Showing posts with label Vivre dans la Dignité. Show all posts
Showing posts with label Vivre dans la Dignité. Show all posts

Thursday, April 30, 2026

“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.

Tuesday, November 4, 2025

Quebec Euthanasia report - Quebec has the highest euthanasia rate in the world.

FOR IMMEDIATE RELEASE (Link to the Press Release)

2024–2025 Report of the Commission on End-of-Life Care was released providing the Québec MAiD date from April 1, 2024 to March 31, 2025.

In the absence of representative data and a first report without a portrait of palliative care.

Meanwhile, Quebec remains the world leader in medical assistance in dying with 6,268 (7.9% of deaths)

Montreal, November 4, 2025 – The Commission on end-of-life care released its 2024–2025 Annual Report on October 30th (in French). After reviewing the document, the Living with Dignity citizen network (Vivre dans la Dignité) wishes to highlight two aspects of the report that must not go unnoticed in political and media discussions.

Medical assistance in dying: Quebec has the highest rate in Canada.

Quebec remains firmly positioned among the jurisdictions with the highest proportion of assisted deaths (MAiD, euthanasia, or assisted suicide), accounting for 7.9% of all deaths during the period studied—an increase of 9% compared to the previous year.

As Quebec approaches the 10th anniversary of its first cases of medical assistance in dying (December 10, 2025), the report raises several concerns regarding this practice, including:

  • Major regional disparities (MAiD represented 13.4% of deaths in Lanaudière vs. 4.7% in Montreal), a nearly 20% increase in Montérégie, and more;
  • Very short delays between a MAiD request and its administration (same day or next day in 4% of cases); 
  • Non-compliance in a small number of cases (0.3%), with no reported disciplinary consequences in these 19 reported cases—one of which involved administration without the person’s consent at the time. Living with Dignity reiterates that the current self-reporting system for MAiD providers after deaths cannot offer a full picture of non-compliant cases; 
  • 50% of those who received MAiD cited suffering from being perceived as a burden to family, friends, or caregivers; 24% cited loneliness and isolation.

In concluding its report, the Commission reminds readers of its duty to ensure that MAiD is not “chosen for lack of access to other curative, palliative, or end-of-life care that is of high quality and adapted to Quebecers’ needs.” Without adequate data, it is clear that this objective cannot be achieved.

We also believe the Commission must remind the Quebec government of its responsibilities regarding how it communicates its constitutional project. The government appears to have forgotten the spirit of the Act Respecting End-of-Life Care by emphasizing medical assistance in dying while neglecting to mention palliative care. This glaring imbalance between palliative care and MAiD in Quebec must end—it is not a “shared social value” across Quebec society.

Palliative care: navigating in the dark

After years of repeated warnings about the weakness of data on palliative care (“limited validity,” according to the most recent five-year report, and “lack of sufficient information,” according to the 2022–2023 report), the Commission has taken a further step by refusing to share data it deems non-representative. From the report:

The Commission reviewed the data submitted by institutions concerning the number of people who received palliative and end-of-life care (PEOLC). Unfortunately, for several years, it has noted that much data is missing, incomplete, or imprecise, or refers to very different contexts from one institution to another. The disparities observed appear to reflect both a lack of shared understanding of the information to be transmitted and difficulties in providing certain requested data. Consequently, the Commission considers that the data submitted are not representative of the real situation of palliative and end-of-life care in Quebec and that including them in this report could lead to misinterpretations. (p. 14 of the report)

We commend the Commission on end-of-life care for its integrity in choosing not to publish data that would not provide an accurate picture of palliative care in Quebec. This courageous decision should serve as a wake-up call for Minister Sonia Bélanger, who resumed her position on October 30th as Minister for Health and is responsible for this file. As the Commission’s five-year report reminded us:

“There are no management indicators or standardized tools for assessing the quality of palliative and end-of-life care services, how well they meet the needs of patients and families, or how efficiently the system operates. The Commission therefore cannot determine whether the needs of people who could benefit from such care are being met.”
We cannot continue to navigate blindly on such a critical issue.

