Thursday, June 13, 2013

Wesley Smith comments on Quebec euthanasia bill.

The following article was written by Wesley Smith and published on his blog under the title: Government Funded Euthanasia Coming to Quebec.

Wesley Smith
By Wesley Smith, June 12, 2013

A bill to legalize euthanasia in Quebec has been filed, and it is a radical disaster.

First, it would require that all “institutions,” e.g., hospitals, nursing homes, and residential care facilities ”provide” terminal sedation (put into a coma and dehydrated to death) or euthanasia, which are included in the bill’s definition of the term, “end of life care.” From Bill 52: 
8. Every institution must offer end-of-life care and ensure that it is provided to the persons requiring it in continuity and complementarity with any other care that is or has been provided to them.
As I understand the Canadian system, all hospitals, nursing homes, etc., are publicly funded, part by the province and part by the federal government. This would appear to mean that every taxpayer in Canada will be underwriting euthanasia, and moreover, that the provincial government of Quebec will require the killing of patients to be allowed in all publicly funded hospitals, residential care facilities and nursing homes.

Assisted suicide and intentional homicide are crimes in Canada, under the federal criminal code. But the provinces are in charge of regulating medicine. So, Quebec seeks to get out from under the federal criminal laws by redefining euthanasia as health care, e.g., the medical treatment of “aid in dying.”

“Aid in dying,” in turn, is defined as one example of the medical application of “end of life care:”
3. (3) “end-of-life care” means palliative care provided to persons at the end of their lives, including terminal palliative sedation, and medical aid in dying.  
“Medical aid in dying,” is not limited to the terminally ill. Indeed, those who qualify to be euthanized could include people with serious disabilities, chronic illnesses that have advanced, even mental illnesses. And the suffering necessary to qualify for euthanasia is, essentially, whatever the patient determines is “intolerable”–even if the patient turns down treatment that could alleviate the symptoms they are experiencing:
26. Only a patient who meets the following criteria may obtain medical aid in dying:
(1) be of full age, be capable of giving consent to care and be an insured person within the meaning of the Health Insurance Act (chapter A-29);
(2) suffer from an incurable serious illness;
(3) suffer from an advanced state of irreversible decline in capability; and
(4) suffer from constant and unbearable physical or psychological pain which cannot be relieved in a manner the person deems tolerable.
People can also direct that they be killed in their advance directive.

True to form, media reports falsely state that the bill would “only” legalize assisted suicide for the “terminally ill.” From the Toronto Star story:
As early as this fall, Quebec could become the first province in Canada and one of the few jurisdictions in the world to permit terminally ill patients to end their suffering and their lives. Legislation introduced Wednesday by the Parti Quebecois government would allow doctors to administer lethal drugs to a exclusive group of patients whose lives are nearing the end and who are in excruciating pain that cannot be relieved by drugs.
Can’t reporters read? That’s a blatantly false description. No, it is journalistic malpractice. 
Look for yourselves. The wording of the bill does not require that a patient be “nearing the end” of life at all. Nor does it require that the patient be suffering from “excruciating pain that cannot be relived by drugs.” In fact, the bill would allow a broad killing license, with psychological suffering sufficient to be killed. 


Wesley Smith
Wesley Smith, more comments on Quebec euthanasia bill.

Wesley Smith published a second article on the Quebec euthanasia bill on June 13 under the title: Quebec Euthanasia: Journalism Malpractice 2.

