Showing posts with label Odile Marcotte. Show all posts
Showing posts with label Odile Marcotte. Show all posts

Tuesday, August 25, 2026

Legalization of Euthanasia in France: conscientious objection and the impartiality of judges

By Odile Marcotte
Retired Professor Department of Computer Science, UQAM and a Euthanasia Prevention Coalition board member.


Previous article: France legalized euthanasia. What's next (Link).

Odile Marcotte
After the National Assembly of France adopted the law on “aid in dying,” (Article Link) five people or groups asked the Constitutional Council (the French equivalent of the Supreme Court of Canada) to state whether this law was constitutional.

In its decision published on August 14, 2026, the Constitutional Council did not reject the law or any part of it but asked for three changes (Link to the article in the Le Point magazine) (Link to the decision). 

The first concerned adults under guardianship, that is, those subject to a guardianship arrangement, who, under the initial version of the law, could request and obtain assisted dying without the guardian being consulted. The Council holds that the guardian must be consulted in such cases (see paragraph 121 of the decision). 

It also holds that pharmacists have the right to conscientious objection, that is, the right to refuse to prepare and provide the lethal substances used in the assisted dying procedure (see paragraph 166). 

Finally, the Council holds that institutions themselves (and not just individuals) have the right to refuse to perform assisted suicide or euthanasia if these practices conflict with their mission or purpose (see paragraph 188). An institution’s refusal, however, “can only be invoked if other institutions are able to meet local needs,” which greatly restricts the institutions’ freedom of conscience.

From our point of view this last point is especially interesting, since certain Canadian provinces (notably Quebec) require every hospice to include euthanasia in its “range of care.” The Maison Saint-Raphaël, for example, which is located near several Montreal hospitals, was compelled to do so. The intolerance displayed by the drafters of the first version of the French law, which did not recognize any freedom of conscience for institutions, has been sharply criticized by several authors, who call for genuine pluralism in the field of end-of-life care (Link to an article on conscience rights). 

Quebec and Canada are in great need of this pluralism! Furthermore, before the Constitutional Council issued its ruling, Ms. Nazila Ghanea, a professor at the University of Oxford and the UN Special Rapporteur on freedom of religion or belief, reminded the French government and the Constitutional Council of their obligation to respect the freedom of conscience of healthcare professionals and institutions providing end-of-life care (Link to article). Of course Ms. Ghanea could make a similar statement regarding the Canadian situation if someone brought to her attention the legislation of the federal and provincial governments of Canada, particularly the burden on Quebec hospices to provide euthanasia.

Another important issue is the impartiality of the judges or “wise men,” as members of the Constitutional Council are called. In fact, some members of the Council had already expressed their support for the legalization of euthanasia in one way or another, and the Council received recusal requests targeting two of its members. These requests were rejected by the Council for reasons that were heavily criticized by some legal experts (Article on impartiality). The issue of the impartiality of judges also arises in Canada.

Wednesday, June 3, 2026

Reduction in home care for people with disabilities in Québec

By Odile Marcotte
Retired Professor Department of Computer Science, UQAM and a Euthanasia Prevention Coalition board member.

Odile Marcotte
The May 28 edition of the Le Devoir newspaper featured the story of Benjamin Leclair, a former wakeboarding champion who is now a tetraplegic. The local health board authority, known by the acronym CISSSMO, has recently reduced to 56 hours the number of hours allocated to Mr. Leclair's home care, arguing that this number of hours is more in line with its criteria ("grid") for allocating home care time to patients. Mr. Leclair's social worker explained to him that the health network, now managed by Santé Québec, was under pressure to save money. Actually CISSSMO claims that it is offering services to more patients than before (2335 in 2026 versus 2314 in 2025), and the number of service hours had to be reduced for some patients.

Mr. Leclair is not the only person in this situation: according to Hugo Vaillancourt, director of Ex aequo, people with disabilities are made to feel guilty when they ask for resources such as home care. Eventually the person has to rely on a caregiver, such as a spouse, who has not always undergone health care training. For instance, Aurélie, Benjamin Leclair's partner, had to quit her job to take care of him but is not trained to help him with his pressure sores, which he are likely to develop since he does not have anyone to move him in his bed during the night. Walter Zelaya, director of Moelle épinière et motricité Québec, observes that home care support is systematically reduced when persons with disabilities move in with somebody.

What does all this have to do with euthanasia? 

We remember with sadness the case of Jean Truchon, who lived with a disability similar to that of Mr. Leclair. Truchon could not obtain enough services from the health system, and was finally euthanized after having "won" the Truchon-Gladu challenge to the then euthanasia law. 

In Truchon, Judge Christine Beaudoin ruled that the end-of-life requirement for obtaining euthanasia was unconstitutional. The Canadian and Quebec governments did not appeal the Truchon decision resulting in the Canadian government modifying the law so that people such as Mr. Truchon and possibly Mr. Leclair could be euthanized without being terminally ill. 

Canada's two-track euthanasia law has Track 1 for persons with a terminal condition and Track 2 for persons living with a grievous and irremediable medical condition. Track 2 euthanasia has been condemned by the UN Committee on Disability Rights: see the excellent press release by Dr. Heidi Janz and Jonathan Marchand here (https://www.ccdonline.ca/en/humanrights/endoflife/Media-Release-29Jan2020).

More articles on euthanasia for people with disabilities in Canada:

Wednesday, May 27, 2026

Euthanasia and social class

By Odile Marcotte
Retired Professor Department of Computer Science, UQAM and a Euthanasia Prevention Coalition board member.

Odile Marcotte
The June 2026 issue of the L'actualité magazine includes an article on euthanasia entitled "Le dernier choix," i.e., The last choice. This article is a reasonably good one and does not exhibit a bias towards euthanasia, except in the beginning and end of the article, which feature (as usual) a patient suffering from a grievous illness asking for and receiving the "treatment" called euthanasia. The article, however, raises several questions that need to be addressed.

Consider the issue of social class (or socio-economic status), which I will address in this post. Studies have shown repeatedly that among the patients dying through euthanasia or assisted suicide, the proportion of patients with higher education and financial means is greater than in the general population. This is indeed confirmed by Dr. Louis Daigle, who has euthanized more than 650 people over a period of nine years. 

Daigle states that the suffering of seeing oneself waste away is what MAiD allows his patients to avoid. Indeed, after a good life, after earning good money and enjoying many travels, they will not accept what they call "an undignified death." Dr. Daigle goes on to say that those patients request euthanasia because they wish to "hold the reins" until the very end of their life.

Dr. Daigle, who specializes in emergency medicine, seems to have empathy for the people he euthanizes. His fellow doctors at the Collège des médecins du Québec, along with the pro-euthanasia lobby in Québec and Canada, have succeeded in:
  • making euthanasia legal,
  • making it a procedure paid by medicare and performed in all hospitals,
  • redefining palliative medicine as a discipline that includes the possibility of ending the life of a patient, 
  • extending euthanasia to patients not at the end of their life and not enjoying the same comfort as the rest of the population, and 
  • denying palliative care homes (at least in British Columbia and Québec) the permission to exclude euthanasia from its services.

In other words, the comfortable class has achieved its goals and persuaded the rest of the population to support euthanasia as a way of avoiding "suffering" at the end of life, even though this profound change has huge and unforeseen consequences for every individual.

Euthanasia has become a social class issue.