Show the powerful film in your community: Life Worth Living

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

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

Change hearts and minds by screening the powerful Life Worth Living film in your community.

Below is the trailer for the Life Worth Living film:

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

The Euthanasia Prevention Coalition granted Eva permission to have the film shown in her community. Please arrange 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.

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

“Club Sandwich Mayonnaise” a play about Quèbec euthanasia.

All the World's a Stage! 

By Gordon Friesen
President: Euthanasia Prevention Coalition

We have some very good news to report, from the cultural front, in the Province of Quebec.

This good news concerns the recent production of a stage play which might not actually condemn --but does seriously criticize-- the practice of medical homicide in that Province.

The arrival of “Club Sandwich Mayonnaise”, by Manuelle Legare, is encouraging for a number of reasons.

First of all, this is not a marginal production.

Mme. Legare is the daughter of local performance icon Pierre Legare, and was thus born into the Quebec cultural aristocracy, a status which she has successfully built upon through her own efforts in television and documentary cinema.

Furthermore, the participating dramatic production company, Porte Parole, was the first group to pioneer what has become the dominant Quebec stage formula, of 'dramatic documentary', and remains a leading reference in this style.

For these reasons, the Quebec opinion establishment have had no choice but to take this phenomenon seriously. And they have done so in spades. For after each (sold out) performance from April 8 to 18, leading authorities were on hand to participate in audience question and answer sessions, beginning, on opening night, with none less than Véronique Hivon, herself, the veritable Queen of euthanasia in Quebec, political Godmother, and author, of the original “Law Concerning End of Life Care”.

In terms of Quebec politics and society, this is a big deal.

Quebec does not have the same sort of litigious, political division seen elsewhere. All Quebec politicians, journalists, and influencers share certain crucial positions which they consider as universal social "consensus", and which it is assumed that no "serious" thinker might oppose. These currently include: an eternal resentment for Quebec's previous conquered status within the British Empire, certain extreme views on religion (or fossil energy) and most recently: an unfailing support of medical homicide.

Indeed, author Manuelle Legare states that the dramatic stage has become the only remaining public space in which any questioning of the medical homicide consensus might still be permitted.

However, as history shows, apparent (and rigorously enforced) unanimity of opinion often blocks the evolution of real and necessary criticisms, which subsequently explode in peoples faces. And it is this fact which explains the enthusiasm of both pro, and anti, medical homicide factions in embracing Club Sandwich Mayonnaise along with the indirect opportunity of discussion which it provides.

For the first time, after ten years of lockstep support, it would appear that there is at least some political willingness to entertain the thought that mistakes might have been made, or failing that, to concede that some small improvements might be desirable to limit unforeseen harms.

Returning to the author's description of her own intentions: Mme Legare lends official credence to the consensus belief in medical homicide as "social progress", but then speaks of "blind spots in the mirror", which in her case meant the profound psychological distress of hearing her father joke, one day, that he could order up his death as easily as "a club sandwich with mayonnaise", and then actually seeing his corpse laid on a slab, 48 hours later.

This, in short, is the sort of personal experience --implying enormous social rupture-- that no political "consensus" may prevent its partisans from questioning. And it is also a glimpse into the bottomless social abyss that so many of us have been warning against from the beginning.

To be realistic, of course, there is no scenario, whatever, in which one might imagine Quebec decision-makers ever showing sufficient humility to actually admit that they were simply wrong about the practice of medical homicide. And it may well be that pro-euthanasia forces will succeed in co-opting this first criticism as a positive opportunity of "healthy" adjustment. However, a definite breach in messaging unanimity has indeed been made.

As our ally Catherine Ferrier, President of the Physicians Alliance Against Euthanasia has described it:

"... all came out in the play. Rushed assessments, lack of access to other options, psychosocial suffering, priority of MAID over palliative care, etc. It mentioned the opposition of disability groups and the UN recommendation against MAID for people not at the end of life."

In short, the public airing of such concerns, in the undisputed ‘Belly of the Beast’ of Canadian euthanasia, can only be a good thing. And although the wheels turn slowly, and although no open admission of error will ever be made: Quebec politicians have also shown themselves to be extremely adroit in making 180 degree policy changes while firmly pretending to stay the course.

Let us all hope that we will eventually see that skill masterfully displayed, with regards to medical homicide.