Here are his comments:
As I reported here previously, Quebec will be debating the legalization of euthanasia–not assisted suicide–a bill that does not limit medicalized killing to dying patients.
But don’t tell that to so-called journalists, who are busily about the task of badly misstating what the proposal would permit. I mentioned a Toronto Star example in my original post. Now, AFP has also misreported the story:
The government of Canada’s mostly French-speaking Quebec province on Wednesday unveiled legislation allowing terminally ill patients to kill themselves with a doctor’s help. The bill, expected to be passed into law as early as September, would make Quebec the first province in Canada to effectively legalize assisted suicide and set the stage for a jurisdictional row with Ottawa.
No! The bill allows those with “an incurable serious illness” to be killed by doctors, which is not a synonym for ”terminal illness.” From the legislation:
26. Only a patient who meets the following criteria may obtain medical aid in dying:
(1) be of full age, be capable of giving consent to care and be an insured person within the meaning of the Health Insurance Act (chapter A-29);
(2) suffer from an incurable serious illness;
(3) suffer from an advanced state of irreversible decline in capability; and
(4) suffer from constant and unbearable physical or psychological pain which cannot be relieved in a manner the person deems tolerable.
And it isn’t assisted suicide, during which a patient self-administers the poison. Rather, it is euthanasia, which is administered by the doctor–e.g., a lethal injection. From the bill:
29. If a physician determines, subsequent to the application of section 28, that medical aid in dying may be administered to a patient requesting it, the physician must administer such aid personally and take care of the patient until their death.
In other words, the doctor has to kill the patient!
So, as we so often see in the reporting of euthanasia and other contentious social issues, the media either can’t–or won’t–get it right.

Quebec doctors group opposes euthanasia bill

The CBC news published a report of the press conference that was organized by the Physicians for the Total Refusal of Euthanasia. The report, that includes a video link, was based on interviews with several Quebec doctors.



The CBC report stated:
The Physicians' Alliance for Total Refusal of Euthanasia condemned the bill, accusing the Marois government of caving in to "small but persistent" lobby groups and pushing Quebecers onto a dangerous path. 
Dr. Mark Beauchamp
"This is not a small opening," said Dr. Marc Beauchamp, the orthopedic surgeon who is the spokesman for the alliance. "It's an enormous door, an enormous revolution in ethics and law." 
Beauchamp accused Social Services Minister Véronique Hivon, who tabled the bill Wednesday morning, of resorting to euphemistic language to skirt around exactly what the government is asking Quebec physicians to do. 
"Active euthanasia — what Mme. Hivon calls medical aid in dying — is to fill a syringe with a deadly substance and inject it, such that the person dies a few seconds or a few minutes later," said Beauchamp. 
"I'm not going there," said Dr. Gerald Van Gurp, a Montreal family doctor who specializes in home palliative care for terminally ill patients. 
The bill would not oblige any physician to end a patient's life, but it would require a doctor who refuses to inform his or her supervisor of a patient's request, so that a willing doctor could be found. 
That opt-out provision gives Van Gurp little solace. 
Dr. Gerald Van Gurp
"I don't want to continue in that field if the law passes, basically," he said. 
Van Gurp said most of the time, patients who request help in dying are in psychological turmoil and in physical pain. However, in his 30 years of palliative care practice, he says he's rarely encountered a case where a patient's pain cannot be relieved. 
"Once you relieve the pain, once you get a supportive relationship — you have nurses, doctors coming [into their home] they don't want the lethal injection anymore." 
He said by some estimates, only 10 or 20 per cent of terminally ill Quebecers have access to that kind of high quality palliative care. 
"So there are a lot of people suffering, in pain," Van Gurp said. "But the solution is not to introduce euthanasia, it's to introduce high quality palliative care. Not expensive. Not high tech. But you need responsive doctors and nurses." 
Van Gurp, who was born in the Netherlands, said evidence in his native country and in neighbouring Belgium shows what a slippery slope opening the door to "right-to-die" legislation can lead to. He said there is pressure from some groups in Belgium to amend its legislation to make medically assisted suicide an option for patients suffering from Alzheimer disease.
The CBC article ended by stating:
Hon. Rob Nicholson
Federal Justice Minister Rob Nicholson says the government will review the implications of Quebec's proposed legislation. 
“The laws that prohibit euthanasia and assisted suicide exist to protect all Canadians, including those who are potentially the most vulnerable, such as people who are sick or elderly, and people with disabilities," said Nicholson in a statement. 
He said the Supreme Court of Canada upheld the constitutionality of the existing law against assisted suicide in the Sue Rodriguez case in 1993, and three years ago, parliament voted not to change the law. 
“This is a sensitive issue for many Canadians, with deeply held beliefs on both sides of the debate," said Nicholson.
Previous articles related to the Physicians for the Total Refusal of Euthanasia:

Not Dead Yet group launches euthanasia education initiative in Quebec

Yesterday, Toujours Vivant-Not Dead Yet sent out the following media release in response to the Quebec government bill to legalize euthanasia.




