On Offer In Canada -- Death In A Hurry

"Canada is now noted as the fastest growing assisted dying program in the world."

"Although many participants [in MAID deaths] experienced respectful, caring and compassionate interactions with health-care professionals involved in the [Medical Assistance in Dying] process, others did not, adding to already stressful and intense emotional pain."

University of Alberta researchers

 

"It was just like a series of losses, right."

"You lose the ability to work. You lose the ability to play. You lose the ability to eat, to sleep, to do everything."

"So, the loss was already there."

"The final, the MAID, was just like the grand finale of the loss journey."

Relative of a MAID participant 

 

"My mom needed psychiatric help. My mom was a victim of a broken health-care system."

"My mom had been trying to see specialists for months and months and months [for a brain injury]. It got to the point she lost all hope."

"And so my mom ended her life because of desperation, not anything to do with dignity."

Transcribed research interview 

(Thomas Northcut/Getty Images)

 

A new study out of the University of Alberta and published in the  journal BMO Palliative Care, once again sheds light on the  experiences of families dealing with doctor-assisted death.  Some of the study's interviewees were satisfied with the care their loved one was given to the end of their life under Canada's Medical Assistance in Dying protocol, and many others complained that the process was too rushed, too impersonal and traumatic, not the least bit helped in facing cheerfully smiling assisted-suicide providers under the program.

 

The purpose of the law that came into effect in June of 2016, with strict parameters that had to be considered before consent would be given for MAID, was to  focus on the rights and autonomy of individuals to make the decision when their lives should be ended in a program envisioned as 'dying with dignity'. Death would have to be foreseeable in the near future, the result of all medical measures having been taken to deal with disease, injury and illness. 

 

In the years that followed, the law was amended to permit entry to the program of a greater number of people, those whose pain and misery failed to respond to medical intervention, whose quality of life was utterly abysmal and in their personal opinion, unlivable. Applications for MAID consideration would have to be made when an individual was of sound mind to be able to do so; relaxed rules allowed for applications to be honoured prior to an applicant's health descent to the point of no longer being in possession of their full mental awareness.

 

Two independent medical assessments must be made for those deemed eligible for MAID. An individual whose suffering cannot be medically ameliorated and who voluntarily makes application must also give a final assent on the day of the procedure, unless the use of an advance consent has been accepted. During the University of Alberta's researchers' outreach study, many families felt that family members should be involved in a profound decision of such a nature as voluntary life-cessation. 

"I got a phone call on June 1st from her family doctor that I had never met. She said, 'I'm sorry to inform you that your mother has passed away'."

"And I literally told the doctor, I said, 'No, no, no, you've got the wrong person, like you've called the wrong person."

Interviewee 

In another instance, despite having been denied assisted death through previous requests in Ontario, 26-year-old Kiano Vafaeian died by MAID in a Vancouver funeral home after experiencing vision loss from diabetes; his constant state of deep depression led him to seek an assisted death. When informed that her son was no longer living, his mother immediately thought this was someone's idea of a bad joke.

 

Between legalizing MAID in the Criminal Code in 2016 and December of 2024, there had been 76,475 MAID deaths reported in the country. That number is expected to rise to 100,000 by the summer of 2025.  

Euthanasia has now become the fifth leading cause of death in Canada. Another amendment to the MAID law is being deliberated on by a special joint parliamentary committee, to extend 'dignity with dying' to people whose only condition is that of a mental illness; to come into effect in March of 2027.

 

The study funded by Health Canada, saw researchers inviting families from British Columbia, Alberta, Saskatchewan, Ontario and Quebec to discuss their experiences -- in support of 35 Canadian family members who received Medical Assistance in Dying -- through one-on-one virtual interviews. The decision to apply for MAID in some instances could be triggered by "unmanageable or unbearable symptoms"; severe shortness of breath, or unmitigated pain.

 

Some were driven to seek out MAID fearing loss of personal agency, having to rely on others for bathing or toileting; even the possibility of having little option but to move into a nursing home. For some, lack of adequate home care led to the final decision. Hasty assessments, lack of deep discussions of alternative options and advice on how families  could help relieve distress "led to their loved ones choosing MAID sooner than they may have", concluded the researchers.

 

The observation was also made that on occasion a second assessor appeared to 'rubber stamp' the first assessor's eligibility agreement. Health issues rated concerns of not having been fully addressed. "Booking our MAID date was like booking a dinner reservation, So, it's just all very, very, very impersonal." The cheerfulness of one assessor was profoundly off-putting for another family. Although either a doctor or a nurse could perform the final MAID injection some families found it a struggle to find a willing provider.

 

"It was an absolutely brutal contradiction of trying to fight for somebody to be able to die when you don't want them to die", explained one family member. 

 

Dr. Cheryl Rowe a Toronto psychiatrist, says she believes patients have a right to die a dignified death. ”Who am I to say you’re suffering, it’s too bad, you just have to find a way to live like this?” Nick Lachance

"MAID policy is often framed as purely about autonomy. But health care has never treated autonomy as absolute."

"Most families are not asking for veto power. They are asking to share information, to be involved and to know that all safeguards and care options were meaningfully considered."

Dr. Ramona Coelho, family physician, member Office of the Chief Coroner MAID death review committee, Ontario