According to those working in the field, there is no doubt that access to quality palliative care remains more difficult than access to medical assistance in dying (MAiD). Palliative care requires more time, as well as greater human and financial resources. In the spirit of the Act respecting end-of-life care, Quebecers should also have similar access to high-quality palliative care. Proper indicators should also clarify where we collectively stand on this matter. We welcome the Commission’s creation of an internal working group tasked with developing recommendations to strengthen access to palliative care. However, urgent and decisive action is needed—particularly to protect and improve access to home-based palliative care, which has been severely undermined by Bill 2 (see numerous testimonies in French here and here).

Media contact :
Jasmin Lemieux-Lefebvre, coordinator, Living with Dignity citizen network
www.vivredignite.org/en / info@vivredignite.org
438 931-1233

Thursday, March 13, 2025

Persons with disabilities have sought access to medical assistance in dying due to unmet needs: the Canadian “false choice”

This article was published by Vivre Dans La Dignité on March 12, 2025.

Montreal, March 12, 2025 – On March 10 and 11 in Geneva (Switzerland), the Committee on the Rights of Persons with Disabilities examined the report submitted by Canada under the Convention on the Rights of Persons with Disabilities.

As this review is flying under the media radar due to current events, the Living with Dignity citizen network would like to highlight some of the interventions of the United Nations experts addressing medical assistance in dying as well as recommendations from Canadian groups participating in the study.


"A False Choice"

The official meeting summary of the United Nations Information Service includes a quote from Ms. Rosemary Kayess, Vice-Chairperson, UN Committee on the Rights of Persons with Disabilities (Australia) and Leader of the Taskforce for Canada: «it was concerning that persons with disabilities sought access to medical assistance in dying due to unmet needs, which was a systemic failure of the State party.  The disproportionate impact of these failures, which included poverty, and a lack of access to employment and services, underpinned the so-called choice for seeking medical assistance in dying as an alternative. How was this not State-sanctioned euthanasia?  If choice was the trigger, why was there not also a focus on addressing the support that person needed, which would take them away from social isolation where they perceived dying as the only option they had? ». She also added « For me, it is still a false choice.»

Ms. Kayess went so far as to add during the discussions “Do you not see this as a step back into state-sanctioned eugenics programmes”?

As is too often the case during these reviews, the answers of the Canadian delegation were often prepared in advance and did not appear to satisfy the experts. « The dialogue would have been more fruitful if there was less reliance on prepared statements which frequently did not answer the Committee’s questions. » according to Mr. Markus Schefer, committee expert and taskforce member, who, at the start of the second day, had to remind the delegation to avoid “canned answers”.

Recommendations from Canadian groups

Living in Dignity supports these recommendations made by more than 50 organizations (several of which were in Geneva) in the Civil Society Parallel Report for Canada:

  • Repeal Track Two MAiD;
  • Repeal the legal provisions which will make Track Two MAiD available to people with a mental illness as their sole underlying medical condition in March 2027.

As Inclusion Canada pointed out in a press release issued on Monday, several organizations defending the rights of persons with disabilities, as well as individuals, have challenged Canada’s expanded MAiD laws by launching a legal Charter challenge in the Ontario Superior Court.

Living with Dignity would also like to highlight this recommendation from the Canadian Human Rights Commission:

Recommendation #3: That before taking further action on its expansion, Canada conduct a critical and thorough examination of what has happened since the coming into force of MAiD legislation, including by collecting the evidence and testimony necessary so that there is a clear understanding of who is accessing MAiD and why, and by ensuring that the experiences and concerns of those who are most marginalized are listened to, valued and addressed.”

The recommendations of several other groups deserve your attention, including those of the Assembly of First Nations, the Environmental Health Associations of Canada and Québec and the Feminist Alliance for International Action.

All these recommendations are available in the reports posted on this page, as are those of the Canadian delegation, which we invite you to read and analyze. The Parallel Report of Civil Society for Canada can be found under the name of one of the signatories, ARCH Disability Law Centre.

