmoreo also follows the euthanasia lobby talking point, that killing people whose sole underlying condition is a mental disorder will prevent suicide. Marmoreo writes:

I have known too many patients who deteriorated and ended their own lives alone, without safeguards, without support, without the humane and legally supervised option that a person with a physical diagnosis would have been granted without a second thought. Canadians don’t keep statistics on “botched suicides,” but we should.

Suicide is always a tragedy and I understand that the Supreme Court of Canada, in Carter, falsely decided that legalizing assisted death will enable people to live longer because they would not "need" to die by suicide if medical homicide is an option.

The concept that medical homicide is better than self-killing assumes that a homicide is somehow less concerning than a suicide.

Finally Marmoreo goes on about how doctors are careful when they kill patients by lethal poison:

I have watched hundreds of good deaths, enough to know that one delivered at the patient’s request, after careful and rigorous assessment, is not an act of harm, but of mercy. 

Even if it would only result in "one" death delivered at the "patient's request" it would still constitute an act whereby a doctor or nurse practitioner kills a person based on a "irremediable" medical condition. Should doctors and nurse practitioners ever have the right to kill people?

Further to that, how can Marmoreo, who is not a psychiatrist, assume that the person who is killed actually had an irremediable medical condition? Leading psychiatrists across Canada have stated that it is impossible to determine if a person's mental disorder is irremediable. 

Treatment and care for people with suicidal ideation and mental health conditions is compassionate. Killing is not compassionate.

Letter to the Justice Minister concerning euthanasia by advanced request.

The following letter was sent by a supporter who wishes to remain anonymous.

Dear Hon Sean Fraser, Minister of Justice

I am writing to express my absolute condemnation of the government's plans to expand MAiD to permit advance requests for incapable, irreversible, and vulnerable patients. 

This trajectory is entirely unacceptable, represents severe human cruelty, and fundamentally violates the basic right of Canadians. 

Allowing doctor administrated death for individuals who cannot give immediate informed consent at the moment of administration removes final safeguards turning helpless individuals into victims of institutional failure. The expansion constitutes systemic ableism, projecting a cold-hearted societal evaluation that the lives of vulnerable or disabled people are not longer worth protecting.

Euthanasia and eugenics are not native to Canadian values, they trace their own origins to dark, destructive periods in European history importing these outdated practices is a regression toward state-sanctioned human sacrifice. The human body is naturally structured to navigate life and death on its own. The government does not own the health or bodies of its citizens, and nature must be allowed to take its course without bureaucratic or medical violence. 

The pseudoscience and historical medical overreach underlying these policies represent a complete failure of guidance. Instead of solving health and social challenges with genuine care, the state is facilitating, the termination of innocent civilians, rather than treating end of vulnerabilities as an inconvenience to be eliminated. Canada must redirect the resources. 

I urgently demand immediate attention your office to halt all legislation regarding requests, fully defund the maid framework, and work toward its absolute abolition. True governance require finding ethical ways to reverse medical conditions and support the helpless, not ending their lives, I will not vote for or support a destructive government that fails in the primary duty to protect its citizens. I respect a direct response outlining what immediate action your office will take to protect vulnerable Canadians and reverse the course.

Québec's Premier, who legalized euthanasia, has second thoughts.

"I'm not sure that I would have again voted for that law with the extension that we have seen in the recent years." Philippe Couillard.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

Philippe Couillard

Philippe Couillard, who was the Premier of Québec in 2014 when euthanasia was legalized, stated on a CBC radio program that he is not sure if he would support that law today.

Darren Major reported for CBC News on October 10 that:

The former Québec premier who oversaw passage of Canada's first-ever medically assisted dying law says he now feels conflicted after seeing how far the practice has progressed since then.

Québec legalized euthanasia in 2014, before the Supreme Court of Canada promulgated the Carter decision which struck down Canada's criminal code statutes protecting Canadians from euthanasia and assisted suicide.

Quebéc legalized euthanasia by defining it (killing) as healthcare. Canada's constitution recognizes the provinces as having jurisdiction over healthcare in Canada.

Major reported that Couillard as stating on CBC radio - The House that he sometimes questions his 2014 decision after seeing how euthanasia has expanded in Quebec and Canada since that first law was passed.

"It was clearly reserved for terminal or pre-terminal conditions with a defined, unfortunate road to the end of life. And this is not the case anymore," he told host Catherine Cullen.

"I'm not sure that I would have again voted for that law with the extension that we have seen in the recent years."

Couillard, a former neurosurgeon, emphasized that the intention of Québec's original law was to limit euthanasia to those who with a terminal illness. Major reported:

"I was warned about this by people opposing the law that told me, 'We see your motivation is good, but you will see, once you open the door you will not close it and it will open wider.' And this is what happened," he said.

I had lunch with Couillard in 2014. I explained that euthanasia, in other jurisdictions, such as the Netherlands, was constantly expanding and I stated that, based on the language of the bill, that euthanasia would inevitably expand in Québec.

Major reported further comments by Couillard which indicate his division on the issue.

The poor oversight and expansion of euthanasia began immediately in Quebec.

Amy Hasbrouck, who was the President of the Euthanasia Prevention Coalition, wrote a report in October 2017 based on the first full year report of euthanasia in Quebec (June 10, 2016 - June 27, 2017). The report indicated that there were 638 reported euthanasia deaths in Quebec during that time-frame.
 

Hasbrouck explained that the Quebec report indicated that 31 euthanasia deaths (5%) were not compliant with the law and in 19 euthanasia deaths, the committee could not decide if those deaths were compliant. 

In June 2023 Quebec passed Bill 11 amending the Québec euthanasia law in the following ways:

• creating an obligation for palliative care homes to offer euthanasia, 
• allowing euthanasia in cases of serious physical disability
• approving euthanasia by advance request.

The Canadian Press reported that Bill 11 "also allows Quebecers to receive euthanasia in places other than hospitals, such as funeral homes and long-term care facilities."

The passage of Bill 11 in June 2023 forced all medical institutions, even those that were religiously affiliated, to provide euthanasia, it extended euthanasia to people with disabilities who are not terminally ill and it enabled pre-requests for euthanasia, thus eliminating the requirement that a person be competent.

The 2024–2025 Report of the Commission on End-of-Life Care on the Québec euthanasia data (April 1, 2024 to March 31, 2025) and the most recent data from Québec, indicated that there were 6,268 reported euthanasia deaths in that time-frame representing (7.9%) of all deaths, which was the highest rate in the world.

There were almost a 10 times the number of euthanasia deaths from the first full year of the law until (March 2025).

Based on the language of the euthanasia law, the legal expansions of the law and the normalization of euthanasia, one should not be surprised that euthanasia killings are "out of control" in Quebec.