Showing posts with label Jean Echlin. Show all posts
Showing posts with label Jean Echlin. Show all posts

Thursday, April 3, 2025

Assisted Suicide and Domestic Abuse.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

An article by Jess Asato (MP) and Cherryl Henry-Leach that was published by PoliticsHome concerns the UK Assisted Dying bill that is sponsored by Kim Leadbeater (MP) and the lack of protection, in the bill, for victims of Domestic Abuse.

Jess Asato is the Labour MP for Lowestoft and Cherryl Henry-Leach is CEO of the charity Standing Together Against Domestic Abuse (STADA). The writers explain their concern:
Jess Asato Labour MP
The bill as it stands does not adequately protect victims of domestic abuse. It needs more protections to prevent MPs from creating a new and legal way for perpetrators to abuse — and, ultimately, kill — their victims.

The Bill Committee did accept amendments that would require the medical practitioners and panel members involved in the assisted dying process to have undertaken training to help them identify domestic abuse. However, this does not go far enough, and the broader issue of how this bill will impact the lives of domestic abuse victims has been under-discussed.

Asato and Henry-Leach continue:
New data out this week from the National Police Chiefs Council shows that suicide following domestic abuse has overtaken homicide as the primary cause of domestic abuse-related deaths. We know from research by the women’s organisation The Other Half that 88 per cent of unlawful assisted suicides in the UK currently are perpetrated by men against women. These deaths are all too often romanticised as ‘mercy killings’, but given one woman is killed every week by their male partner and one in four women experience domestic abuse more generally, many of these suicides are likely in fact manifestations of abuse and control.
Asato and Henry-Leach explain that health care professionals often miss signs of domestic abuse:
We also know from years of working with Domestic Homicide Reviews that professionals across public services, particularly in health, often miss the signs of domestic abuse, sometimes with fatal consequences. Investment in policy and practice is needed urgently to resolve this. Research by Standing Together Against Domestic Abuse with Macmillan Cancer Support indicates that many domestic abuse survivors disclose their abuse in healthcare settings, yet these disclosures frequently go unrecognised or unacted upon by medical practitioners. Research from the Pathfinder project found that 80 per cent of women in violent relationships seek help from health services, usually from GPs, at least once, but the response is often inadequate, with many survivors not receiving the support they need, leaving them vulnerable to continued abuse.
The writers explain that assisted suicide enables abuse to lead to death:
This bill gives those most at-risk of abuse the means to end their lives, at a time when we do not have systems in place to identify their abuse and support them to live well. Older people, disabled people, severely ill people — these are some of the most vulnerable to abuse and coercive and controlling behaviour.
The writers conclude that:

We believe that one wrongful death is one death too many, but as this Bill progresses through Parliament, it is the responsibility of MPs to ensure that this Bill’s new assisted dying process leads to the fewest number of wrongful deaths possible.

The Euthanasia Prevention Coalition completely agree with Jess Asato (MP) and Cherryl Henry-Leach. They are correct that Domestic Abuse is more intensely carried out upon people when they are at the most vulnerable time of their life.

The founding Euthanasia Prevention Coalition VP, Jean Echlin, was a renowned palliative care nurse, but she was also a victim of domestic abuse. We have also written about elder abuse as it relates to euthanasia and assisted suicide.

The argument was clearly made by Asato and Henry-Leach and applies to every jurisdiction that is debating the legalization of euthanasia and/or assisted suicide.

Articles on similar topics:

  • Homicide or Mercy Killing? (Link) 
  • Euthanasia and assisted suicide - Ugly issue back again (Link). 
  • A dance of death (Link).
  • Death with Dignity or Obsenity? (Link).

Monday, July 19, 2021

Jean Echlin RN: We honour her life. We mourn her death.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition


We celebrate the life and mourn the death of Jean Echlin RN MScN, was a past President and founding Vice President of the Euthanasia Prevention Coalition.

Jean is a past director of the Hospice of Windsor and was awarded the Dorothy Ley award, in 2005, for excellence in palliative care in Ontario

Jean was an extraordinary woman who I first met through Mark Pickup. Mark is a disability writer and activist who told me, many years ago, that Jean Echlin was the most compassionate woman. After meeting Jean, I had to agree, Jean was the most compassionate and caring woman I have ever known.

When I started to found the Euthanasia Prevention Coalition (EPC), I was looking for a few people who would be committed to the cause, who had incredible experience and would be willing to work together. I found those qualities in Dr Barrie deVeber as the founding EPC President and Jean Echin as VP.

Jean was more than just a partner in the cause, she was a speaker, a writer, a leader and a truly compassionate and caring woman. She actually made me feel like I was her son.