Next step? The UN Committee on the Rights of Persons with Disabilities will publish its concluding observations on March 21 (end of its current session).

To review all of the Committee’s exchanges with the Canadian delegation this week (two three-hour sessions):

Media contact:

Jasmin Lemieux-Lefebvre
Coordinator
Living with Dignity citizen network
www.vivredignite.org/en
info@vivredignite.org
438-931-1233

Tuesday, March 4, 2025

A thought-provoking overview of medical aid in dying in Québec

Press release was published by Vivre dans la Dignité on March 3, 2025.

Second analysis of the Five-year report of the Québec Commission on end-of-life care

Montreal, March 3, 2025 – After an earlier press release addressing the palliative care section in the “Rapport sur la situation des soins de fin de vie au Québec 2018-2023” (Report on the state of end-of-life care in Quebec 2018-2023), Living with Dignity (LWD) now focuses on the section pertaining to medical aid in dying (MAiD). This communication does not aim to summarize the Commission’s extensive work on end-of-life care but instead highlights key points that are important to the citizen network, which have not been widely covered in the media so far. The following quotes speak for themselves (quotes from the report have been translated by LWD).

Unprecedented revelation of the proportion of deaths by MAiD for each type of serious and incurable disease

“While the overall proportion of deaths by MAiD is 6.2% in 2022, this proportion varies greatly for each disease. For the most common cancers, the rates varied from 13.8% to 17.2%; for those with the most common neurological or neurodegenerative diseases (Parkinson’s disease, multiple sclerosis, amyotrophic lateral sclerosis), the rate varied from 24.5% to 41.9%…” (p. 26).

Fear that MAiD will replace “natural death” for some seniors

“However, some people, including some Commissioners, remain concerned that MAiD may replace “natural death” for elderly people who, faced with a progressive loss of autonomy, choose to apply for MAiD rather than live in conditions they consider intolerable. As the Commission has already reminded
providers in a Communiqué, old age, even when accompanied by a significant loss of autonomy, cannot be considered a serious and incurable disease that qualifies for MAiD.” (p. 62).

Reminder that various age-related conditions, such as frailty syndrome, are not eligible for MAiD in Quebec


“The differences between Quebec and the rest of Canada could be explained by a broader interpretation of the criterion of serious and incurable illness and the inclusion of serious and incurable conditions in the other provinces. This qualifies individuals aged 90 years and over with various conditions associated with old age, such as frailty syndrome, for MAiD. However, these conditions are not considered serious and incurable diseases for eligibility for MAiD in Quebec.” (p.56).

A delay of one day or less between the request and the administration of MAiD is rare, but it does exist

“A delay of one day or less between the request for and administration of MAiD was reported in 3.6% (514/14,417) of forms documenting administration of MAiD between April 1, 2018 and March 31, 2023.” (p. 41).

During the period studied, 1,138 people withdrew their request or changed their mind

“The main reasons for non-administration of the MAiD among people who were not assessed by a physician who had agreed to take charge of their request were as follows: the people died (50.0%), they withdrew their application (22.7%) or they did not meet the eligibility requirements (13.6%).” (p. 83).

Case studies of MAiD that were deemed invalid by the Commission were very enlightening

Numerous examples on pp. 70-76 concerning “age-related frailty, natural death trajectory with several minor illnesses, morbid obesity with minor co-morbidities, fibromyalgia, various symptoms without diagnosis”, etc.


Additional comments from Living with Dignity

Difference in the Definition of Slippery Slopes in MAiD


In the report, the Commission presents its definition of the term slippery slope: “without changing the eligibility criteria in the law, (an) increasingly liberal interpretation” allowing MAiD for individuals who would not have been eligible to receive it in the first place (p. 61).

Our definition of slippery slopes also encompasses the legislative changes that have led to MAiD “no longer being exceptional care” (p. 54). In this sense, it echoes the findings expressed by several guests in Episode 4 of ICI Radio-Canada‘s La mort libre podcast, “Les pentes glissantes de l’aide médicale à mourir” (The slippery slopes of medical aid in dying).