Euthanasia: No Evidence Base for Futility and Irremediability in Psychiatric Disorders

This commentary was published by The Psychiatric Times on April 6, 2026.

By Dr's Mark Komrad and Catherine Ferrier

Dr Mark Komrad

As Canada approaches the planned implementation of their medical euthanasia program—or medical aid in dying (MAID)—for patients with sole psychiatric illnesses in March 2027, the Canadian Parliament is again studying the advisability of this decision. Here, we make an argument as to why these practices should remain closed to individuals with psychiatric disorders.

Unlike many other kinds of illnesses, futility or irremediability cannot be reliably resolved by clinicians in cases of psychiatric disorders, especially for any one particular individual. As Sonu Gaind, MD, past president of the Canadian Psychiatric Association and chair of the Toronto Expert Advisory Group on MAID for mental illness, wrote, “An extensive review of the literature shows that we cannot predict irremediability when it comes to mental illness. . . There is a big difference between being able to predict the declining course of a well-known medical ailment with understood biology, even if not with 100% certainty, versus making unpredictable assessments about the course of mental illnesses.”1 Some reasons for this follow.

Diagnosis and Prognosis of Mental Disorders Are Unreliable

Prognosis, the ability to predict the course of any illness—with or without treatment—depends on accurate identification of what the illness is, so that we can mine scientific evidence about the course of that illness. Because psychiatric conditions are based on patient’s history and clinical observation of the individual (rather than other kinds of validations, like blood tests, imaging studies, etc) the reliability of psychiatric diagnosis is limited. Studies have shown that clinicians agree on a patient’s formal psychiatric diagnosis between 66% to 75% of the time.2 Also, over time, psychiatric diagnoses are liable to be changed, much more than diagnoses of somatic illnesses. So, the unreliability and instability of psychiatric diagnoses mean that predicting the course of a patient’s condition, the prospect of its remission, and its response to any or all treatment, are too elusive to declare any one case “untreatable” or “futile.” The level of uncertainty in the science of psychiatric prognosis is very high.3

Inability to Know Which Suicides to Prevent and Which to Provide

Because of these unpredictable aspects, allowing MAID for some psychiatric patients, but not for all, poses a profound and irresolvable clinical conundrum—how to distinguish those patients for whom suicide should be prevented from those for whom it should be provided. The chairs of all 17 academic departments of psychiatry in Canada expressed profound concern about allowing MAID for mental disorders for this reason.4 Imagine a likely scenario if MAID were legalized for psychiatric disorders: a psychiatric inpatient ward where some patients are being treated for suicidal thinking or behavior, perhaps involuntarily, but others on the same ward might be deemed eligible to receive MAID. Besides the moral injury to the clinicians, how confusing it would be for the patients in that milieu! Now scale up this conundrum to the general population where, nationally, some suicides for mental disorders are not prevented, but provided. That will impact the taboo against suicide—a vital component of suicide prevention in general. A taboo (“it is not good to commit suicide”) is different than stigma (“you should be ashamed if you try it”). Indeed, because of MAID’s dampening taboo, there is growing evidence that the rates of “ordinary suicide” in jurisdictions that have MAID (specifically Oregon, Switzerland Netherlands, Belgium5 and Australia6) have risen much faster after it was legalized than before, strongly suggesting the emergence of “suicide contagion”—a well-known public health phenomenon. The mixed messages of the provided vs the prevented suicides are profoundly impactful, particularly on those with mental illness, who already struggle with impairment in rational reflection about suicide as an option.