Jean believed in caring for people and never killing.

In October 2010, Jean Echlin and Joanne St. Pierre wrote the booklet - Palliative Care Not Euthanasia, as a submission to the Parliamentary Committee on Palliative and Compassionate Care, an all party committee formed in response to the defeat of euthanasia Bill C-384 by a vote of 228 to 59.

EPC will send you a copy of the booklet Palliative Cre Not Euthanaisa when you make a donation in memory of Jean Echlin (Donation Link).

Jean understood that the legalization of euthanasia would affect medical professionals. She wrote in October 2008 the following:
Professional health care relationships with doctors, nurses, patients and family members float on a sea of trust. Asking professional health care providers to kill, or give the means to kill, will destroy this trust relationship. I emphatically believe that we have no right to ask our professional care givers to provide us with death. Neither should our health care providers ever feel obligated to comply with this narcissistic request.
In November 2011, Jean wrote about her concerns related to the Carter court case in BC that led to the legalization of euthanasia in Canada. Jean wrote:
With the advent of Carter versus the Attorney General of Canada, Canada's laws prohibiting euthanasia and assisted suicide are being challenged again. This despite the fact that our federal Parliament vetoed Bill C-384 that sought to legalize assisted suicide and euthanasia by an overwhelming vote of 228 to 59 in 2010.

If the pro-killing side gets its way, five people on the Supreme Court can overrule Parliament and demand change in the Criminal Code that forbids euthanasia and assisted suicide. What would this scenario do to our democratic process and the rights of a majority of Canadians?

Who would be at risk? You are. So is everyone in this country.
In March 2013, Jean responded to a story of an elderly woman who died by suicide and was being lauded as courageous. Jean wrote:
In February of this year, a national paper printed an extraordinary posthumous letter from a 91 year old woman who died by suicide because she was tired of living. She wanted to end her life with dignity. Though most of the (published) responses thought she was courageous, I disagree. I believe there is more to the issue when anyone contemplates suicide.

Ultimately suicide in the elderly is a failure. We must ask ourselves, is it because pain and suffering were not addressed? Did individuals thinking of suicide, and their families, not have access to help and support? Is it because of societal ambivalence about mental health issues or stigma about the elderly? Is it due to encouragement and even pressure by pro-suicide groups like Dying with Dignity? What is the future of this legacy?

Aging brings challenges. These may include loss of independence, chronic discomfort/ pain, even chronic illness. Do these problems mean our lives are no longer of value?

As someone advanced in years living with chronic pain, and who has been with hundreds of people at the end of their lives, I know that aging is a daily struggle with its own share of joy and hope. I believe advancing in years does not diminish the value of our contributions.
In April 2016, in response to the Bill C-14, the bill that legalized euthanasia in Canada, Jean wrote to the Minister of Justice stating:
How dare we ask our doctors and nurses to put patients to death when a safer option exists. Healthcare providers must never assume the role of killers or refer to another who will provide the "death management." Trust and legal issues will make more problems for our sick and elderly. 
EPC will send you a copy of the booklet Palliative Care Not Euthanasia when you make a donation in memory of Jean Echlin (Donation Link).

Jean Echlin R.N., MScN. was a pioneer in Hospice Palliative Care. In 2005, the Ontario Palliative Care Association (OPCA) recognized her 26 year contribution to hospice palliative care by selecting her for the prestigious "Dorothy Ley Award of Excellence" for her part in "fostering the true spirit of Palliative Care in Ontario." Echlin formerly served on faculty, University of Windsor’s Faculty of Nursing, and was director of nursing at Windsor Regional Hospital’s Metropolitan Campus. As coordinator and clinical nurse specialist, then Executive Director, Jean was instrumental in the development of the Hospice of Windsor & Essex County Inc. which is recognized as exemplary in Canada. In 1988, Jean moved to London, Ontario and established the Palliative Care Consultation Team in the heart of tertiary care at University Hospital, London Health Sciences Centre. She was also recognized as a distinguished public speaker, educator and free-lance writer. Jean was a nurse consultant; former President and founding VP of the Euthanasia Prevention Coalition; served on the Advisory Council of the deVeber Institute of Bioethics and Social Research; is a member of the Honour Society of Nursing and member Emeritus of the Registered Nurses Association of Ontario.

Saturday, October 8, 2016

Euthanasia Symposium 2016 - October 29, 2016 - Resisting euthanasia and assisted suicide.



The EPC 2016 Euthanasia Symposium is Saturday October 29, 2016 at the Best Western Waterfront Hotel - 277 Riverside Rd West Windsor Ontario (next to the Windsor/Detroit tunnel). Book your hotel room for $139 by calling the Best Western at: 519-973-5555.

