Quotulatiousness

March 19, 2024

Canada’s new international role: the object lesson in failure and tyranny

Filed under: Cancon, Government, Media, Politics — Tags: , , , , , , — Nicholas @ 03:00

Tristin Hopper rounds up some of the foreign impressions of Canada’s descent into the west’s object lesson in what not to do in almost every area:

In just the last week, there have been two separate columns in British newspapers framing Canada as a model of what not to do.

Both were inspired by the tabling of Bill 63, the Liberals’ Online Harms Bill. The Spectator said that it effectively engendered the founding of a Canadian “thought police”. The Telegraph cited it as evidence that “Canada’s descent into tyranny is almost complete”.

This didn’t used to happen. It wasn’t too long ago that Canadian politics were famously inaccessible to the wider world. For Canada’s 2008 federal election, The Spectator covered it with a blog post that mostly mused on how nobody cared. “It’s curious that Canada receives almost no foreign coverage, even in Britain where there are, after all, plenty of people with Canadian relatives or connections,” it read.

But now – on topics ranging from assisted suicide to housing affordability to internet regulation – it’s not infrequent that Canada will be cited in foreign parliaments and in foreign media as the very model of a worst-case scenario.

It was just six months ago that The Telegraph scored a viral hit with a mini-documentary framing the political situation in Canada as a “warning to the West”.

“Under Justin Trudeau, Canada has sought to position itself as the global bastion of progressive politics,” reads a synopsis for the film Canada’s Woke Nightmare, which has garnered more than five million views.

The documentary notes that Canada is now at the absolute global vanguard of progressive issues including harm reduction, assisted suicide and gender ideology.

[…]

If the Online Harms Act is suddenly garnering headlines across the rest of the Anglosphere, it’s not because Canadian politics are inherently interesting to the wider world. Rather, it’s because Bill C-63 – just like any number of Trudeau policies before it – is proposing to do things that no other Western democracy has yet proposed.

While plenty of Canada’s peer countries have hate speech controls, Bill C-63 was able to raise even European eyebrows with life sentences for “advocating genocide”, and a provision for police to mandate house arrest merely on suspicion that a Canadian was likely to commit a hate crime.

The Wall Street Journal, for one, profiled the bill as a real-life example of the 2002 film Minority Report, which depicts a dystopian future in which citizens are jailed for “pre-crime”.

Or in the critical words of The Spectator, “this legislation authorises house arrest and electronic tagging for a person considered likely to commit a future crime … if that’s not establishing a thought police, I don’t know what is”.

December 18, 2022

Euthanasia, Canadian-style

Filed under: Cancon, Health, Law — Tags: , , , — Nicholas @ 05:00

In the free-to-cheapskates portion of his Weekly Dish, Andrew Sullivan considers the alarming growth of euthanasia in Canada:

Front view of Toronto General Hospital in 2005.
Photo via Wikimedia Commons.

I mention all this as critical background for debating policies around euthanasia or “assisted dying” (a phrase that feels morbidly destined to become “death-care”.) Oregon pioneered the practice in the US with the Death with Dignity Act in 1997. At the heart of its requirements is a diagnosis of six months to live. Following Oregon’s framework, nine other states and DC now have laws for assisted suicide. Public support for euthanasia has remained strong — 72 percent in the latest Gallup.

But this balance could easily get destabilized in the demographic traffic-jam to come. In 2016, euthanasia came to Canada — but it’s gone much, much further than the US. The Medical Assistance in Dying (or MAID) program is now booming and raising all kinds of red flags: there were “10,000 deaths by euthanasia last year, an increase of about a third from the previous year”. (That’s five times the rate of Oregon, which actually saw a drop in deaths last year.) To help bump yourself off in Canada, under the initial guidelines, there had to be “unbearable physical or mental suffering that cannot be relieved under conditions that patients consider acceptable”, and death had to be “reasonably foreseeable” — not a strict timeline as in Oregon. The law was later amended to allow for assisted suicide even if you are not terminally ill.

More safeguards are now being stripped away:

    Gone is the “reasonably foreseeable” death requirement, thus clearing the path of eligibility for disabled individuals who otherwise might have a lifetime to live. Gone, too, is the ten-day waiting requirement and the obligation to provide information on palliative-care options to all applicants. … [O]nly one [independent witness] is necessary now. Unlike in other countries where euthanasia is lawful, Canada does not even require an independent review of the applicant’s request for death to make sure coercion was not involved.

