{"id":78742,"date":"2022-12-18T05:00:34","date_gmt":"2022-12-18T10:00:34","guid":{"rendered":"https:\/\/quotulatiousness.ca\/blog\/?p=78742"},"modified":"2022-12-17T19:21:22","modified_gmt":"2022-12-18T00:21:22","slug":"euthanasia-canadian-style","status":"publish","type":"post","link":"https:\/\/quotulatiousness.ca\/blog\/2022\/12\/18\/euthanasia-canadian-style\/","title":{"rendered":"Euthanasia, Canadian-style"},"content":{"rendered":"<p>In the free-to-cheapskates portion of his <em>Weekly Dish<\/em>, <a href=\"https:\/\/andrewsullivan.substack.com\/p\/the-boomers-in-the-twilight-zone-1f6\" rel=\"noopener\" target=\"_blank\">Andrew Sullivan<\/a> considers the alarming growth of euthanasia in Canada:<\/p>\n<div id=\"attachment_55465\" style=\"width: 490px\" class=\"wp-caption alignright\"><a href=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-55465\" style=\"float:right; padding: 0px 0px 10px 25px\" src=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons-480x360.jpg\" alt=\"\" width=\"480\" height=\"360\" class=\"size-medium wp-image-55465\" srcset=\"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons-480x360.jpg 480w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons-150x113.jpg 150w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons-768x576.jpg 768w, https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2020\/03\/Toronto-General-Hospital-Wikimedia-Commons.jpg 800w\" sizes=\"auto, (max-width: 480px) 100vw, 480px\" \/><\/a><p id=\"caption-attachment-55465\" class=\"wp-caption-text\">Front view of Toronto General Hospital in 2005.<br \/>Photo via Wikimedia Commons.<\/p><\/div>\n<blockquote><p>I mention all this as critical background for debating policies around euthanasia or &#8220;assisted dying&#8221; (a phrase that feels morbidly destined to become &#8220;death-care&#8221;.) Oregon pioneered the practice in the US with the <em>Death with Dignity Act<\/em> in 1997. At the heart of its requirements is a diagnosis of six months to live. Following Oregon&#8217;s framework, nine other states and DC now have laws for assisted suicide. Public support for euthanasia has remained strong \u2014 72 percent in the latest Gallup.<\/p>\n<p>But this balance could easily get destabilized in the demographic traffic-jam to come. In 2016, euthanasia came to Canada \u2014 but it&#8217;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 &#8220;10,000 deaths by euthanasia last year, an increase of about a third from the previous year&#8221;. (That&#8217;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 &#8220;unbearable physical or mental suffering that cannot be relieved under conditions that patients consider acceptable&#8221;, and death had to be &#8220;reasonably foreseeable&#8221; \u2014 not a strict timeline as in Oregon. The law was later amended to allow for assisted suicide even if you are not <em>terminally<\/em> ill.<\/p>\n<p>More safeguards are now being stripped away:<\/p>\n<ul>\n<p><em>Gone is the &#8220;reasonably foreseeable&#8221; 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. &#8230; [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&#8217;s request for death to make sure coercion was not involved.<\/em><\/p>\n<\/ul>\n<p>This is less a slippery slope than a full-on, well-polished ice-rink.\u00a0Several disturbing cases have cropped up \u2014 of muddled individuals signing papers they really shouldn&#8217;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:<\/p>\n<ul>\n<p><em>In one recording obtained by the AP, the hospital&#8217;s director of ethics told [patient Roger Foley] that for him to remain in the hospital, it would cost &#8220;north of $1,500 a day&#8221;. Foley replied that mentioning fees felt like coercion and asked what plan there was for his long-term care. &#8220;Roger, this is not my show&#8221;, the ethicist responded. &#8220;My piece of this was to talk to you, (to see) if you had an interest in assisted dying.&#8221;<\/em><\/p>\n<\/ul>\n<p>It&#8217;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 <em>initiate<\/em> a discussion of costs and euthanasia in this context should, in my view, be a firing offense. <\/p>\n<p>Then this: in March, a Canadian will be able to request assistance in dying solely for <em>mental health<\/em> 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&#8217;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&#8217;s obviously not a hypothetical matter.<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>In the free-to-cheapskates portion of his Weekly Dish, Andrew Sullivan considers the alarming growth of euthanasia in Canada: I mention all this as critical background for debating policies around euthanasia or &#8220;assisted dying&#8221; (a phrase that feels morbidly destined to become &#8220;death-care&#8221;.) Oregon pioneered the practice in the US with the Death with Dignity Act [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":35193,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6,66,9],"tags":[496,906,696,162],"class_list":["post-78742","post","type-post","status-publish","format-standard","hentry","category-cancon","category-health-science","category-law","tag-euthanasia","tag-mentalhealth","tag-oregon","tag-socializedmedicine"],"jetpack_featured_media_url":"https:\/\/quotulatiousness.ca\/blog\/wp-content\/uploads\/2016\/06\/favicon.png","jetpack_shortlink":"https:\/\/wp.me\/p2hpV6-ku2","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/78742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/comments?post=78742"}],"version-history":[{"count":1,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/78742\/revisions"}],"predecessor-version":[{"id":78743,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/posts\/78742\/revisions\/78743"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/media\/35193"}],"wp:attachment":[{"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/media?parent=78742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/categories?post=78742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quotulatiousness.ca\/blog\/wp-json\/wp\/v2\/tags?post=78742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}