Enormous and Nonspecific Variety of Treatments for Mental Disorders

The breadth of treatments for psychiatric illnesses is wider than for somatic treatments. There is much less specificity for any one medication, therapy, or procedure for a mental disorder. Treatments for psychiatric disorders are much less precise than for somatic disorders.7 For example, a medication that might be effective for schizophrenia will also be effective for bipolar disorder, anxiety, posttraumatic stress disorder, insomnia, eating disorder, and others. Psychiatric treatments come in many modalities from over 100 pharmaceuticals of different actions to several hundred bona fide methods of talk therapy and physical treatments,8 like electroconvulsive therapy, transcranial magnetic stimulation, and many others. The response of several patients with a similar psychiatric condition can be highly variable,9 more so than for nonpsychiatric conditions, requiring a much more robust trial-and-error approach. Patients typically require more than one kind of treatment for optimal benefit. There is not widespread availability for so many of these various treatments, particularly some cutting-edge treatments like psilocybin, clozapine, ketamine, and dialectical behavior therapy. Some are available only in academic centers and some are wielded primarily by subspecialists in a certain condition, who may be difficult to access, as they are scarce, with long waiting lists to see them. Waiting lists for such specialists in Canada can be far longer than the 90-day wait for Track 2 MAID.10 Off-label treatments are especially common in psychiatry, even when there is a good evidence base, so they may be difficult to get approved.11 Therefore, not every treatment is available to every psychiatrist, and indeed, not every psychiatrist is even aware of the full scope of treatment options, or is trained in them.12

The Challenge of Evaluating Capacity to Consent to MAID

Capacity to consent to treatment is more elusive in the setting of mental illness. The most respected bioethics textbook in the world, Principles of Biomedical Ethics, written by Beauchamp and Childress, defines autonomy as: “Self-rule that is free from both controlling interference by others and from inner limitations.”13 Mental illnesses and their associated cognitive and emotional distortions are the quintessential inner limitations. The state-of-the-art of capacity assessment is a highly complex one, which was developed for far less serious existential issues than to make the decision to end one’s life. It was developed for capacity to stand trial, write a will, consent to surgery, etc. Even at that level, capacity assessment requires specialized training that even most psychiatrists do not have. It is a skill that is provided mostly by certain psychiatric subspecialists—forensic psychiatrists and consultation-liaison psychiatrists who work on medical and surgical wards. Even in the Netherlands, a country that has had 2 decades to develop experience with psychiatric MAID, one study showed that 92% of psychiatric patients receiving euthanasia had inadequate capacity assessment,14 because there were no agreed upon standards for such an assessment for approving a suicidal wish in that cohort where suicidal feelings are particularly endemic.

Those With Mental Illness Are More Marginalized and More Vulnerable

Family physician Ramona Coelho has written: “When feeling like a burden, or when loneliness, depression, or fear of prolonged suffering are the factors driving the decision, the choices for MAID are not made in true freedom but are borne of anguish and desperation... Suffering can distort autonomy.”15 Mental illness can indeed cause severe suffering. One might even consider it the “most human” form of suffering. That marginalization makes individuals more vulnerable to requesting MAID, which has been widely documented in Canada. Those with chronic and severe mental illnesses are among the most marginalized citizens of all. They are overrepresented in the lowest socioeconomic quintile of the population.16 They are more likely to be underresourced, disabled, unhoused, and stigmatized than people with other medical conditions. Franklin Roosevelt famously said, “necessitous men are not free men.” Those with mental illness are disproportionally necessitous.

MAID Inverts the Fundamental Ethos of Mental Health Professions

It is already challenging for physicians to get out the way of death, and to refer patients for palliative care. Further, to administer the means to actively produce death is anathema to medical ethics, but particularly for psychiatrists, whose daily work and fundamental ethos is to prevent suicide. This is why the American Psychiatric Association is opposed to any intervention to produce death for those with mental illness.17 Mental health professionals typically have longer and more frequent encounters with individual patients than other physicians and health care professionals. Helping individuals deal with despair, demoralization, suffering, and hopelessness is a core mission in the mental health professions. Psychiatric clinicians address symptoms, but also build coping mechanisms, mobilize support systems, and even help people make meaning of unresolved suffering. Mental health experts are skilled at accompanying patients in their afflictions and have specific training and experience on how to avoid absorbing a patient’s hopelessness and nihilism, a skill set which is independent of any psychiatric diagnosis. To create a facilitated path to suicide by opening MAID in the setting of mental health treatment is a profound, indeed revolutionary, and perilous inversion of that professional ethos for individual patients, and for public mental health.

Dr Komrad is a psychiatrist on the teaching staff of Johns Hopkins Hospital in Baltimore, Maryland. He is also a clinical assistant professor of psychiatry at the University of Maryland in Baltimore and on the teaching faculty of psychiatry at Tulane University and Louisiana State University in New Orleans, Louisiana. He is also a founding member of the international physicians’ organization Doctors Say No.