This is less a slippery slope than a full-on, well-polished ice-rink. Several disturbing cases have cropped up — of muddled individuals signing papers they really shouldn’t have with no close relatives consulted; others who simply could not afford the costs of survival with a challenging disease, or housing, and so chose death; people with severe illness being subtly encouraged to die in order to save money:

    In one recording obtained by the AP, the hospital’s director of ethics told [patient Roger Foley] that for him to remain in the hospital, it would cost “north of $1,500 a day”. Foley replied that mentioning fees felt like coercion and asked what plan there was for his long-term care. “Roger, this is not my show”, the ethicist responded. “My piece of this was to talk to you, (to see) if you had an interest in assisted dying.”

It’s hard to imagine a greater power-dynamic than that of a hospital doctor and a patient with a degenerative brain disorder. For any doctor to initiate a discussion of costs and euthanasia in this context should, in my view, be a firing offense.

Then this: in March, a Canadian will be able to request assistance in dying solely for mental health reasons. And the law will also be available to minors under the age of 18. Where to begin? How do we know that the request for suicide isn’t a function of the mental illness? And when the number of assisted suicides jumps by a third in one year, as it just did in Canada, it’s obviously not a hypothetical matter.

October 12, 2022

Medically assisted suicide in Canada

Filed under: Cancon, Health, Law — Tags: , , — Nicholas @ 05:00

In Common Sense, Rupa Subramanya discusses how quickly MAID (Medical Assistance in Death) became a commonality in Canada:

Toronto General Hospital in 2005.
Photo via Wikimedia Commons.

When we think of assisted suicide or euthanasia, we imagine a limited number of elderly people with late-stage cancer or advanced ALS in severe pain. The argument for helping them die is clear: Death is imminent. Why should they be forced to suffer?

In 2015, Canada’s Supreme Court ruled that assisted suicide was constitutional. In June 2016, Parliament passed Bill C-14, otherwise known as the Medical Assistance in Dying Act. MAiD was now the law of the land. Anyone who could show that their death was “reasonably foreseeable” was eligible. In this respect, Canada was hardly alone: The Netherlands, Switzerland, Belgium, Spain, Australia, and New Zealand, among others, allow assisted suicide. So do ten states in the U.S.

In 2017, the first full year in which MAiD, which is administered by provincial governments, was in operation, 2,838 people opted for assisted suicide, according to a government report. By 2021, that figure had jumped to 10,064 — accounting for more than 3 percent of all deaths in Canada that year.

There have been a total of 31,664 MAiD deaths and the large majority of those people were 65 to 80 when they died. In 2017, only 34 MAiD deaths were in the 18- to 45-year-old category. In 2018, that figure rose to at least 49. In 2019, it was 103; in 2020, 118; and in 2021, 139.

Today, thousands of people who could live for many years are applying — successfully — to kill themselves.

Indeed, in some Canadian provinces nearly 5 percent of deaths are MAiD deaths. In 2021, the province of Quebec reported that 4.7 percent of deaths in the province were due to MAiD; in British Columbia, the number was 4.8 percent. Progressive Vancouver Island is unofficially known as the “assisted-death capital of the world”, doctors told me.

Why the dramatic increase? Over the past few years, doctors have taken an increasingly liberal view when it comes to defining “reasonably foreseeable” death. Then, last year, the government amended the original legislation, stating that one could apply for MAiD even if one’s death were not reasonably foreseeable. This second track of applicants simply had to show that they had a condition that was “intolerable to them” and could not “be relieved under conditions that they consider acceptable”. This included applicants like Margaret Marsilla’s son, Kiano.

In 2023, those numbers are almost certain to rise.

Next March, the government is scheduled to expand the pool of eligible suicide-seekers to include the mentally ill and “mature minors”. According to Canada’s Department of Justice, parents are generally “entitled to make treatment decisions on their children’s behalf. The mature minor doctrine, however, allows children deemed sufficiently mature to make their own treatment decisions.” (The federal government does not define “mature”, nor does it specify who determines whether one is mature. On top of that, the doctrine varies from one province to another.)