Toujours Vivant-Not Dead Yet launches euthanasia education initiative

MONTREAL, June 12, 2013 /CNW Telbec/ - Toujours Vivant-Not Dead Yet announced today an initiative to respond to Québec's proposed law to allow euthanasia of people with disabilities, whether or not they have a terminal illness. The initiative is designed to educate the disability community and the general public about the potential dangers of euthanasia for elders and people with disabilities.

TVNDY points out that requests for euthanasia are really requests for suicide requests. People making such requests should be given suicide prevention services, instead of being helped to kill themselves. TVNDY believes the push for euthanasia laws is a product of discriminatory assumptions about the value and quality of life of people with disabilities, as well as public policies that prevent disabled people from enjoying equal rights.

Toujours Vivant-Not Dead Yet (TVNDY) is a project of the Council of Canadians with Disabilities whose mission is to unite and give voice to the disability opposition to assisted suicide, euthanasia and similar end-of-life practices. Based in Québec, TVNDY is a progressive, non-religious organization run by and for people with disabilities that examines end-of-life issues from a disability rights perspective.
Amy Hasbrouck with John Kelly

The education initiative will include making more articles and publications by disability rights scholars and activists available in French via the group's website (TVNDY.ca), online discussion sessions, outreach to disability groups, and conducting a survey of the experiences of people with disabilities related to end-of-life issues.

For further information:
Amy Hasbrouck
450-921-3057,  or amy.hasbrouck@tv-ndy.ca

Wednesday, June 12, 2013

Belgium is planning to extend euthanasia to children with disabilities.

An article published in presseurop under the title: Belgium: 'Another step towards euthanasia of children' indicates that the Belgium government clearly intends to extend euthanasia to children with disabilities.
In the wake of several months of testimony from doctors and experts in medical ethics, a Belgian Senate committee will on June 12 examine the possible extension of the country’s euthanasia law to include children. 
“On both sides of the linguistic border, liberals and socialists appear to agree on the fact that age should not be regarded as a decisive criteria in the event of a request for euthanasia,” notes De Morgen. They want doctors to decide on a minor’s capacity for discernment on a case by case basis. 
The daily points out that the Christian Democrats may not approve the change, but the Flemish nationalists of the N-VA have said they are ready to vote in favour of the proposal to ensure that it is backed by a majority.
I guess euthanasia is not really about choice or consent.
Considering the fact that Quebec has chosen the Belgian model of euthanasia, how long will it take for Quebec to consider extending euthanasia to children with disabilities?
Recent articles concerning Belgian euthanasia.

The Euthanasia Prevention Coalition (EPC) responds to the Quebec government plan to legalize euthanasia.


Media Release

The Quebec government seems intent on decriminalizing euthanasia through the back door. If Quebec goes through with this, it will affect all of Canada.

Hugh Scher
The Euthanasia Prevention Coalition (EPC) is a national coalition of groups and individuals who oppose killing through euthanasia while supporting measures that improve the care and protection of everyone.

Euthanasia is not a progressive idea, but rather the abandonment of people at the most vulnerable time of their life.

Constitutional Lawyer and EPC Legal Counsel, Hugh Scher stated:
“Euthanasia is regulated in the Criminal Code as a form of homicide. Euthanasia is a direct and intentional act to cause the death of another person. Euthanasia is not healthcare.”
Alex Schadenberg
Alex Schadenberg, the executive director of EPC recognizes that:
“When euthanasia is legal abuse will happen. In Belgium, where euthanasia was legalized in 2002, a recent study found that 32% of all assisted deaths were done without consent. Quebec’s proposed list of “safeguards” mirror those within the Belgian legislation.”
Amy Hasbrouck, the leader of the disability rights group Toujours Vivant-Not Dead Yet  stated that:
“People with disabilities, elderly people who are dependent on others, people living with chronic depression, among others, are medically vulnerable. Prohibiting euthanasia is an effective way to prevent the abuse of people with disabilities and elder abuse.”
Amy Hasbrouck with John Kelly
The Quebec government needs to withdraw its plan to legalize euthanasia through the back-door and to renew its commitment to improving end-of-life care and the care of other vulnerable citizens and to commit to prevention of elder abuse and the abuse of people with disabilities.