Dr Ferrier is a family physician working in the Division of Geriatric Medicine of the McGill University Health Centre. She is an assistant professor in the Department of Family Medicine at McGill University in Montreal, Quebec, Canada, and is the president of the Physicians’ Alliance Against Euthanasia.

References are attained by linking to the original article (Article Link).

Is Mental Illness Irremediable?

This article was published by Amy Hasbrouck on her substack on April 12, 2026.

Without adequate supports, MI under MAiD could be a death sentence.

Amy Hasbrouck

By Amy Hasbrouck

The central question when considering if Euthanasia and Assisted Suicide (E/AS) should be allowed for people whose requests arise solely from a psychiatric disability is whether mental illness is irremediable. The answer depends on many factors; the origins, causes and history of the mental illness, the infrastructure in place to support healing, whether the treatment approach is holistic or symptom-focused. Possibly the most important predictor of success is the ability to retain hope that recovery is possible. As a starting point, hope requires trust in the therapeutic relationship, but trust and the hope of recovery are both undermined by allowing E/AS for psychiatric disability alone.

While my physical and sensory disabilities might or might not qualify me for euthanasia under Canada’s Medical Assistance in Dying (MAiD) regime, it is my psychiatric disabilities (mental illnesses) that are most likely to induce me to request euthanasia.

Evolving diagnoses

The day after I graduated from secondary school in 1979, I realized that the “childhood abuse” I had experienced might be connected to the exhaustion, low self-esteem, and depressed mood I had struggled with as far back as I could remember. Since then, I’ve had two hospitalizations, and a series of diagnoses – from depression, to PTSD, to dissociative identity disorder – and I’ve been prescribed at least 15 psychiatric medications. At the moment I’m taking five meds with (unofficial) diagnoses of Complex PTSD,1 Treatment Resistant Depression,2 along with the complicating and compounding effects of ableism.

My experience supports the conclusions reached by Mark Konrad and Catherine Ferrier in their recent article “MAID: No Evidence Base for Futility and Irremediability in Psychiatric Disorders”;3 that “diagnosis and prognosis of mental disorders are unreliable,” and there is an “enormous and nonspecific variety of treatments for mental disorders.”

Origins, Causes and History

Nearly 2/3 (63.9%) of adults report having at least one Adverse Childhood Experience (ACE) such as divorce or death of a parent, physical, emotional or sexual abuse or neglect, or substance abuse by family members.4 Studies have found “a strong relationship between exposure to abuse or household dysfunction during childhood and multiple health risk factors for the leading causes of death in adulthood.” The 17% of adults with an ACE score of four or more (of which I am one) have a “12 times higher prevalence of health risks such as alcoholism, drug use, depression, and suicide attempts,” chronic illness (such as fibromyalgia and chronic fatigue) and autoimmune disorders (such as Lupus or Crohn’s disease). Yet when I asked my primary care doctor about whether Québec used ACE scores to screen for physical and mental health risks, she didn’t know what I was talking about.

I have been unable to see a psychiatrist to adjust the medications I am prescribed for symptoms of my mental illnesses since I arrived in Canada more than 22 years ago. The meds are only partially effective in managing symptoms related to Complex PTSD and depression, but I don’t know what my official diagnosis is, and despite several referrals, I have never actually spoken to a psychiatrist. I have been referred for counseling twice to professionals who had no background in working with people who have experienced disability discrimination; in one case, the therapist’s insensitivity led me to abandon the sessions, while the other therapist left a few months into the treatment. I have had limited success finding qualified therapists on my own, and I must pay for my own therapy since I do not have insurance aside from the provincial health plan.

Infrastructure for Healing

Physical security promotes healing

For me, successful treatment of mental illness depends on diverse, often intangible elements, some of which I already have in place. I have physical security in that I am lucky enough to have a home, a loving and beloved spouse, and economic stability.5 I have some social support through Adult Survivors of Child Abuse (ASCA), an online community with a focus on recovery from the effects of complex trauma. I am looking for a well-matched, skilled and respectful therapist to work with me on managing my nervous system’s dysregulation and hypervigilance. I am hopeful that someday I may recover some self-esteem and lose some of the chronic depression that drains and immobilizes me. I am aware, however, that my situation is precarious; that I am one setback away from suicidal depression, and that I do not have the full range of supports I need to meet the inevitable hazards of life.