Dr. Dawn Davies, a palliative care physician who supported MAiD when it was first conceived, said she had “tons of worries” about where this might lead. She could imagine kids with personality disorders or other mental health issues saying they wanted to die. “Some of them will mean it, some of them won’t,” she said. “And we won’t necessarily be able to discern who is who.”

Hugh Scher, an attorney advising Margaret Marsilla, told me: “While other countries have explored extending assisted suicide to minors, those governments have insisted on substantial safeguards, including parental notification and consent. Canada is poised to become the most permissive euthanasia regime in the world, including for minors and people with only psychiatric illness, having already removed the foreseeability of death or terminal illness as an essential condition to access euthanasia or assisted suicide.”

August 18, 2022

MAID in Canada

Filed under: Cancon, Health, Law — Tags: , , , — Nicholas @ 05:00

In The Critic, Ben Woodfinden discusses the maple-flavoured slippery slope we’re gaining speed on: what’s known as “Medical Assistance In Dying (MAID)”:

Toronto General Hospital in 2005.
Photo via Wikimedia Commons.

Canada is widely seen as one of the world’s most progressive nations in the world, “leading the way” (depending on where you stand) on a variety of social issues. But in recent months, Canada has been garnering some less than savoury international attention because of the dark side of one of its recent progressive accomplishments, namely the assisted suicide regime that has been created since the Supreme Court struck down prohibitions on assisted suicide in 2015. The tragic situation that has developed in Canada offers a warning to Britain and other countries considering going down a similar path, both to be cautious about opening the assisted suicide floodgates and about empowering judges to decide whether such things should be allowed.

When Canada’s enlightened judicial philsopher kings and queens overturned criminal prohibitions on assisted suicide in Carter v. Canada, they overturned their own precedent. In 1993 a majority of the Supreme Court found that the criminal code provisions that prohibited assisted suicide did not ultimately violate the Canadian Charter. In 2015 the Court changed its mind. The law didn’t change, of course, but the court decided that “the matrix of legislative and social facts” surrounding the case had changed. Thus the interpretation of constitutional rights must change with them.

Plenty of the same people who were outraged that the United States Supreme Court would overturn precedent on seminal abortion decisions, seemingly had no problem with the overturning of precedent in this Canadian case. This is because implicit in the view of rights and judicial review that many progressives hold, is that it is perfectly acceptable to overturn precedent in the name of expanding or establishing some newly discovered right — but once this is done, the debate is settled and there can be no reasonable dissent or change of heart. History, it seems, only marches in one direction.

An important part of the Carter decision, where the court determined that relevant social facts had changed, was essentially a blithe dismissal of exactly what has come to pass in Canada less than a decade after the decision. The court rejected the concern that once assisted suicide was allowed in some rare cases, there would be a “slippery slope” from helping terminally ill people end their lives, to a system in which vulnerable people like the disabled were caught in a euthanising net.

Evidence presented in the case by a medical expert from Belgium that this might be possible, was dismissed by the court because “the permissive regime in Belgium is the product of a very different medico-legal culture”. Unlike those barbaric Belgians, enlightened Canada could avoid sliding down this slippery slope in which safeguards are easily gotten around. They would avoid the creeping expansion of eligibility by setting up a “carefully regulated scheme” that would keep its application narrow and exceptional.

Spoiler: No. No, we didn’t.

May 7, 2022

Death MAID easy, Canadian style

Filed under: Cancon, Health — Tags: , , — Nicholas @ 05:00

It’s quite surprising how quickly Canada moved from societal rejection of the idea of euthanasia to today’s situation where people are requesting euthanasia to escape dismal economic circumstances:

Front view of Toronto General Hospital in 2005. The new wing, as shown in the photograph, was completed in 2002.
Photo via Wikimedia Commons.

Canada refers to “euthanasia” and “assisted suicide” by the friendlier-sounding term of “medical assistance in dying” (MAID). The MAID programme was first introduced to end the suffering of terminally ill people, but its mission creep is now undeniable.

Denise (not her real name), a 31-year-old Toronto woman who uses a wheelchair, is nearing final approval for a medically assisted death. She only applied after her many attempts to move from her apartment, which she says worsens her severe sensitivities to household chemicals, all failed. She told Canada’s CTV News earlier this week that she was “relieved and elated” by the likelihood of the approval. “I was scared that they weren’t going to say yes.”