For more information contact:
* Hugh Scher, Constitutional Lawyer & EPC legal counsel, Toronto, (French & English): 416-816-6115
* Alex Schadenberg, Executive Director, London, (English): 519-851-1434 or info@epcc.ca
* Amy Hasbrouck, Montreal, (French & English): 450-921-3057

La Coalition pour la prévention de l'euthanasie (EPC) réagit au plan du gouvernement du Québec visant à légaliser l'euthanasie

Le gouvernement du Québec semble vouloir légaliser l'euthanasie en passant par la petite porte. 

La Coalition pour la prévention de l'euthanasie (EPC) est une coalition nationale de groupes et d'individus qui s'opposent à l’idée de tuer par euthanasie, et qui appuient toute mesure visant à améliorer les soins de santé et la protection de tous les citoyens.

Me Hugh Scher, avocat en droit constitutionnel et conseiller juridique d’EPC, est extrêmement préoccupé par l’intention du gouvernement du Québec d'ignorer le Code pénal en ne poursuivant pas les médecins qui commettront des euthanasies. "L'euthanasie est un acte direct et intentionnel qui provoque la mort d'une autre personne. L'euthanasie est une forme d'homicide. L'euthanasie n’a rien à voir avec les services de santé et le meurtre n'a rien de bienveillant ".

Amy Hasbrouck, directrice de l’organisme Toujours Vivant-Not Dead Yet au Québec, estime pour sa part qu’«entre autres, les personnes handicapées, les personnes âgées dépendantes des autres et les personnes vivant avec une dépression chronique, sont médicalement vulnérables. Interdir l'euthanasie est un moyen efficace de prévenir les abus à leur égard ». 

Le directeur exécutif de l'EPC, Alex Schadenberg, insiste par ailleurs : « Lorsque l'euthanasie est légale, des abus surviennent immanquablement. En Belgique, où l'euthanasie a été légalisée en 2002, une étude récente a révélé que 32% de tous les décès assistés ont été provoqués sans le consentement des patients. Or, les balises proposées par le projet de loi du gouvernement du Québec reflètent celles qui sont contenues dans la législation belge. » 

EPC exige que le gouvernement du Québec retire son projet de loi visant à légaliser l'euthanasie et qu’il s’engage à améliorer les soins de fin de vie et les soins offerts aux autres citoyens vulnérables. Le gouvernement du Québec doit continuer  à travailler à la prévention de la maltraitance des personnes âgées et de la maltraitance des personnes handicapées. 



Pour plus d'informations, veuillez contacter: 

Hugh Scher, Toronto, (français & anglais): 416-816-6115 ou hugh@sdlaw.ca
Alex Schadenberg, London, (anglais): 519-851-1434 ou info@epcc.ca
Amy Hasbrouck, Montreal, (français & anglais): 450-921-3057 ou tigrlily61@gmail.com


Quebec to introduce euthanasia legislation tomorrow Doctors in B.C. and across the country pledge to fight the bill


EPC - BC Media Release

For the first time, a provincial legislature will vote on whether to let doctors kill their patients.

On June 12, Quebec’s Public Health Minister Veronique Hivon plans to hold a press conference at 8:15 PST, and will likely announce euthanasia legislation.

Over 500 Quebec doctors are rallying against doctor-assisted suicide, and they’ve joined the Physicians Alliance for Total Refusal of Euthanasia Declaration (http://www.totalrefusal.blogspot.ca/p/the-physicians-alliance.html).
 
Vancouver GP Dr. Will Johnston is continuing to speak out. The organization he leads, the Euthanasia Prevention Coalition of B.C., was an intervener in the recent B.C. Supreme Court case involving Gloria Taylor.
“In the few international jurisdictions where doctor-assisted suicide has been legalized, it is rife with abuse,” said Dr. Johnston. “Vulnerable people, including seniors and people living with disabilities, have been killed without their consent. This is a public safety issue. When our loved ones go to a Canadian hospital that they are not steered toward suicide. This must never change."
Euthanasia is not legal anywhere in Canada. In 2010, MPs from across party lines voted against Bill C-384, which would have legalized euthanasia, and defeated it 228 to 59.