One year after an International meeting on end-of-life issues was held in Paris, LWD is still observing slippery slopes in each of the jurisdictions that have opened the way to one form or another, of euthanasia or assisted suicide. Whether one is for or against this gesture, which some present as an “individual right”, it is never without consequences for the family, caregivers and those forced to consider it.

LWD deplores the exponential increase in access to MAiD over the period studied (an average annual increase of 41%). This increase is not comparable to the rises observed elsewhere in the world.

Socio-demographic and socio-economic data to be studied in greater depth

Since its 5th Annual Report on Medical Aid in Dying in Canada, 2023, Health Canada has provided more socio-demographic data (e.g., p. 57 “A total of 9,619 people of the 15,343 who received MAiD responded to this question, the vast majority of whom (95.8%) identified as Caucasian (White).”).

The Commission is quick to address the indigenous and socio-cultural issue: “In the territories of indigenous communities, there are virtually no requests for MAiD, and none are reported by establishments in these regions. The same is true of other socio-cultural communities in certain territories.” (p.109).

It would be interesting to find out more about the reasons behind this difference in choice.

The addendum to the report (MAiD ethics in Quebec: reflections on a decade of deliberations) by Eugene Bereza and Véronique Fraser, also addresses the issue of socio-economic factors contributing to suffering. “Is it ethically acceptable that poverty, social isolation, refusal to go to a CHSLD or lack of access to care are factors that contribute significantly to a person’s subjective experience of intolerable suffering and lead to a request for MAiD?” (p. 122). LWD shares their concerns.

Large variations between the 32 institutions remain unexplained

“Variation from single to triple in institutions for palliative and end-of-life care rates and MAiD…” For continuous palliative sedation (CPS), there is a variation from single to quintuple” (p. 112).

According to the Commission, “We must refrain from drawing hasty conclusions about institutions based on variations in the rate of the three end-of-life care services. There is nothing in this report to suggest inter-regional or inter-institutional inequity.” It adds that “where there is more palliative and end-of-life care, there is also more CPS and more MAiD.”

As we pointed out in our first press release, we know very little about the type of palliative care offered (there is a significant difference between a purely pharmacological approach in the later stages vs. comprehensive palliative care earlier on).

Through its network of health professionals, LWD believes that Quebec’s “continuum of care” approach is detrimental to the development of palliative care. Variations, such as rates of access to medical aid in dying ranging from 10.4% (Lanaudière), 9.7% (Quebec), 7.5% (Eastern Townships), 5.2% (Outaouais) to 4.6% (Montreal) in 2022-2023 (see Table C2), should make us reflect on access to end-of-life services across the province. Like the Commission, we hope that the work of the Consortium interdisciplinaire de recherche sur l’aide médicale à mourir (CIRAMM) will contribute to this.

Media contact :
Jasmin Lemieux-Lefebvre
Coordinator, Living with Dignity citizen network
www.vivredignite.org/en

info@vivredignite.org
438 931-1233

Thursday, May 23, 2024

Reaction to the Bloc Québécois federal euthanasia bill


The Boundary of incapacity: must not be crossed. (Link to the original release)

Montreal, May 23, 2024 – The Bloc Québécois announced today that it will table a Federal Bill that “would allow advance requests for medical assistance in dying (MAiD) for people suffering from neurodegenerative disorders such as Dementia."

This was presented during a Press Conference in Ottawa, in collaboration of a Coalition made up of the Quebec Association for the Right to Die with Dignity (Association Québécoise pour le droit de mourir dans la dignité, AQDMD), the Quebec Bar (Barreau du Québec), the Chambre des notaires du Quebec (CNQ), the College of Physicians of Quebec (CMQ), the Order of Nurses of Quebec (OIIQ), the Order of Pharmacists of Quebec (OPQ) as well as the Order of Social Workers and Marriage and Family Therapists of Quebec (OTSTCFQ) (see their press release in French) + Dying with Dignity Canada.

Given the tone of the Press Conference, which was very critical of the Liberal government, this maneuver has little chance of finding an attentive ear.