To get approval for her assisted death, Denise has consulted with a psychiatrist, who deemed her competent to make the decision, and a doctor who reviewed her medical history. Another doctor asked her to finalise her documents, including a power of attorney and a do-not-resuscitate order, and to make funeral arrangements. Denise has also asked doctors to waive the usual 90-day waiting period for those who are on “Track 2” of the assisted-dying programme – meaning that they are not imminently dying. She is likely to get her wish.

Hers is far from an isolated case. Sophia (also not her real name), a 51-year-old Ontario woman, who suffered from the same severe sensitivities to chemicals as Denise, was euthanised back in February, after she could not find affordable housing free of cigarette smoke and chemical cleaners. Four doctors wrote to federal government officials on her behalf, urging them to offer alternative accommodation. “The government sees me as expendable trash, a complainer, useless and a pain in the ass”, Sophia said in a video filmed eight days before her death.

In British Columbia, police are investigating the case of 61-year-old Donna Duncan, who was euthanised despite her daughters’ objections that she lacked the mental capacity to make such a decision. This was following months of physical and mental decline that began with a concussion caused by a car crash. Her family says her condition was made worse because she was unable to access proper treatment, due to months-long waiting lists. “It’s unacceptable – it took a year to get treatment but it could only take four days to die”, her daughter said.

Shockingly, many Canadians are now requesting a medically assisted death for economic rather than medical reasons. As one woman put it: “An increase [in income support] is the only thing that could save my life. I have no other reason to want to apply for assisted suicide, other than I simply cannot afford to keep on living.”

May 14, 2017

Euthanised For The EU – that’ll reverse the Brexit vote for sure…

Filed under: Britain, Europe, Politics — Tags: , , — Nicholas @ 03:00

On Facebook, Brendan O’Neill responds to an article in the Independent, calling for elderly pro-Brexit voters to just die already:

Ian McEwan says the death of ageing voters, “angry old men”, will help swing Britain back to being pro-EU. Maybe we should hurry them along? Start a “Die for Britain” scheme, where old anti-Brussels bastards could sign up to have themselves put down? Make them feel so guilty for having plunged Britain and their grandchildren’s futures into uncertainty that they will lose the will to live, or certainly to vote? Initiate a cleansing of the demos, giving over-65s the option to croak it for the sake of their grandkids’ right to study in France for six weeks? Create a Euthanised For The EU scheme? We could call it EU-thanasia, perhaps get funding for it from Brussels.

I think we sometimes fail to grasp how nasty elite Remainers are. How misanthropic, anti-old, anti-working-class and of course anti-democratic they can be. Openly fantasising about old people dying is the first step towards helping old people die. It tells old people they are scum and Britain would be better off without them. Just imagine how that makes them feel. The elitist anti-Brexit outlook is the ugliest strain in British politics right now, and the ugliest I can remember in my lifetime.

January 10, 2017

“The very concept of a moral absolute […] is alien to them”

Filed under: Cancon, Health, Law, Politics, Religion — Tags: , , — Nicholas @ 02:00

David Warren calls for moral and ethical resistance against “assisted dying” being accepted in society:

Through the casual review of polls, over the years, I have become aware that the general public can itself be moved from approximately 80/20 to approximately 20/80 (four fingers and a thumb to four thumbs and a finger) by any specious argument, if it is repeated constantly, and the Left are able to impose a fait accompli through the courts. Among intellectuals, the swings may be wider and quicker. They are not pendular, however, for once various civilized taboo lines have been crossed, there is no inevitable return, and the only way back is through a field of carnage.

Today, unlike “yesterday” (i.e. a few short years ago) there is 80 percent support for what goes in Canada under the euphemism “assisted dying,” and everywhere under the older euphemism, “euthanasia.” As loyal Christians (or Jews, and many others) we must never surrender to public opinion of this kind. Yet we must recognize that it is pointless to argue with the great mass who, in Canada as in places like Nazi Germany, can so easily be persuaded that down is up, and that words now have new meanings. They simply haven’t the equipment to follow a thread longer than the short slogans in which progressives specialize. Not if their moral schooling was defective, leaving consciences deformed.

People can be “educated” or “catechized” or awakened only one by one, and with their own participation. There is always hope, for as Thomas Sowell says, though everyone is born ignorant, not everyone is born stupid. But in practice, they are retrieved from catastrophic error, only by catastrophe.