Emotional healing

Healing from complex PTSD is – not to put too fine a point on it – complicated when you also have a disability. The usual feelings of shame and self-blame that come from long-term emotional and sexual abuse were magnified by my parents’ profound discomfort with my blindness. The discovery of my cataracts during a hospital stay for pneumonia at four months precipitated a major domestic crisis (with accompanying violence); my father thought the condition was caused by (and was therefore the financial responsibility of) the treatment I received for pneumonia, while my mother believed that the cataract diagnosis while I was hospitalized precluded the possibility that the oxygen treatment was the causal factor. Regardless, I was expected to keep up with my siblings in household chores, academics and play, even as I was shamed for blindness-related behaviours (like rocking or turning my head from side to side). These “self-soothing” behaviours, and accompanying shame, metastasized with the sexual abuse which started when I was about three years old.6

When my mother told me the bullies at school were wrong to say I was “blind as a bat” I thought she must be right because I had usable vision. I figured comments about my vision problem meant that I was just too stupid to learn how to see, since “seeing” generally meant being able to predict events based on applying learned experience. My father’s insistence that I learn touch-typing at the age of 10 – though invaluable when I studied journalism and the Law – was a double-edged sword. He wanted to be sure I would have “something to fall back on” because, after all, “boys seldom make passes at girls who wear glasses;” the response of my classmates suggested I probably wouldn’t land a husband/provider/protector. My father’s plans for my security, while insulting, also seemed sensible, since I was too stupid to see and unworthy of being seen.

Validation in a world gone mad

I left the U.S. in 2003 because I experienced the collapsing democracy and military imperialism of that era as an existential threat and profound cognitive dissonance. My job (advocating for the rights of disabled people), was threatened by state budget cuts and the failure to recognize health care as a human right. I had also been harassed and assaulted by a stranger in what was clearly a disability and gender-based hate crime, yet was denied the opportunity to report it as such at the (state) police station where I fled after the event.

My first 20 years in Canada were taken up with (re)learning French, making a marriage work and following my spouse to foreign postings, bringing the disability rights-based opposition to E/AS to Canada and Québec, and observing the continued political and social deterioration in the United States.7

I was aware of the negative effect of the E/AS work on my mental health, and did what I could to mitigate the damage. The situation was aggravated with the pandemic (and its triage policies that threw disabled people under the bus) and the inauguration of Trump 2.0; I became unable to manage the writer’s block that had been getting worse for years. This substack has taken me more than two months to write. But as I said, I got no support from provincial health services for managing psych meds or getting effective treatment.8

Treatment approaches

Holistic v. symptom-based

Recently I was reminded of the importance of a holistic approach (in the realm of physical health), when I awoke on March 14 with a 50% loss of usable vision in my “good” eye. I took it easy that day, and (to my great relief) the problem cleared up after about 36 hours. (10% of normal vision is a lot better than 5%). I am at a loss as to how to address the underlying problem; I suspect I may have had a partially detached retina due to ocular pressure caused by Continuous Positive Airway Pressure (CPAP) treatment I’ve used for 33 years to control obstructive sleep apnea. The ophthalmologist who prescribes the eyedrops for my glaucoma has never asked about the possible cause of the glaucoma, or whether it might be related to the CPAP, nor has my primary care doctor. So I don’t know which professional to consult, or how to raise my concerns, without giving the impression I am trying to tell the medical professionals how to do their job.

The same principle applies to mental health care; I believe that I probably need to do some sort of somatic-based therapy to bypass my tendency to intellectualize and avoid feeling, but am I asking too much by insisting on psychiatric support for medications specifically for Complex PTSD, or a therapist who can provide a treatment such as EMDR,9 and who understands my trauma history and experience of disability oppression?

The most appropriate therapies, the best-suited provider(s)

In November, the counsellor I had been working with for three years (who had the requisite expertise and background) abruptly terminated the therapy relationship. Since then I have interviewed several possible therapists, only to discover either that they do not provide the treatment I am looking for, or that they cannot work with me because of my location. I am searching for a therapist who is trauma informed and can work online, who is certified in EMDR and who works from a disability justice perspective.10

I have been sending the following introductory email to counsellors I find on therapist referral cites: “I’m a 64-year-old disabled, cis, white woman looking for a counsellor to work with me on complex PTSD from full-spectrum child abuse, medical trauma and ableism, as well as grown-up issues like lawyer recovery, expat status/second language self-expression, and burn out from 30 years of (draining and triggering) work opposing the legalization of assisted dying from a disability rights perspective. Specifically, I’m hoping to use adapted EMDR (I’m legally blind, so the EM part doesn’t work for me) to deal with the CPTSD; I’m open to suggestion on the other stuff.”

