Report into Wettlaufer deaths will not protect people from suspicious euthanasia deaths.

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

Elizabeth Wettlaufer

In June 2017, Elizabeth Wettlaufer, a former nurse who confessed to killing 8 people nursing homes in Woodstock and London Ontario, was sentenced to 25 years without eligibility for parole. Justice Thomas stated, during the sentencing:

"It is a complete betrayal of trust when a caregiver does not prolong life, but terminates it," 

"She was the shadow of death that passed over them on the night shift where she supervised."

I agree with Justice Thomas, but I wondered how to interpret this statement now that"MAiD" euthanasia is legal in Canada?

Justice Eileen Gillese

On July 31, Justice Eileen Gillese made 91 recommendations in her 4 volume 1441 page report concluding the Public Inquiry into the Safety and Security of Residents in the Long-term Care Homes System. The report made some good statements. 

Under the heading that these deaths were not "mercy killings" the report stated:

No one has the right to define the value and meaning of someone else’s life and decide when it is time for that life to be over. This statement is particularly true for healthcare providers, who have been given the privilege and power of caring for us. The vulnerable members of our communities who rely on the long-term care system have lives with value and meaning for them and their loved ones. It is their right – and our collective obligation – to ensure that they live out their lives in safety and security, and with dignity.

The report recognizes that a threat to patients exists. Under the heading, the threat has not passed, the report comments on healthcare serial killers:

The murders Elizabeth Wettlaufer committed while working as a nurse are shocking and tragic. However, they are not unprecedented. A growing body of research and literature shows that healthcare serial killing is a phenomenon which, while rare, is long-standing and universal in its reach, with documented cases dating back to the 1800s. Expert evidence presented in this Inquiry shows that since 1970, 90 healthcare serial killers have been convicted throughout the world, including in Canada, the United States, and Western Europe. Even during this Inquiry, the media reported the arrests of two more alleged healthcare serial killers. In July 2018, a British healthcare worker was arrested on the suspicion that she had murdered eight babies and tried to kill six others while she worked at the Countess of Chester Hospital in northwestern England. Days later, there were reports that a Japanese nurse had been arrested on the suspicion that she injected disinfectant into intravenous bags, killing approximately 20 elderly patients in her care at a Yokohama hospital.

The report stated that healthcare serial killers are rare but the number of deaths attributed to these killers is significant. The report states:

Professor Crofts Yorker acknowledges that the number of healthcare serial killers is quite small, as is the number of serial killers generally. However, while the known number of healthcare serial killers is small, the number of victims is not. The 90 healthcare serial killers convicted since 1970 have been found guilty of murdering at least 450 patients. They have also been convicted of assault or grave bodily injury involving at least 150 other patients. But, according to Professor Crofts Yorker, those figures significantly understate the actual number of victims: the total number of suspicious deaths attributed to the 90 convicted healthcare serial killers exceeds 2,600. 

Furthermore, after the prosecution of a healthcare serial killer is complete, it is not unusual for the number of deaths linked to a particular HCSK to be revised upward. For example, German nurse Niels Högel was sentenced in 2008 for attempted murder... In November 2017, the total number of victims attributed to Högel was revised to 106, with further suspicious deaths still under investigation. In January 2018, German prosecutors charged Högel with the murder of 97 additional patients. Högel subsequently admitted to killing these patients. Investigators and prosecutors ultimately indicated he may have killed more than 200 people. Dr. Harold Shipman, a British physician, is another such example. Shipman was convicted of murdering 15 patients in 2000. A public inquiry concluded that he had in fact killed 215 of his patients over the course of his career, and it identified a further 45 deaths associated with Dr. Shipman as suspicious.

There are more healthcare serial killers:

In December 2016, an Italian emergency room anaesthetist Leonardo Cazzaniga, 60, and nurse Laura Taroni, 40, were arrested for the deaths of at least five patients but prosecutors were examining the medical files of more than 50.

Charles Cullen

Charles Cullen, a nurse who was also a medical serial killer in the United States. known as the 'Angel of Death' murdered at least 40 patients to become one of America's worst serial killers. He spoke from prison to chillingly claim: 'I thought I was helping.'