At this point in our societal degeneration, “the people” are obedient to what beloved Benedict XVI called the “dictatorship of relativism.” This is understandable because few were raised in anything else. The very concept of a moral absolute (e.g. “thou shalt do no murder”) is alien to them. At the gut level, they may still individually recoil against an evil, but only if they have watched, and found the spectacle “icky.”

April 8, 2014

Choosing when to die

Filed under: Europe, Health, Liberty — Tags: , , — Nicholas @ 06:52

Colby Cosh discusses the latest Swiss innovation to come to the tabloid newspapers’ attention:

Five or six times I must have read the story about the relatively healthy little old English lady who killed herself rather than struggle on through the “digital age”, and I still cannot quite think what to make of it. Surely there is something noble about leaving life on what are as nearly as possible one’s own terms, with some strength left, after a full, long, largely happy existence.

Unlike a lot of self-described “environmentalists”, she clearly believed the Malthusian script and took the recommended action: “The environmentalist was also worried about the damage being wrought on the planet by overcrowding and pollution.” If she was that worried about poor old Mother Earth, one might wonder why she took so long to take her leave of it.

I suppose Dignitas does its best to make sure oldies aren’t being urged to suicide by impatient heirs, but surely there is only so much the staff can do, and it is in their interest to do as little as possible. It is certainly easy to imagine ethically dubious ways of encouraging the irritability of a cranky, inconvenient old person. Oo, hardly worth the trouble of gettin’ out of bed in the morning, is it, gran? Oh, dear, are your lungs givin’ you a hard time again? Tsk, must make you want to chuck it all in sometimes. If you are a person of British descent, you take in a certain amount of this glum, boggy attitude with every meal anyway. It comes naturally.

And there is my only real concern about institutionalizing the right to die … that it will encourage a certain haste: not among the elderly or afflicted, but among their caregivers, descendents, and prospective legatees. I think you should have the right to decide when to die, but it is a situation that offers the unscrupulous and unprincipled a quicker route to impose their desires on others.

But who is ready to have the government issue packets of Nembutal every five years with Canada Pension Plan cheques? Whatever solution we decide on for the convenience of the legitimately ailing or hopeless, I want the doctors — who, after all, belong to a profession that cannot seem to stop prescribing useless antibiotics for upper respiratory infections — to have as little to do with it as possible. Physicians are not saints, and they will follow the “easier for me” heuristic, like other primates, if non-negotiable aspects of their duty are thrown open to fiddling. “Do no harm” has been at the top of the list for 2,400 years, and, please, keep in mind, it took them 2,200 of those to give up therapeutic bloodletting.

Exactly.

January 21, 2014

Euthanasia on TV and in real life

Filed under: Health, Liberty, Media — Tags: , , , — Nicholas @ 12:10

It’s been many years since I watched an episode of Coronation Street, so I was a bit surprised to find that the show’s writers are “political”, at least on some issues:

Many a soap-opera storyline has created a news story in itself. So it was in the case of Hayley Cropper, a character on a British soap, Coronation Street. News of what happens to Hayley, in an episode to be shown tonight, created a furore when the press release for the story went out last Tuesday. The dilemma for the writers was how to kill off a character who had been a mainstay of the programme since 1998, when she was introduced as the first transsexual character. The answer, provided by producer Stuart Blackburn, was to have the character dying of pancreatic cancer, but finishing herself off with a cocktail of drugs in an on-screen suicide.

Julie Hesmondhalgh, the actor who plays Hayley, called for a discussion on legalising assisted suicide. She was backed by Sara Wootton, chief executive of Dignity in Dying, who praised the show’s ‘sensible and sensitive handling of assisted dying’. Lord Falconer, whose Assisted Dying Bill will be introduced in the House of Lords in the coming months, penned an article in the Sun. The Sun’s editorial called for a change in the law and the newspaper published the results of a poll indicating that 69 per cent of Britons support the legalisation of assisted suicide for the terminally ill.