A thorough review is required before expanding access to medical assistance in dying by advance request. Crossing the boundary of incapacity and contemporaneous consent to administer MAiD would have serious and unprecedented consequences.

Here is an excerpt from the Brief from Living with Dignity presented last year during the examination (in Quebec) of Bill 11, An Act to amend the Act respecting end-of-life care and other legislative provisions:
The limits of advanced and substituted consent, the numerous practical issues concerning the administration of MAiD, the possible conflicts of interest (numerous cases of abuse and neglect of elderly individuals) and the major impacts of this new access on a network of already fragile geriatric care, strongly questions the merits of this expansion which we also consider to be marked by ableism.
It is important to remember that the opponents of this expansion were not invited to testify in a parliamentary committee concerning Bill 11 last year at the National Assembly of Quebec.

Webinar by Professor Theo Boer


To reflect on the issue of advance directives, the citizen network Living with Dignity invites interested people to follow a webinar organized by Doctors Say No International. At 4 p.m. (Montreal time), Friday, May 24, Professor Theo Boer, Professor of Health Ethics (PThUniversiteit Groningen, Netherlands) will present (in English) during this webinar on Assisted dying and its impact on culture: 40 years of Dutch experience with euthanasia.

Zoom link (password: 089934).


Holland is the only country in the world that allows the death of a person by advanced request when they are Incapable of decision-making and conscious (Belgium only allows it when a person is Incapable and unconscious). Professor Boer's contributions in French during the International Meeting on the End-of-Life are now also available in print (in French), as are those of all the speakers at this gathering held in Paris on February 28, 2024.

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Jasmin Lemieux-Lefebvre
Coordinator
Living with Dignity citizen network
info@vivredignite.org
438-931-1233

Monday, August 7, 2023

Media Release: Memo to Quebec physicians practising medical aid in dying.


For Immediate Release: Link to the original release (Link).

Memo to Quebec physicians practising medical aid in dying

The Commission on End-of-life care had to act

A welcome intervention that unveils some important issues

Montreal, August 7, 2023 – Over the past few days, the Commission on End-of-life care has issued a memo to the hundreds of Quebec physicians who provide medical aid in dying. This information comes from the work of journalists Davide Gentile and Daniel Boily in a text published Saturday in French by Radio-Canada information, then adapted to English by CBC News’ Rowan Kennedy. Living with Dignity citizen network welcomes this intervention by the Commission on End-of-life care and its president, Dr. Michel Bureau. Living with Dignity invites political decision-makers to support the reminders contained in the memo, which highlight important issues that need to be taken very seriously.

The memo addresses three themes, as seen in these excerpts (in quotation marks, our translation) from the e-mail sent by the Commission on end-of-life care:

1) Non-compliance of a growing number of medical aid in dying procedures
"...a growing number of MAiD procedures with very borderline compliance with the conditions contained in the law, and a growing number of non-compliant MAiD procedures administered";
2) The importance of a second physician's opinion and doctor-shopping for a favourable opinion
"...the opinion of a second independent physician confirming the admissibility of MAiD is not just a formality; it must be critical and contemporaneous with the MAiD application";

"Doctor-shopping for a favourable second opinion is not an acceptable practice";
3) Advanced age is not a criterion for MAiD eligibility
"...advanced age and age-related problems do not constitute a serious and incurable disease, and do not justify MAiD".
Comments from Living with Dignity

By Jasmin Lemieux-Lefebvre, coordinator of the Quebec citizen network:

These warnings confirm the information we are receiving on the ground. To avoid refusals, people applying for medical aid in dying may be tempted to turn to MAiD providers who have a broader vision of MAiD access. Doctor-shopping for a favourable second opinion is also a well-known problem in this country. In his essay, No other options, published in The New Atlantis last winter, journalist Alexander Raikin explores the subject in depth in the section Easy to die.

At a conference of the Canadian Association of MAID Assessors and Providers, it was said that “you can ask as many clinicians as you want or need” and that "disagreement doesn't mean you must stop".