The Symposium runs from 9 am to 5 pm and  is followed by a dinner at 6 pm to honor Jean Echlin, our President.

The Symposium registration is $50. 
The cost to attend the dinner is $50. 
The cost to attend the Symposium and the dinner is $90.

Register for the Symposium and dinner by calling the Euthanasia Prevention Coalition at: 1-877-439-3348 or email: info@epcc.ca or register by paypal or credit card (link).

Download the registration form here: 2016 Euthanasia Symposium Order Form.

Jean Echlin
EPC President
The dinner to honor Jean Echlin, EPC President is at 6 pm at the Giovanni Caboto club - 2175 Parent Ave Windsor (Da Vinci room). Jean is a past director of the Hospice of Windsor, a past winner of the Dorothy Ley award for excellence in palliative care in Ontario and the founding VP of the Euthanasia Prevention Coalition.

Speakers include:
  • Catherine Glenn Foster - EPC USA director and lawyer. Catherine has submitted briefs in assisted suicide court cases throughout the US. 
  • Nancy Elliott – Chair – EPC USA – Opposing assisted suicide. Talking points.
  • Dr Kathy Pfaff Faculty of nursing, University of Windsor (Ethics and Conscience rights).
  • Kevin Dunn (Dunn Media) The Euthanasia Deception - building a social movement.
  • Diane Coleman – President, Not Dead Yet. A leading disability rights group world-wide.
  • Amy Hasbrouck - Director and Founder of Toujours Vivant – Not Dead Yet.
  • Aubert Martin - Director of Vivre dans la dignité in Québec.
  • Alex Schadenberg Executive Director – Euthanasia Prevention Coalition. Resisting euthanasia and assisted suicide.

Sunday, April 17, 2016

Jean Echlin: Letter to the Minister of Justice on euthanasia.

Jean Echlin RN, MScN
As a nurse consultant for 36 years in palliative care & gerontology I believe that hospice palliative care for every Canadian must be the priority. 

How dare we ask our doctors and nurses to put patients to death when a safer option exists. Healthcare providers must never assume the role of killers or refer to another who will provide the "death management." Trust and legal issues will make more problems for our sick and elderly. 


Abuse of the elderly and "copycat" suicides will increase. If economics are driving this movement and if we are honest cost-savings will be an outcome, we are a society bereft of moral and ethical values. 


Just study the statistics from the Netherlands, especially Belgium and you will understand the fatal results of this death promotion. A study published in the New England Journal of Medicine found that in 2013, more than 1000 deaths were hastened without explicit request and more than 2800 died by euthanasia in Belgium. Does that promote a feeling of safety and security when we require acute or chronic care? Certainly many will fear institutional admission when the future reveals the magnitude of the coming "death tsunami." 


I fear that the "true north strong and free" is no longer a democracy if those who help us get cures and stay well are also denied their conscience rights. Please think how you would feel if society (government) stripped you of your rights and freedoms under our Canadian Charter? Would you quietly acquiesce or demand fair treatment under your Charter Rights? Please consider these thoughts. 


Thank you.

Jean Echlin RN, MScN
President - Euthanasia Prevention Coalition

Saturday, March 5, 2016

Hospice and Hospital will not participate in euthanasia.

By Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

The recent report of the federal government's Special Committee on Assisted Dying stated (recommendation 11) that every publicly funded healthcare institution should be required to allow assisted death on its premises.

On March 5, the Windsor Star published an article by Brian Cross concerning Hotel Dieu Grace Hospital and the Hospice of Windsor and Essex County, since both institutions oppose euthanasia and assisted suicide.

Carol Derbyshire the CEO of the Hospice of Windsor stated that their philosophy of ca supports:

“respect for the dignity and sanctity of human life,” and ... that it’s (assisted death) not part of palliative care.
Janice Kaffer, the CEO of Hotel Dieu, that also operate a hospice, stated:
As a faith-based Catholic hospital, it does not believe it should participate in physician-assisted suicide.
Jean Echlin
Jean Echlin who is the President of the Euthanasia Prevention Coalition and a registered nurse who was instrumental in founding the Hospice of Windsor clinical and volunteer programs and recently co-authored a book titled: It's not that simple told the Windsor Star:

most Canadians don’t understand how dignified death can be when pain and symptoms are well managed. She fears the push for assisted suicide is being driven by a desire to control health costs. Little consideration is given to the “death squads,” the doctors and nurses expected to deliver the deadly drugs,
Dr Brad Burke
While Dr Brad Burke, a physical rehabilitation expert told the Windsor star:

“Whether I’m the executioner or I’m made to to refer someone to an executioner, I feel I’m still responsible,”
Burke is concerned that the Ontario College of Physicians would revoke his medical license if he refuses to kill his patients. The Windsor Star stated:
He worries that if he follows his conscience he may contravene the rules of the Ontario College of Physicians and Surgeons and end up losing his licence.
The Canadian Medical Association recently urged the federal government to respect the conscience rights of healthcare professionals.