Dr. Will Johnston is available to speak with media.

Dr. Will Johnston
Chair, Euthanasia Prevention Coalition of B.C.

604-220-2042 (cell)

Tuesday, June 11, 2013

Euthanasia is not safe: Quebec introduces bill to legalize euthanasia.

Alex Schadenberg
By Alex Schadenberg, 
Executive Director & International Chair 
Euthanasia Prevention Coalition

The Quebec government introduced a bill, to legalize euthanasia through the back-door.

After two government reports and input from its citizens, Quebec is considering the legalization of euthanasia (not assisted suicide) as a form of medical treatment by establishing prosecution guidelines stating that euthanasia will not be prosecuted under certain circumstances.

Opposition to euthanasia is based on three main concerns.
1. No person, institution or government agency should be given the right or power to take the life of a human person. 
2. The power of one person, to cause the death of another person, will be abused. Human interaction often includes some level of abuse. In this circumstance the abuse results in the death of a human person. 
3. Discrimination exists towards identified groups of people or individuals. Legalizing euthanasia, for instance, threatens the lives of people with disabilities.
Euthanasia is an action or omission that directly and intentionally causes the death of another person, usually by lethal injection, based on eliminating suffering. Therefore, euthanasia is a form of homicide.

When analyzing data from several recent studies from Belgium and the Netherlands, where euthanasia has been legal since 2002, concerning facts emerge.

A study that was published in the CMAJ(June 2010) examining the responses to questionnaires by nurses regarding their experience with euthanasia in Belgium found that even though the Belgian euthanasia law does not permit nurses to assist death, 14 nurses admitted to doing so and two of those nurses admitted that they did it without consulting a physician. Clearly these acts are outside of the legal parameters of the Belgian euthanasia law. The data found that usually the patient was in the hospital and over the age of 80.

A second study that was published by the BMJ(Nov 2010) examining data by Belgian doctors to questionnaires, found that 47% of all assisted deaths were not reported. The data also indicated that the legal requirement to consult a second physician was only done 73% of the time when the assisted death was reported and only 12% of the time when the assisted death was not reported. Unreported assisted deaths usually involved patients who were in the hospital and over the age of 80.

A third study was published in the CMAJ(June 2010) examining the responses by doctors in the Flanders region of Belgium to questionnaires found that 32% of the assisted deaths were done without explicit request. This study found that 91% of these assisted deaths were done to people who were unable to request an assisted death. Usually the patient was in the hospital and over the age of 80.

This same study concluded assisted deaths in the Flanders region of Belgium that are done without explicit request: 
“fit the description of “vulnerable” patient groups at risk of life-ending without request.”
When considering the experience with assisted death in the Netherlands, the most recent analysis of the Netherlandseuthanasia law indicates that the number of unreported assisted deaths increased from 20% in 2005 to 23% in 2010, that the number of reported assisted deaths increased from 1923 in 2006 to 3136 in 2010 and on March 1, 2012, the Netherlands euthanasia lobby introduced mobile euthanasia teams in concert with their Amsterdam euthanasia clinic.

Without further analysis related to the opposition of the Council of Canadians with Disabilities to legalized euthanasia or concerns related to societal attitudes towards dying people when the law allows euthanasia, it is clear that legalizing euthanasia will result in the death of some people without request.

In September 1973, Dr. Balfour Mount, the father of palliative care in North America, began, in Montreal, to build a world renowned system of palliative care in Canada. Canada was known as a leader in the research and care of people with life-limiting conditions.
Canada needs to re-focus its effort on eliminating human suffering through caring means.
Killing is not healthcare. Killing is not caring.
The book, Exposing Vulnerable People to Euthanasia and Assisted Suicide uncovers data proving that unreported euthanasia deaths and the abuse of the euthanasia laws in jurisdictions, such as Belgium and the Netherlands, where it is legal, uncovers euthanasia deaths without request not only occur but represent a threat to vulnerable patient groups.  

Alex Schadenberg
Euthanasia Prevention Coalition
Email: info@epcc.ca, Phone: 1-877-439-3348

Providing Supports to Live with Dignity

The following article was written by Mark Pickup and published on his Human Life Matters blog under the title: Providing Supports To Live With Dignity.