It should also be borne in mind that this memo comes at a time when the situation is probably more serious than that described by the Commission on End-of-Life care, which refuses to acknowledge any abuses for the time being. The scientific article The realities of Medical Assistance in Dying in Canada, published by Cambridge Press this summer, addresses the issue of inadequate data collection on MAiD in Canada:
The data are acquired from the MAiD providers via self-reporting. There is no mechanism for objectively, prospectively, or retroactively identifying or uncovering any errors or abuses of the process. Providing assisted suicide and euthanasia outside the parameters of the law remains prohibited. MAiD providers filling out the forms know that any deviation of the key criteria may result in criminal prosecution, making self-declarations of error or deviation unlikely. (see the Inadequate data collection section of the article by Ramona Coelho, John Maher, K. Sonu Gaind and Trudo Lemmens).
On March 7, 2024, medical aid in dying will be available in Quebec to people living with a serious physical impairment (a term adopted by the Act to amend the Act respecting end-of-life care and other legislative provisions and suggested by a group of experts on disability). As of December 7, 2023, it will be required in all palliative care hospices. The revelations of the Commission on end-of-life care must lead to concrete action to avoid the abuses that can be expected.

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Media contact:

Jasmin Lemieux-Lefebvre
Coordinator
Living with Dignity citizen network
directionVDD@gmail.com
438 931-1233

Monday, June 12, 2023

Québec expands euthanasia law. They already have the highest euthanasia rate in the world.

Alex Schadenberg
Executive Director, Euthanasia Prevention Coalition

On June 7, The Physicians’ Alliance against Euthanasia joined with the Living with Dignity citizen network to express their great disappointment that Bill 11, An Act to amend the Act respecting end-of-life care and other legislative provisions was passed in the Québec legislature.

Many people are not aware that Canada has two euthanasia laws, a Québec law that came into effect in December 2015 and a federal law that came into effect in June 2016. Bill 11 amended the Québec law.

The Physicians' Alliance and Living with Dignity reported that Bill 11 will expand euthanasia in Québec in the following ways:

  • creating an obligation for palliative care homes to offer MAID (in 6 months);
  • offering MAID in cases of serious physical disability* (in 9 months);
  • offering MAID by advance request* (in a maximum of 24 months).

*together with the other criteria of the Act respecting end-of-life care.

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

A CBC radio program (in french) program by Davide Gentile & Daniel Boily reported on February 16, 2023 that more than 7% of deaths were from medical assistance in dying in Quebec with more than 5,000 people who died by MAiD in 2022, compared to less than 1,000 MAid deaths five years ago.

I reported on February 20 that the Québec government Commission on End-of-Life Care launched a consultation to learn why Québec has the highest euthanasia rate in the world.

Based on the passing of Bill 11, the euthanasia rate in Québec will only go up. As already stated, Bill 11 will force palliative care homes, that have refused to participate in MAiD, to provide it. Bill 11 expands the definition of eligibility to include people with serious disabilities and it expands euthanasia to be permissible by advanced request.

By forcing palliative care homes to provide euthanasia, some palliative care professionals will leave the profession. Defining euthanasia eligibility to specifically permit the killing of people with serious disabilities, who are not otherwise dying, confirms the eugenic nature of Québec's euthanasia program.

Pierre Luc Turcotte stated in his article published by the Montreal Gazette that:

In Germany, during the Second World War, "competent professionals" - doctors and nurses - participated in a euthanasia program that led to the deaths of 200,000 disabled persons. This eugenic policy was part of the Nazi's social cleansing efforts. But it was also seen and socially accepted as "medical care" based on the reasoning these lives were "not worth living." While a parallel with Bill 11 may seem far-fetched, eugenics similarly existed in Québec.

We must take every precaution to avoid repeating mistakes of the past.
I know that people will say that it is unacceptable to compare Canada and Québec's current euthanasia programs to the Nazi euthanasia program that began in 1939, but if they are different, then Turcotte is correct to urge that we avoid repeating the mistakes of the past.