Healthcare professionals and institutions must not be forced to participate in killing their patients. If Canada imposes euthanasia upon the nation, there needs to be "safe havens" where people can go and not be pressured to die by lethal injection.

Monday, December 7, 2015

Code Black: Québec Euthanasia - Kill and Conceal

By Jean Echlin 
President - Euthanasa Prevention Coalition

Quebec’s euthanasia experiment that was scheduled to begin on December 10, 2015 is the only law in the world which attempts to coerce physicians and palliative programs into providing euthanasia. Thankfully, a Québec Superior Court Justice prevented the launch of euthanasia in Québec based on its conflict with the federal Criminal Code. 

The methods used by the Quebec government and the Quebec College of Physicians are bullying, threatening and abusive to doctors and agencies providing palliative care. These words come from a report that was written after the recent “Euthanasia Symposium: Theory and Reality about Euthanasia” held in Montreal October 31, 2015, sponsored by The Physicians’ Alliance Against Euthanasia; Living with Dignity network and the Euthanasia Prevention Coalition. Included in the report:
  • Physicians around the world have always rejected euthanasia as a public safety hazard driving people to throw away years of their lives.
  • It provides caregivers and heirs with enormous power. The illusion of control will erode medical diligence in the care of people chronically disabled and acutely disabled by illness. 
  • Suffering is feared by most people at the end-of-life. We must find less dangerous options to constant availability of “death on demand.” For the small minority of patients for whom other options are not completely effective, palliative sedation can answer all symptom control problems.
The existing 29 palliative care centres in Quebec said NO to medically assisted death. The University of Montreal Hospitals (CHUM) stated that euthanasia will not be provided in its’ palliative care department.

Following refusals to euthanize by doctors and palliative care agencies, Dr Gaétan Barrette, the Québec Minister of Health and Social Services suggested that the government would cut subsidies to all palliative care centres in Quebec after all decided not to offer euthanasia.

The most significant feature is that the Quebec College of Physicians “Practice guidelines for medical aid in dying” orders the doctors to falsify the cause of death on the official death certificate required by the Public Health Act, for patients who die by euthanasia called “medical aid in dying” (MAD). Instead doctors must write the disease/condition which justified the MAD. This runs contrary to the Public Health Act Regulations that stipulates “the cause of death must be indicated in the most accurate manner possible.” This practice constitutes a breach of ethics and will lead to serious abuse and distort official statistics on actual causes of death in Quebec.

Euthanasia is homicide not medical care. We must listen to the majority of physicians and our hospice palliative care programs. We can ill afford to lose either.

Jean Echlin, RN, MScN
Nurse Consultant-Palliative Care & Gerontology
Adjunct Associate Professor, Faculty of Nursing
University of Windsor, Windsor, Ontario

Saturday, April 18, 2015

Supreme Court Assisted Dying Decision: A New Social Disorder

By Jean Echlin RN, BScN, MScN

After 35 years of many fearing and rejecting hospice palliative care programs that provide life and death with dignity, we now have Canadians enamored with doctor provided death. The Supreme Court of Canada has abolished a portion of our Criminal Code that prohibits euthanasia and assisted suicide. They have designated physicians as the group in our society to carry out the act of putting patients to death upon request. The patient must be suffering in a manner that is intolerable to them including both psychological and physical issues.

It must be remembered that nurses work closely with doctors following their orders and monitoring patients for any positive or adverse effects to treatment. Therefore nurses will automatically be assistants and collaborators in any type of inflicted death. In addition social workers, chaplains and other members of the inter-professional team will be affected.

Inflicting death on another human being is considered the ultimate act of violence so I ask: “How dare we ask our doctors and nurses to kill us?” But this is exactly what is proposed.

In my opinion, those who opt to carry out euthanasia and assisted suicide will no longer be trusted. As well I believe that acute and long term care institutions that enable patients to be put to death will not be trusted. Persons afraid of being euthanized will avoid admission on the basis of fearing an untimely death.

Other valid questions are: “How will those who inflict death deal with the emotional/ psychological aftermath? Will they develop Post Traumatic Stress Disorder (PTSD) with its’ inherent anxiety, nightmares, depression and suicidal ideation? Will they have some type of devastating spiritual/existential struggle following the process of putting patients to death?”