Hope and trust in the therapeutic relationship

Recently I got some feedback on the introductory email; I was told that it could be off-putting, or even intimidating to some potential therapists. I responded by saying “That’s kind of the point.” I don’t want to waste my time interviewing counsellors who do not understand complex trauma, or who hold medical-model views of disability, or who see assisted dying as a good idea for disabled people.11 I’m also not confident I could gain much insight in talk therapy when my nervous system reacts like a three-year-old kid who can’t see if my rampaging father is about to attack me, every time someone raises their voice. Each time I question myself about one of my criteria (“do I really need a therapist who understands ableism?” or “Do I really need to do nervous system regulation?”) I have to remind myself that I’m not asking for too much, and that I deserve to get the help I need.

Back to the question of irremediability

Is my mental illness irremediable? I hope not, and I don’t think so. I’m hoping I can cobble together the pieces of a treatment and support system into a coherent care plan for myself. But given the lack of support and help I have received from Québec’s health providers, I cannot feel assured that if I experience a sudden setback (major vision loss, death in the family) I will get the support I need without having my trauma exacerbated by the intervention of an ableist, paternalistic mental health system.

In 2022, Québec decided not to legalize euthanasia for mental illness alone, but what guarantee do I have that some well-meaning doctor or nurse practitioner might not decide that losing my remaining vision, combined with the effects of childhood trauma and any other crisis that pops up, isn’t enough to justify substituting euthanasia for suicide prevention?

Bill C-218

Disability rights activists oppose E/AS because we understand that, while cloaked in “good intentions” the state only intervenes to end disabled lives, because of the belief that disability is a fate worse than death. Bill C-218, which would prohibit MAiD for people whose request is based only on a mental illness, is a small step toward redressing the deadly, eugenic, ersatz form of “care” that is MAiD.

1 World Health Organization’s International Classification of Diseases for Mortality and Morbidity Statistics, 11th Edition, (2022), 6B41 Complex Post Traumatic Stress Disorder https://icd.who.int/browse/2024-01/mms/en#585833559.

2 Oliveira-Maia AJ, Bobrowska A, Constant E, Ito T, Kambarov Y, Luedke H, Mulhern-Haughey S, von Holt C.; Treatment-Resistant Depression in Real-World Clinical Practice: A Systematic Literature Review of Data from 2012 to 2022. Adv Ther. 2024 Jan;41(1):34-64. doi: 10.1007/s12325-023-02700-0. Epub 2023 Oct 26. https://pmc.ncbi.nlm.nih.gov/articles/PMC10796703/.

3 Konrad, M., and Ferrier, C., “Commentary: MAID: No Evidence Base for Futility and Irremediability in Psychiatric Disorders,” Psychiatric Times, April 6, 2026, https://www.psychiatrictimes.com/view/maid-no-evidence-base-for-futility-and-irremediability-in-psychiatric-disorders.

4 The ACE survey is far from complete; it does not account for medical trauma, discrimination, bullying, witnessing domestic violence, or the effects of war, natural disasters, displacement and migration. The World Health Organization’s ACE International Questionnaire takes more factors (such as discrimination, bullying and collective violence) into account, but does not include medical trauma.

5 One fly in my security ointment comes from the fact that my husband, who can no longer work and is losing mobility, finds meaning in life through helping homeless and marginalized people (some of whom are active alcoholics and drug addicts), who come to the house for loans emotional support or to do odd jobs. We have agreed that, for my sense of safety, they will only come between 1 and 5 in the afternoon, and that people who are intoxicated may not come into the house.

6 In 1991, at a workshop I gave (along with colleagues in a support group of disabled women survivors of child sexual abuse) called “Adding Incest to Injury” we presented on the multiplier effects of ableism and child sexual abuse. We described how being trained to compliance and treated as objects of medical care increased our vulnerability to sexual abuse, while the loss of control during sexual violation made us more susceptible to shame and existential confusion caused by disability discrimination.