Dr Michael Swango is believed to have killed 35 - 60 patients, and similar to Cullen, he was simply asked to resign, or moved to another medical center. Aino Nykopp-Koski is a nurse who was convicted of killing 5 patients in Finland. In March, 2013 Dr Virginia Soares de Souza was arrested in Brazil and was suspected of killing 300 patients. Then there is the case of William Melchert-Dinkel, the Minnesota nurse who was convicted of 2 counts of assisted suicide for counselling depressed people to commit suicide.

The three principal findings in the report were:

• if Wettlaufer had not confessed, the Offences would not have been discovered; 
• the Offences were the result of systemic vulnerabilities, and, therefore, no findings of individual misconduct are warranted; and 
• the long-term care system is strained but not broken.

Will the recommendations prevent further abuse?

Wettlaufer was not caught until she confessed to a counselor that she had killed and attempted to kill patients. She killed 8 people without being caught.

Several of the recommendations concern the need for accurate information on the death certificate to uncover signs of abuse within a care home, etc.

It is interesting that Canada's euthanasia law requires the doctor/nurse practitioner who carries out the euthanasia death to lie on the death certificate. The law requires the death certificate to state that the cause of death was the "medical condition" that the person was living with rather than death by MAiD (euthanasia).

Based on the recommendations in the Public Inquiry into the Safety and Security of Residents in the Long-term Care Homes System report, a person will be required to have accurate and complete information on the death certificate, unless they die from euthanasia (lethal injection).

Canada's euthanasia law requires that the doctor or nurse practitioner who cause death by euthanasia (MAiD) to also report the death. There is no independent authority reporting that the euthanasia death fulfilled the criteria of the law. This self-reporting system enables doctors or nurse practitioners to hide the facts when the euthanasia death was outside of the law/questionable or it enables them to not report every MAiD death.

For instance, the third report from Québec's euthanasia commission indicates that doctors did not report 142 of the euthanasia deaths.

A NEJM study on the practice of euthanasia in the Flanders region of Belgium found that in 2013 1.7% of all deaths (more than 1000 deaths) were assisted deaths without explicit request and more than 40% of the assisted deaths were not reported.

A NEJM study analyzing the Netherlands euthanasia experience found that there were 431 assisted deaths without explicit request in 2015 in the Netherlands and 23% of the assisted deaths were not reported.

I agree with the report that Wettlaufer's killings were not motivated by "mercy" but I also recognize that many Canadian doctors are now legally lethally injecting their patients, which will lead to more abuse based on the nature of the act and the health conditions of the patients.

It is not safe to give physicians/nurse practitioners, or others, the right in law to cause death.

Canada's euthanasia law gives medical professionals, who are willing to kill their patients the legal right to proceed.

Canadians must go past their fear of dying a bad death and realize that Canada's euthanasia law is fatally flawed. 

The law provides no effective oversight of the law while giving physicians and nurse practitioners the right in law to kill you.

German nurse may have killed more than 100 patients.

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

Niels Högel

A Reuters News article is reporting that Niels Högel's, the German nurse who was convicted of killing 2 patients between 2000 - 2005, is now suspected to have killed at least 102 people. According to Reuters:

He has confessed to some killings, but police said in August that he could not remember all the details of his actions, prompting them to exhume the remains of 134 people with links to Niels H. to identify further victims. 

The investigation has now turned up evidence leading authorities to suspect Niels H. killed 38 people at a clinic in the northern German city of Oldenburg and 62 at one in nearby Delmenhorst, Oldenburg police and the city’s public prosecutor’s office said in a statement on Thursday. 

That is in addition to two counts of murder for which an Oldenburg court sentenced him in 2015.

In August, German police indicated that Högel's was responsible for at least 86 deaths, Reuters suggests that the death count may continue to rise.

If anyone thinks that Högel's murders could have been prevented if assisted death was legal and regulated in Germany, think again.

None of the euthanasia laws have a mechanism to prevent this type of abuse of the law and all of the euthanasia laws require doctor who lethally inject a person to self-report the death.

A recent Netherlands study indicated that in 2015, 431 assisted deaths were done without explicit request while a Belgian study indicated that in 2013, at least 1000 assisted deaths were done without explicit request.

Medical killing is a world-wide phenomenon.

Suspected medical abuse/murder cases are usually not reported since the medical system lacks effective oversight. When abuse is uncovered, they rarely report the problem to the legal authorities based on fear of lawsuits as in the Elizabeth Wettlauffer case in Ontario.