There are many health care professionals who have an ethical framework that will not support participation and this must be honoured. To have any leaders or directors in our professional associations dictate to those in the trenches of front-line care on the necessity to provide euthanasia or refer to another source is unconscionable and intolerable. The last time I looked, we still live in a democratic society with freedom of belief and religion sanctioned and guarded by our Canadian Charter of Rights and Freedoms.

Do patients have a “right” to die?

I suggest there is no choice, we all die. However we can demand from our provincial and federal politicians support for hospice palliative care that will ensure excellence in the management of pain and other noxious symptoms that cause suffering. We can call for and support quality end-of-life care for every Canadian. We can support those at highest risk in this new social disorder: the elderly; persons with physical and/or emotional disabilities; patients with chronic and life-altering or life-threatening diseases.

We can teach medical and nursing students how to support and care for those who are labeled terminally ill; continue to educate current care providers on the best practice guidelines to meet the gold standard in palliative care; support and come along side those amazing professionals and volunteers who are currently involved in providing pain and symptom management; support the development of hospice palliative care in all facilities and in our communities.

The Hospice of Windsor & Essex County is regarded as an exemplary model across our nation. The successful development of our Hospice here speaks to the outstanding citizens who have given so much to help so many. Windsor’s reputation as a caring community is now a part of our national heritage. I am proud to be part of this heritage.

Jean Echlin RN, BScN, MScN
President: Euthanasia Prevention Coalition
Nurse Consultant-Palliative Care & Gerontology
Adjunct Associate Professor, Faculty of Nursing University of Windsor (ON)

Previous articles by Jean Echlin:

Monday, July 7, 2014

New Palliative Care Award named after Jean Echlin

The Jean Echlin Award for Ethics in Palliative care was announced by the deVeber Institute on July 3. In its announcement, the deVeber Institute stated that the new award recognizes and honours the important work done by Jean Echlin in her long and distinguished career in palliative care.

Jean Echlin was the founding Vice President of the Euthanasia Prevention Coalition.

The Windsor Star announced the Jean Echlin award by recognizing as a pioneer in palliative care. The Windsor Star stated:
One of Ontario’s leading pioneers in advances in palliative care was honoured Friday with a major award in the field dedicated in her name. 
Jean Echlin, 82, who continues to teach nursing courses at the University of Windsor and hold roles with several nursing and end-of-life care provincial organizations, will have a new annual award for “ethics in palliative care” in her name under the deVeber Institute for Bioethics & Social Research in Toronto. 
Echlin was instrumental in the founding of the Hospice of Windsor and Essex County’s clinical and volunteer programs. She also served as executive director of the Hospice. 

Sunday, March 23, 2014

How do you neutralize death?

By Jean Echlin, Windsor Star - March 21, 2014. Link to the original article.

The push by those driving the “dying with dignity” groups, including much of our media, to neutralize the terms euthanasia and assisted suicide now includes the Canadian Nurses Association, our national voice.

This came as a shock and disappointment to many of us classified as registered nurses with licensure to practice nursing in Canada. As well, many are profoundly concerned in light of the Quebec National Assembly’s stab at sanctifying euthanasia through Bill-52 by linking it directly to hospice palliative care.

The Quebec government has designated doctors as euthanizers. Many Quebec doctors have said “no.” Bill-52 is lethal and provides fertile ground for abuse. There is no protection for the vulnerable. The bill is currently on hold until the Quebec election.

This lack of humanity and vision should be worrisome to everyone, including retirees, older persons, individuals with any type of disability (emotional or physical) and residents of long-term care facilities.

Instead of recognizing the strides that have been made in the management of pain and noxious symptoms by hospice palliative care specialists over more than three decades, a few want to kill or be killed as a solution. So much for the so-called demanding autonomy of “I want what I want when I want it.”

We are experiencing a death by execution culture, morbidly concentrating on euthanizing and hastening death. The more gruesome the situation, the more it is capitalized on and highlighted. What happens that Canadians must suffer any type of painful death? It signifies failure in a system that knows better. We are failing to teach hospice palliative care and pain management for all types of pain — physical, emotional, spiritual/ existential — to our nursing and medical students. We fail to provide funding for excellence in end-of-life care. We fail to conduct ongoing education for our current care providers. We have failed to teach Canadians what is and should be available to everyone during a life-threatening or terminal illness.

Can you imagine a professor teaching nursing students how to do a lethal injection? How would the management of seizures, choking, vomiting and not dying as side effects be taught? This is described by doctors in Belgium.