[…]

It is difficult not to suspect – despite the even-handedness of the treatment of the issue (the character’s on-screen husband, Roy Cropper, opposes Hayley’s decision) – that the programme is part of the well-funded campaign to legalise assisted suicide. Stuart Blackburn had previously explored the same issue while at a rival soap, Emmerdale. (He perhaps risks becoming the Jack Kevorkian of the soap world.) Hesmondhalgh was forthright about her support for a change in the law in several interviews, and many journalists seem poised to call again for the legalisation of assisted suicide.

But it is entirely appropriate that a fictional plotline is used to promote legalising assisted suicide. The reason that so many people wish to have the ‘right to die’ is based on the morbid imagination of the ‘worried well’, traded on so effectively by right-to-die campaigners. ‘What if it happened to YOU…?’ is the plotline of Dignity in Dying and other organisations that campaign for legalised assisted suicide.

There are arguments on both sides of this issue (personally, I’m in favour of making it legal), but there are concerns that less-than-scrupulous family members might attempt to “hurry” an elderly or infirm parent or relative to a decision that wouldn’t really be voluntary.

It’s also an issue that came up this weekend, as one of my online acquaintances (we’d never met in person, but we both belonged to a special interest mailing list and had had several email discussions) committed suicide with his wife last week. Maarten and Irma apparently faced an unpleasant future in their declining years and mutually decided that their time had come. While euthanasia is legal in the Netherlands, it does not seem that Maarten and Irma followed the letter of the law in their case:

Euthanasia in the Netherlands is regulated by the “Termination of Life on Request and Assisted Suicide (Review Procedures) Act” from 2002. It states that euthanasia and physician-assisted suicide are not punishable if the attending physician acts in accordance with criteria of due care. These criteria concern the patient’s request, the patient’s suffering (unbearable and hopeless), the information provided to the patient, the presence of reasonable alternatives, consultation of another physician and the applied method of ending life. To demonstrate their compliance, the Act requires physicians to report euthanasia to a review committee.

The family is, understandably, not providing a lot of detail but said that they were found in bed, hand in hand and “together, peaceful and loving” but did not specify how they had died.

Becoming dependent on whomever or whatever, or seeing your partner slowly fading away, are situations we do not ever want to contemplate, therefore we have, in good health, clear of mind, together 150 years old, in our own bed, hand in hand, ended our lives.

At risk of sounding trite, I’m saddened that they chose to do this, but I respect their right to make that decision. It cannot have been an easy one. Rest in peace.

June 11, 2011

PTerry plans his own end, in his own time

Filed under: Britain, Liberty, Media — Tags: , — Nicholas @ 12:02

Short of a miracle cure for Alzheimer’s, Terry Pratchett outlines how he plans to commit suicide:

Terry Pratchett, a 62-year-old British writer of comic fantasy novels who was diagnosed with Alzheimer’s in 2007, says he intends to commit suicide, sitting in a lawn chair outside his country home, listening to the classical church music of Thomas Tallis on his iPod, with a glass of brandy in one hand and a potion of life-ending pills in the other.

“Perhaps, a second brandy, if there is time,” the euthanasia and assisted-suicide advocate quips.

“And since this is England, I had better add, ‘If wet, in the library.’ ”

On Monday, Mr. Pratchett will play host to a real-life suicide when BBC2 television airs a controversial documentary in which he helps a 71-year-old man with motor neurone disease kill himself in Switzerland.

February 23, 2010

BBC accused of bias in euthanasia debate

Filed under: Britain, Health, Liberty, Media — Tags: , , , , , — Nicholas @ 13:00

The BBC’s decision to broadcast Terry Pratchett’s speech on euthanasia tribunals is cited as evidence that the corporation is acting as an advocate on this highly emotional issue:

The Care Not Killing Alliance accused the BBC of flouting impartiality rules and adopting a “campaigning stance” in an attempt to step up pressure on the Government to legalise assisted suicide.

The decision to broadcast Sir Terry Pratchett’s speech advocating “euthanasia tribunals” in full earlier this month was an example of unbalanced reporting, the alliance claimed.

Lord Carlile, chairman of the alliance and the Government’s independent reviewer of terror legislation, has demanded a meeting with BBC bosses to seek answers over the “biased” coverage.

In a letter to Sir Michael Lyons, the chairman of the BBC trust, the Liberal Democrat peer also raised questions over the corporation’s failure to inform police that a veteran presenter had confessed to killing his lover on one of its programmes.

H/T to Elizabeth for the link.

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