Mark Pickup
Mark Pickup - June 10, 2013

In my little corner of the world (Alberta, Canada) there is a issue of government cutbacks to support services for people with severe disabilities that is currently raging. Disabled Albertans feel threatened -- and with good reason. Many of the support services that will be cut provide personal daily care that will directly impact  the ability of seriously disabled people to function and live in their communities and participate in society.



Heidi Janz
For instance, I know a highly educated woman with severe cerebral palsy. She has so much to offer the world but needs physical support services to do it. Her name is Heidi Janz. Recently, Dr. Janz wrote a letter to the Edmonton Journal newspaper articulating what a lose of flexible supports, tailored to her needs, will mean to her. She stated:
"...this flexible support has made it possible for me  to work as a professor at the University of Alberta, travel and speak at conferences and so on. The demise of this support service will, in effect, herald the end of my active career." 
Dr. Janz has so much to give to our community but she needs some help because of cerebral palsy. She's not asking for much and it's not much to provide when we consider that the benefits far outweigh the costs.


Support services to people with disabilities enables them to pursue careers, hold down jobs, go to school or volunteer in their communities. What will happen without proper levels of support? Dr. Janz states bluntly "We will again become isolated."

Is Dr. Janz exaggerating to make a point? I don't think so. People with disabilities in Canada have fought hard for more than three decades for the ideal of inclusion within society. Each gain has been hard-won. Getting flexible supports for daily living and home care are a critically important component to full inclusion and life with dignity.


For those of us who have fought against acceptance of assisted suicide -- falsely promoted as death with dignity -- we know that proper supports and care for people who are chronically ill or disabled are an important component in countering the superficial allure of the death with dignity mindset. 

Granted, there are many other aspects to living with dignity that touch on the emotional and spiritual components of the human condition ... but the practical side of life is important too. Support services may include assistance for dressing, eating, bathing, cleanliness and house-keeping, range of motion exercises, etc. Home care brings medical care to people in their homes.



What's happening to disabled people in my corner of the world is not unique. It's important that Life advocates everywhere help people with serious chronic illnesses and disabilities get and keep flexible and timely supports and care services. Make no mistake about it: It is an important part of successfully resisting euthanasia and assisted suicide pressures.

Life with dignity has many aspects. Life advocates must champion them all. Please work in your area to make sure they are in place.

MDP

Monday, June 10, 2013

Elder Abuse and Murder.

The following article was posted by Paul Russell, the leader and founder of HOPE Australia. Paul is also the Vice Chair of EPC - International.


Paul Russell
By Paul Russell, Hope Australia

This story form the Brisbane Times newspaper highlights the problem of Elder Abuse. As the article points out, the deceased was isolated in his community. It is not clear whether the son actually killed the father for his pension money or whether that was an after thought. But is is nonetheless a disturbing reminder of how Elder Abuse can actually include murder.

A Gold Coast man is expected to face court on Saturday charged with murdering his father for his pension money.

The alleged crime went undetected for 18 months, with police having no idea the 66-year-old was missing until they received a tip-off from the public last month.
It’s believed he was killed in November 2011.

Police arrested the man’s 22-year-old son on the Gold Coast on Friday and charged him with murder.

A 33-year-old man has also been arrested and charged with several offences including stealing from the victim.

He is expected to also face Southport Magistrates Court.

Police were scouring a suspected grave site near Oakey Creek Road at Coomera on the Gold Coast’s northern end on Friday.

Detective Senior Sergeant Paul Austin told reporters it appeared the victim had been stabbed on a houseboat he’d been living on in Coomera in November 2011.

He said the suspects had been using the dead man’s bank account to access his government pension.
‘‘The victim appears to have had few family or friends on the Gold Coast so his disappearance went unreported,’’ Det Austin said. 
‘‘The investigations reveal the victim suffered a violent assault culminating in his death.’’
The 22-year-old man has also been charged on an unrelated armed robbery of a 7-Eleven petrol station in Coomera last week.

Links to other recent articles concerning elder abuse:
Elder abuse caught on video: incident is not isolated.
Elder abuse and death by dehydration: A personal story.
Woman arrested for elder abuse in Oregon assisted suicide case.