Can you imagine a nurse or doctor entering a patient’s room with a needle/syringe loaded with drugs to kill? Can you envision pulling an “exit bag” over the head of a loved one and holding it there even if the person struggles? Can you envision a fatal dose coming your way without your knowledge or consent?

It is happening now in our country as well as the Netherlands. Belgium reeks of abuse and now extends euthanasia to children and teens. Some with little respect for life will say: “That’s so cool !” This, despite suicide prevention as a major societal concern.

Friday, September 20, 2013

Euthanasia: Societal Psychosis

The following article was published in the Windsor Star on September 20, 2013.

By: Jean Echlin, a nurse consultant in palliative nursing who lives in Windsor Ontario.

What kind of a society are we becoming? I question the existence of a societal psychosis, characterized by a break with reality and deviation from normal thought processes.

We abandon the notion of executing our most heinous criminals and now appear to be accepting the idea of executing our most vulnerable citizens.

We provide our criminals with good medical, occupational, entertainment and educational programs for their betterment.

In the case of our elderly we often fail miserably at providing them with quality of life in our health-care institutions. Many label our elderly and persons with disabilities, including children, as “lives not worth living.”

In addition this applies to persons with mental health issues. These are the ones at high risk for abuse if euthanasia is introduced.

This is exactly what the Quebec National Assembly is proposing in Bill-52 now before the Assembly for discussion and vote. The ideas were concocted by the Dying with Dignity Committee report following a request by the Assembly for research regarding euthanasia and assisted suicide in Quebec.

The recommendation in Bill-52 attaches euthanasia as a component of palliative hospice care. The euphemism used for euthanasia in their documents is “assistance in dying.”

Thus end-of-life care will include both palliative care and euthanasia. This flies in the face of the federal government’s defeat of Bill-384, introduced by Francine Lalonde MP, Bloc Quebecois, in 2010. Bill-384 sought to change our Criminal Code to allow euthanasia and assisted suicide and was overwhelming defeated by 228 to 59 votes.

Bill-52’s legislative package designates doctors as the health-care professionals who will do the euthanizing/executing.

Interestingly in a recent poll, 88 per cent of Canadian palliative care physicians opposed euthanasia. Moreover in August 2013, the Canadian Medical Association (CMA) reaffirmed its policy on this matter: “Canadian physicians should not participate in euthanasia or assisted suicide.” The American Medical Association and the American Nurses Association have taken the same stand.

Those in our society who want euthanasia as an option are seeking autonomy without thinking how this will affect the many vulnerable and often silent voices who cannot protest.
How do you define autonomy, meaning: “I want death my way, at my request,” when you actually give your life over to another person who will kill you?

I do not see this as autonomy because you are giving your power to another person. Executions have been botched! Mistakes are always possible even with health-care professionals.

Another highly charged item in Bill-52 is chronic depression and mental pain/discomfort (which may be related to existential or spiritual anxiety) qualifies a person for euthanasia. Who defines this type of suffering?

Look back to 1972 at the history of abolition of the death penalty in Canada. The law was changed because, first, a wrong decision could be made and an innocent person put to death. Second, doctors debated and decided that putting someone to death was unethical and against their mandate.

Further it was declared INHUMANE to ask one person to kill another person. Now in 2013 the Quebec National Assembly has put forth a plan, subject only to provincial jurisdiction that designates doctors to kill another human being.

Who defines the ethical and moral action of this designation? I do not believe that this designation is ethical, moral or humane.

Links to similar articles:

Friday, March 1, 2013

If you think Suicide in the Elderly is Courageous? Think Again!

By Jean Echlin

In February of this year, a national paper printed an extraordinary posthumous letter from a 91 year old woman who died by suicide because she was tired of living. She wanted to end her life with dignity. Though most of the (published) responses thought she was courageous, I disagree. I believe there is more to the issue when anyone contemplates suicide.

Ultimately suicide in the elderly is a failure. We must ask ourselves, is it because pain and suffering were not addressed? Did individuals thinking of suicide, and their families, not have access to help and support? Is it because of societal ambivalence about mental health issues or stigma about the elderly? Is it due to encouragement and even pressure by pro-suicide groups like Dying with Dignity? What is the future of this legacy?

Rory Butler
Rory Butler, founder of award winning agency Your Life Counts (www.yourlifecounts.org), and a suicide survivor himself, asks: 
“what message do the elderly convey to our youth if they advocate suicide? Adversity and physical discomfort are not the sole preserve of the elderly. So often I hear their family will ‘get over (their suicide)…’ but my experience has shown that families often struggle with this loss for the rest of their lives.” 
Rory notes that individuals in families who have lost a loved one to suicide are at a 30% increased risk of suicide.