7 Forever wars, anti-immigrant policies, the #MeToo movement in response to the predator-in-chief and the Epstein files, the failure of democracy and the backlash against diversity, equity, inclusion and accessibility.

8 From what I can gather, the only way to get comprehensive mental health services in Québec is to be in crisis, which would precipitate a response from the system that would deprive me of control over what treatment I receive and where and how I received it. This is highly triggering for a person with Complex PTSD, as I learned when I was hospitalized in 1991 and 1997, and can do more harm than the beneficial effects of the treatment.

9 Eye Movement Desensitization and Reprocessing (EMDR) therapy is an extensively researched, effective psychotherapy method in which the person focuses briefly on the traumatic memory while simultaneously experiencing bilateral stimulation, which can reduce the vividness and emotion associated with the trauma memories. Ongoing research supports positive clinical outcomes, showing EMDR therapy as a helpful treatment for disorders such as anxiety, depression, OCD, chronic pain, addictions, and Complex PTSD (Maxfield, 2019). EMDR therapy has even been superior to Prozac in trauma treatment.)

10 Disability justice is an intersectional framework and movement, coined in 2005 by queer disabled people of color, that centers the lives and leadership of marginalized disabled people. It moves beyond legal rights to address how ableism, racism, colonialism, capitalism, and heteropatriarchy intersect to harm people, the biome, and the environment)

11 FN One therapist wondered why I was working so hard to prevent people from having euthanasia if they wanted to be dead. It made me wonder if she provided suicide prevention intervention to all clients who were suicidal, or just non-disabled ones.

Amy Hasbrouck is the director of Toujours Vivant - Not Dead Yet and a past-President of the Euthanasia Prevention Coalition.

Free online Life Worth Living film screening on March 30.

Register in advance to watch the free online screening of the powerful Life Worth Living film on Monday, March 30 at 7 pm (Eastern Time). (Registration Link)

The Life Worth Living film features stories from people who have been directly affected, doctors who explain their experiences, and people who are working to prevent euthanasia in Canada. 

Register in advance for this online event: (Zoom registration link). After registering you will receive a viewing link.

EPC has had multiple online screenings and many groups have sponsored screenings of the Life Worth Living film. We encourage groups and individuals to arrange a screening of the Life Worth Living film. Contact EPC at info@epcc.ca

Life Worth Living was a finalist at the Cannes World Film Festival and is being considered by multiple film festivals. 

Life Worth Living is 60 minutes long. After the completion of the broadcast we will have time for 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. CEO, best selling Author of the book - Brass & Unity, TedX speaker and host of the Kelsi Sheren perspective.

  

  Roger Foley

• Roger Foley, a Canadian man living with a significant disability who has been pressured by hospital staff to request euthanasia.
• Dr David D'Souza, Ontario pain specialist.
• Dr Catherine Ferrier, Quebec Gerontologist and a leader of the Physicians' Alliance against Euthanasia, 
• Dr Will Johnston, 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. Arrange to have Life Worth Living shown in your community. Contact us at: info@epcc.ca
2. You may want a speaker at the event to lead a discussion. Contact us at: info@epcc.ca
3. You can purchase the Life Worth Living film at:  www.lifeworthlivingfilm.com or through Salem Now.

Celebrating hope, milestones and success.

Alex Schadenberg
Executive Director
Euthanasia Prevention Coalition

As we celebrate the Christmas Season with hope we also celebrate our milestones and successes with hope for the New Year.

We celebrate that today, the EPC blog surpassing 13 Million pageviews. The last year alone, the EPC blog had more than 3.6 Million pageviews. 

We regularly receive emails from people from around the world either thanking us for the research and information that is published on the blog or asking us for specific information.

There are more reasons to celebrate.

2025 has been a great challenge, but we are pleased with the success of the Slovenian referendum and our soon-to-be-released film: Life Worth Living.

The film project grew out of our work on the successful Slovenian referendum campaign, as well as our work with partners in Victoria, Australia to prevent the expansion of their assisted suicide law and our promotion of Bill C-218, the bill that is sponsored by Tamara Jansen MP which, if passed, would prevent euthanasia for mental illness alone in Canada.

While working on the film project, we shared excellent footage of interviews concerning Canada’s experience with euthanasia, that was used in the Slovenian referendum. The Slovenian referendum was a great success with 53.5% rejecting the Slovenian euthanasia law that had passed in their national legislature last July.