Québec has the highest euthanasia rate in the world and it has now expanded it's euthanasia law. It seems to me that Québec, and much of Canada, have become dedicated to death.

The question is not - why does Québec have the highest euthanasia rate in the world, but rather, what can be done to reverse the killing trend in Québec and Canada?

I recently projected that there will be at least 13,500 Canadian euthanasia deaths in 2022 representing a 35% increase.

Tuesday, May 3, 2022

Euthanasia, where and when does it stop?

By Nic Steenhout, Disability rights advocate and the former Director of Vivre dans la Dignité

Nic Steenhout
It is with great sadness and a fair bit of distress that I learned about two recent cases of so-called "Medical Aid In Dying" (euthanasia by any other name). The stories of two disabled women who were pushed to apply for MAID because their circumstances didn't allow them the choice of living would be distressing for most of us.

It is hitting me particularly hard because less than 10 years ago, I was saying that if Québec, and then Canada, legalized euthanasia, it wouldn't take long before people with disabilities no worse than my own, that were not at end of life, would be able to apply for and be granted euthanasia.

I really hate to say "I told you so". I hate even more that I was right.

The government said at the time: "there's not going to be a slippery slope". They lied. They called me alarmist. As it turns out, I was not exaggerating the dangers.

On April 13, 2022, CTV was reporting the story of a 51 year old woman which multiple chemical sensitivity (MCS) who could not find housing. She applied for and was given medical aid in dying.

On April 30, 2022, CTV again reports the story of a disabled woman who could not find housing and applied for euthanasia. This time, the woman is 31, also with MCS, and a wheelchair user. She hasn't yet been killed.

These two women were not given the options to live. Finding wheelchair accessible housing is next to impossible to start with. Finding affordable wheelchair accessible housing is even more difficult. Throw in the need to be protected from chemical exposures, and it becomes really thorny. So thorny that people search for years before being able to find, and opt for death instead.

What are we doing to disabled people? The governmental disability benefits are laughable. Who can find housing, let alone paying all other life necessities, including food, on $1,000 or so a month? The amounts of disability benefits haven't increased in a very long time in Canada. It's almost as if disabled people don't count. It's cheaper to provide euthanasia than support disabled citizens appropriately.

It gets even more interesting when we see that the government was able to unlock funds to help workers through being out of work during the pandemic's early days. The message from our government is very clear. Disabled people don't count.

I haven't been active in the fight against euthanasia (regardless of the name we give it) for the last several years because these public stories, and some very personal ones, just ate at me. It is ironic that as an opponent to euthanasia, I had two family members and a close friend apply for it, and die from it.

My grand mother, in Belgium, died from euthanasia. She was 98 years old. She had some vision issues, and needed a walker to move around. She was most certainly not at imminent risk of dying. But she was incredibly lonely with her family across an ocean.

My aunt, in Québec, was 77 years old. She had Multiple Sclerosis. She'd had a lung removed because of lung cancer, but she'd been in remission for years.

My friend John was in his early 60's. He had cancer. But he was well away from imminent death. He was grocery shopping and preparing meals for the freezer for his spouse the day before his euthanasia.

These three people did not meet the so-called safeguards that the pro-euthanasia crowd said would protect vulnerable people. So even with safeguards in place, there are people dying from euthanasia that shouldn't be. And now... Now we just keep expanding the eligibility criteria.

Where does it stop? When do we decide that supporting disabled people is the right investment in our society, rather than allowing them to die? When do we stop funding suicide prevention programs? Because it's not that far of a stretch to see this happen.

10 years ago I was saying that people with disabilities no worse than my own would soon have access to medical aid in dying. I was right. Please don't let me be right about the elimination of funding for suicide prevention programs. Please.

If you're reading this, it's likely that you already have strong feelings about euthanasia. You're probably outraged by these recent news stories. It's been said before, but we all need to talk to our elected representatives. Personal notes, phone calls, even emails. Let's let them know this is not ok. Let them know that enough is enough. The horse has bolted, we can't close the barn doors. But we can try and fence it in. We can try and limit further erosion.