Further Butler says: 
“instead we should give our youth the message that adversity, pain and struggle are part of the life cycle…that’s what it means to be human…so persevere, press on, don’t give up!  Yet we hear some grandparents say it’s okay to give up. Ultimately suicide is the triumph of pain, fear and loss over hope.”
World renowned Dr. Antoon Leenaars (Windsor, ON), preeminent psychologist on suicide says: 
“it is a myth to think that courage motivates suicide. Genuine courage is to change what we can. Underlying suicidal feelings of the elderly are hopelessness, discouragement, illness but always and especially despair. They see no alternatives. They see their lives as meaningless. They think ‘I might as well be dead.’”
He notes 
“it takes a community to help individuals find meaning when they feel they have no meaning. Their pain is immense. We must find a way to give them hope. Medication, therapy, hospice, family, community – all can help.”
Tim Wall, executive director, Canadian Association for Suicide Prevention (CASP) in the report Not to be Forgotten: Care of Vulnerable Canadians, from the Parliamentary Committee on Palliative and Compassionate Care stated:
“What is especially tragic is that suicide can be prevented with compassion and access to appropriate services 
In fact most people who are suffering and at risk for suicide can recover and experience a meaningful and hopeful life.”
Aging brings challenges. These may include loss of independence, chronic discomfort/ pain, even chronic illness. Do these problems mean our lives are no longer of value?

As someone advanced in years living with chronic pain, and who has been with hundreds of people at the end of their lives, I know that aging is a daily struggle with its own share of joy and hope. I believe advancing in years does not diminish the value of our contributions.
   
Jean Echlin, RN, MSN
Nurse Consultant-Palliative Care & Gerontology
Jean Echlin was the founding Vice President of the Euthanasia Prevention Coalition.

Sunday, December 2, 2012

Margaret Somerville says: Euthanasia ruling is convoluted and skewed.


On November 22, Margaret Somerville spoke at the University of Toronto on behalf of the deVeber Institute on the issue of euthanasia and assisted suicide. Somerville focused on the one-sided skewed and convoluted decision by Justice Smith in the Carter decision in BC.

The following article was written by Michael Swan and published in the December 2 edition of the Catholic Register in Toronto under the title: Euthanasia ruling, convoluted skewed.


By Michael Swan, Catholic Register - December 2



With respect, Justice Lynn Smith of the British Columbia Supreme Court of Justice is dead wrong, Margaret Somerville told about 300 people gathered at Toronto’s University of St. Michael’s College Nov. 22.

Margaret Somerville
The McGill University law professor and bioethicist picked apart the 137,000 words of the B.C. judge’s June 15 decision striking down the law against assisted suicide in the Carter case. That case has been kicked up to the B.C. Court of Appeal and will almost certainly wind up in front of the Supreme Court of Canada.

The judge ruled that the prohibition of physician-assisted suicide under Canada’s Criminal Code infringe upon the rights of the disabled and on Canadians’ right to life, liberty and security of the person.

Somerville turned her legal mind to the judge’s use of the terms “Right to life,” “Respect for life,” “Inviolability of life,” “Protection of life,” “Sanctity of life” and “Quality of life” in her decision.


Smith ruled that the Charter of Rights and Freedoms’ guarantee of the right to life is violated by a law which denies citizens access to physician-assisted suicide. She reasons that a seriously ill patient who is determined to commit suicide would have to kill themselves before becoming too sick or frail to successfully commit self-murder alone. However, if physician-assisted suicide were available, patients could rely on doctors to kill them and therefore wait longer before committing suicide. By Smith’s reasoning, patients would live longer if they could order their doctors to kill them.


Somerville called the reasoning convoluted and skewed. The problem is that the judge considers only individual rights and not the effect on society as a whole.


Euthanasia is a “social act,” Somerville said, where “medical personnel are licensed and compensated by the state to take life.”


While Justice Smith seems to assume that personal autonomy is the value which trumps all others, society has rights too, said Somerville.


“The strongest case against euthanasia is what it is going to do to society,” she said.


Somerville has made similar arguments against legalizing physician-assisted suicide before, but Jean Echlin, University of Windsor lecturer and palliative care nurse consultant, still felt she had to be there to hear the secular champion of life issues speak.

Jean Echlin

“She inspires me,” said Echlin. “I love her inspirational message. It just kind of flows.

Echlin particularly wanted to hear Somerville pick apart the Carter judgment, which she believes does not line up with her bedside experience as a palliative care nurse.