In December 2016, in Italy, an emergency room anaesthetist Leonardo Cazzaniga, 60, and nurse Laura Taroni, 40, were arrested for the deaths of at least five patients but prosecutors were examining the medical files of more than 50.

Charles Cullen, a nurse who was also a medical serial killer in the United States. known as the 'Angel of Death' murdered at least 40 patients to become one of America's worst serial killers spoke from prison to chillingly claim: 'I thought I was helping.'

Dr Michael Swango is believed to have killed 35 - 60 patients, and similar to Cullen, he was simply asked to resign, or moved to another medical center. Aino Nykopp-Koski is a nurse who was convicted of killing 5 patients in Finland. In March, 2013 Dr Virginia Soares de Souza was arrested in Brazil and is suspected of killing 300 patients. Then there is Dr Harold Shipman, who was convicted of killing 15 people in England but is suspected to have killed between 250 and 400 of his patients. Then there is the case of William Melchert-Dinkel, the Minnesota nurse who was convicted of 2 counts of assisted suicide for counselling depressed people to commit suicide.

German nurse may have killed 84 people.

Alex Schadenberg
Executive Director - Euthanasia Prevention Coalition

If you think that safeguards can control euthanasia or that legalizing euthanasia will eliminate medical killings, think again.

First: Euthanasia laws lack effective third-party oversight. All of the laws require two doctors to approve euthanasia or assisted suicide (in Canada nurse practitioners can approve) and once death occurs all of the laws require the physician who carries out the act to self-report the act. No third-party oversight or witness at the time of the death is required. Physicians and nurse practitioners do not self-report abuse of the law.

Second: The abuse of the law that already occurs is usually not reported because the medical system lacks effective oversight and when abuse is uncovered, they rarely report the problem to the legal authorities, often based on fear of lawsuits. Just read about the Elizabeth Wettlauffer case in Ontario.

Now, a former German nurse who was convicted of killing 2 patients between 2000 - 2005 and later found responsible for 33 deaths is suspected of killing 84 people. Deutche Well news reported:

Niels Högel 

Following a three-year probe into all patients under Niels Högel's care, investigators revealed on Monday that the former nurse was responsible for 84 more deaths than initially thought. 

Högel, who is already serving two separate prison sentences, was found to have injected patients with cardiovascular medication at hospitals in the northern towns of Oldenburg and Delmenhorst between 1999 and 2005. His aim was to induce heart failure or circulatory collapse before successfully resuscitating his patients to impress his colleagues. 

He was sentenced in 2008 to seven-and-a-half years for attempted murder after he was discovered trying to give an overdose to a patient. He was then jailed for life in 2015 after being found guilty on six counts of murder, two counts of attempted murder and one charge of battery after his "trick" failed to work. 

However, prosecutors alleged that he had likely killed many more people but kept the charges low to make their case easier to prove. 

During the 2015 trial, Högel also admitted to a psychologist to killing 30 people while working at the clinic in Delmenhorst, having injected the medication into at least 60 patients. Last year, prosecutors estimated the total number of deaths to be 43.

Over three years, investigators said they exhumed and probed 134 bodies for the traces of Högel's cardiovascular medication, raising the number of suspected killings to a further 84.

Oldenburg Police Chief Johann Kühme said the sheer scale of Högel's crimes "leaves us speechless," adding that some cases will never be proved as the bodies had since been cremated. "And as if all that were not enough, we must realize that the real dimension of the killings by Högel is likely many times worse."

The police chief also faulted local health authorities who failed to act as it allegedly came apparent that the death rate at Delmenhorst hospital's intensive care unit almost doubled while Högel worked there. "If the people responsible at the time, particularly at the Oldenburg clinic but also later in Delmenhorst, hadn't hesitated to alert authorities - for example police, prosecutors -" Högel could have been apprehended sooner, Kühme said.

In the Netherlands, where euthanasia has been legal since 2001, a study of deaths in the Netherlands found that 431 people died an assisted death without explicit request in 2015. 

A study examining deaths in the Flanders region of Belgium, where euthanasia has been legal since 2002, found that there were more than 1000 assisted deaths without explicit request in 2013. 

The only way to protect people is by prohibiting euthanasia and assisted suicide and closely monitoring the medical use of drugs and potential medical abuse.