The Slovenian referendum taught us some important lessons and provided great hope for the future. Some of the lessons concern messaging: euthanasia (MAiD) is about poisoning people to death, do not be afraid to tell the truth, as well as euthanasia concerns healthcare and pension savings. Euthanasia reduces costs by killing people.

We also shared footage with our partners in Victoria, Australia who were working to prevent the expansion of their euthanasia law.

We have not fully recovered the  cost of the film, which was around $50,000. Consider making a Christmas donation to EPC and enable us to fully recover the cost of the film. 

Donation to the Euthanasia Prevention Coalition (Donation Link).

Watch the Trailer for our powerful film Life Worth Living (Trailer Link).

We also created footage to specifically support the passage of Bill C-218. For instance, Alicia Duncan, whose mother died by euthanasia in 2021 based on mental health issues, shared her powerful story and Kelsi Sheren shared her story of living with Post Traumatic Stress Disorder, after serving Canada in the military in Afghanistan.

The film - Life Worth Living will be available in January. We need our supporters, to organize screenings of the film. You may also want a speaker, such as myself, to lead a discussion forum, after the screening.

The film also features: Roger Foley, a Canadian living with a significant disability who has been pressured by hospital staff to request euthanasia, Dr David D'Souza, a pain specialist in Ontario, Dr Catherine Ferrier, a Gerontologist and a leader of Physicians' Alliance Againt Euthanasia in Quebec, Dr Will Johnston, a family physician and leader of Euthanasia Resistance BC, Kathy Matusiak Costa, Executive Director of Compassionate Community Care and myself.

Press Conference on December 5, 2025

Bill C-218 had its first hour of debate in parliament on December 5, 2025. EPC organized a press conference at the Parliamentary Press Gallery on December 5 that featured: Kelsi Sheren, a military veteran who experienced PTSD. Kelsi is also a social media influencer. Alicia Duncan, whose mother died by euthanasia in 2021 based on mental health issues, Dr Paul Saba a family physician in Lachine Quebec and Alex Schadenberg (myself). Kelsi and Alicia joined by remote link.

(Link to the EPC Press Conference)

After the press conference Dr. Saba and I stayed to witness the Bill C-218 debate in the House of Commons. 

Tamara Jansen MP and Andrew Lawton MP gave excellent speeches. Jansen stated in the House of Commons 

“If MAID is expanded, we will be forced into an impossible paradox. A suicidal person calling a crisis line is urged to hold on, yet if they request MAID, that same despair may be treated as justification for death. Bill C-218 is necessary to stop the 2027 expansion to mental illness because the evidence cannot support it and the safeguards cannot sustain it. Vulnerable Canadians are already at risk.”

Link to the speech by Tamara Jansen on Bill C-218 (Article Link).

One of our supporters stated on social media: “Well done Tamara Jansen! How could anyone disagree with her arguments.”

Andrew Lawton (MP) spoke about his own experience with mental illness and a suicide attempt 15 years earlier. Lawton stated in the House: 

"I would not be here today had I been successful. I would not be here today had I not gotten over the darkest, worst feelings of my life, which anyone could encounter. That is something I believe needs to be understood by those who believe this is an abstract question of legal theory and legal rights. These are real people. There are faces to this. If Bill C-218 does not pass, people will die."

Link to the speech by Andrew Lawton on Bill C-218 (Article Link).

The second hour of debate and vote on Bill C-218 is currently scheduled to be in late March, 2026.

Health Canada released the 2024 euthanasia data on November 28, 2025. The number of euthanasia poisonings increased to 16,499 representing 5.1% of all deaths. Quebec continues to have the highest euthanasia rate in the world, now at 7.9% of all deaths. The number of euthanasia deaths of people who were not terminally ill increased by 17% to 732. We have a lot of work to do. Canada needs a massive culture shift.

Read the article on the Health Canada 2024 euthanasia report (Article Link).

The 2024 report indicated that there were 76,475 (MAiD) euthanasia deaths in Canada from legalization until December 31, 2024. 

Based on the 2025 projected increase in euthanasia deaths, 2025 will end with at least 93,500 euthanasia deaths since legalization.

We have hope, and we share hope. Hope is essential in preventing euthanasia, as euthanasia is often requested based on a lack of hope.