Though official statistics claim 30 per cent of Canadians have access to palliative care at the end of life, Echlin believes it can’t be more than 20 per cent. To hear Somerville argue there can be no such thing as informed consent to euthanasia when other options are not available and pain is not well managed gave Echlin the satisfaction of hearing a respected legal scholar explain something she knows from experience.


For student Safina Allidina, an intern at the deVeber Institute, which sponsored Somerville’s lecture, learning from the McGill professor how euthanasia has escalated in European countries, where it was first envisioned as a rare event in need of legal protection, was eye-opening.


“I didn’t realize how extreme it has gotten in the Netherlands,” Allidina said.


Somerville outlined the program of Dutch doctors in specially equipped minivans who now make house calls to euthanize patients at home.


Sunnybrook Hospital’s Dr. Lucas Vivas felt he had to be there for Somerville’s talk.


“It’s a pressing issue in our field,” he said.


Vivas daily passes by Hassan Rasouli’s bed, though he’s not involved in the man’s care. Rasouli’s family has insisted he should remain on life support against the advice of Sunnybrook doctors, who believe there is no reasonable hope of recovery for the patient who has been in either a persistent vegetative state or minimally conscious since October 2010. The Rasouli family will argue before the Supreme Court of Canada Dec. 10 that he should remain on life support.


For Vivas the central question in end-of-life debates is sanctity of life.


“If there is no sanctity of life a lot of this is moot,” he said.


But in a secular society we have to decide what sanctity means for people who do not accept religious arguments, he said.


Though many polls show a majority of Canadians in favour of legalized physician-assisted suicide, the question has been framed in terms that make it seem cruel to force people to live on in pain, said Somerville. Nor is polling an appropriate way to determine how we care for the dying.


“Just because a majority votes for something doesn’t make it ethically acceptable or legally acceptable,” said Somerville.

Canada has to solve the legal and ethical problem of end-of-life care in ways that accord with the country’s deeper values and not simple economics or convenience, she argued.


“It’s how we treat dying people that will tell us the ethical tone of society.”

Wednesday, November 23, 2011

Euthanasia and Assisted Suicide - Ugly issue back again.

Jean Echlin is a nurse consultant and adjunct associate professor at the University of Windsor Faculty of Nursing and the founding VP of the Euthanasia Prevention Coalition 

Jean wrote an article on the current euthanasia and assisted suicide debate in Canada that was published in the Windsor Star today under the title: Ugly issue back again.

The following is an edited version of the article by Jean Echlin.
Ugly issue back again.

With the advent of Carter versus the Attorney General of Canada, Canada's laws prohibiting euthanasia and assisted suicide are being challenged again. This despite the fact that our federal Parliament vetoed Bill C-384 that sought to legalize assisted suicide and euthanasia by an overwhelming vote of 228 to 59 in 2010.

Included in the British Columbia appeal is an effort to legalize these practices as "medical treatment," meaning that a medical doctor or "a person operating under the general supervision of a medical practitioner" will be allowed to assist a patient's suicide. This could be a family member and could be done at home.

If the pro-killing side gets its way, five people on the Supreme Court can overrule Parliament and demand change in the Criminal Code that forbids euthanasia and assisted suicide. What would this scenario do to our democratic process and the rights of a majority of Canadians?

Who would be at risk? You are. So is everyone in this country.

To paraphrase many knowledgeable authorities within the Euthanasia Prevention Coalitions worldwide, the request for a change in our Criminal Code is an invitation to elder abuse.

Many of our elderly population feel abandoned and burdensome to our society and healthcare system. If assisted suicide is legalized, it will empower the health-care system and family members to pressure older people to shorten their lives.

Persons with disabilities are equally at risk. The elderly and those with disabilities are groups that society often discriminates against and fails to respect or protect. Rather, these groups are looked upon as costly burdens.

Another significant health issue is suicide prevention. A change in the criminal code would foster the idea of suicide for those with depression and anxiety. It's called: "suicide contagion." In other words, one suicide encourages others. Persons with mental health is-sues are at increased risk and can be easily manipulated.

My own list of those at high risk includes partners in scenarios of domestic violence, especially when there is a power imbalance. It would be exceptionally easy for the powerful partner to quietly kill the "offensive partner" and just claim he or she "was so depressed and pleaded for assistance in dying."

Children must be included in the risk groups since the Netherlands has developed a protocol for killing children with even minor disabilities up to the age of 12.

The "Parliamentary Committee on Palliative and Compassionate Care" will be releasing its research and recommendations regarding pain management, palliative care, elder abuse and suicide prevention. 
It is imperative that Parliament and all Canadians follow and adhere to the profoundly important message from this non-partisan committee.