Trudo Lemmens Profile picture
Apr 10, 2020 8 tweets 3 min read Read on X
Excellent paper @aneeman re equality for people w #disability in context of #COVID19Pandemic triage: it requires more than rejecting irrational prejudice & more than focusing only on short-term survival @aodaalliance @CACL_ACIC @ARCHDisability thehastingscenter.org/when-it-comes-…
(2) "Should people with disabilities be penalized for impairments that may mean they require more resources to achieve the same result? Should hospitals be able to consider long-term survival? And if we accept short-term survival, do existing instruments need modifications...?"
(3) A public building is not just prohibited from posting a “No Wheelchair Users Allowed” sign–it is also required to ensure that a ramp is present. These are not acts of charity; rather, they are requirements to avoid discrimination under a civil rights law."
(4) "Disability rights law has a construct of discrimination that may require entities to expend more resources on certain people in order to afford them equal access"
(5) "By the same principle, disability rights law may require a hospital to afford individuals with an underlying disability in need of ventilator support extra time on a ventilator, without subjecting them to a lower priority to access scarce medical resources."
(6)"The consideration of long-term survival places people with disabilities at risk of impermissible denial of care based on the same stereotypes and assumptions that led to the rejection of categorical exclusions."
(7) "Instruments designed to evaluate short-term survival probability for typical patients may require reasonable modifications for people with underlying disabilities."

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More from @TrudoLemmens

Jun 12
I somehow missed that a group of MAiD-enthusiastic experts issues new 2023 guidelines for #OrganDonation post #MAiD #euthanasia. No wonder Canada is now also world champion on that macabre front. New recommendation is to approach all people for donation once MAiD is approved
It includes people not remotely dying, w years/decades of life left, who may be struggling w challenges of serious illness/disability, even when (inappropriately short) 90-day assessment period, intended to at least explore all other options, is not finished. Put that in context:
a person is lacking adequate support, wait time for care (which some providers see as making disease irremediable), gets MAiD approval, including for suffering caused by feeling a burden to others (as in about 40% of MAID cases in Canada). Transplant team comes in w offer:
Read 8 tweets
Mar 25
Considering the zeal by which some MAID providers glorify MAiD as a universal solution for 'suffering', we ought to be deeply deeply concerned by this judgment #euthanasia #maid cbc.ca/news/canada/ca…
Here is an example of the morbid fetishing of self-determination: "M.V.'s dignity and right to self-determination outweighs the important matters raised by W.V. and the harm that he will suffer in losing M.V." What about harm to M.V? 'Choice' outweighs harm from being killed...
Father says his daughter is "generally healthy and believes that her physical symptoms, to the extent that she has any, result from undiagnosed psychological conditions." Her only known diagnoses described in court earlier this month are autism and ADHD.
Read 5 tweets
Nov 30, 2022
Sign of growing discomfort with media exposure of serious problems w Canada's #MAID law/practice: @picardonhealth, MAID expansionist day 1, goes on all-out editorial defence MAID & government approach, with frankly extraordinary denial of any potential problem... 1/
2/ Some examples 1: Expert Panel on MAID Mental Illness, widely criticized for failing to impose any additional safeguards #mentalhealth (contrary to B & Nl, other liberal regimes), had 2 members resign in protest-- Picard: panel made “19 thoughtful recommendations”
3/ e.g. 2: Gov strongly criticized for not appealing lower court Quebec decision and caving in without defense of law broadly supported by parliament—Picard: law was “predictably struck down by court’
Read 11 tweets
Nov 22, 2022
Two remarkable admissions David Lametti re #MAID: 1."suicide generally is available to people. 2. [MAID helps people] who, for physical reasons and possibly mental reasons, can’t make that choice themselves & do it themselves" @althiaraj @TorontoStar thestar.com/politics/polit…
2/ Let that sink it: fed justice minister recognizes that choice is always there. BUT: government wants to facilitate suicide of those who would otherwise be saved by the fact that, fortunately, they often doubt and there is often a barrier to end one's own life...
3/ if this isn't a glorification and problematic simplification of suicide and MAID as a terrific & much needed solution to 'intolerable suffering' of disabled persons, incl persons w mental illness, which needs to be facilitated by the state, what is?
Read 4 tweets
Jan 21, 2022
Gov commissioned report shows serious challenges pandemic for p w #Disability "some people told her they were being encouraged to explore #MAID #euthanasia." And this was not going to happen w #BillC7, MPs & senators & DwD advocates claimed... 1/ kitchener.ctvnews.ca/it-makes-my-li…
3/ excerpt report
Read 4 tweets
Dec 8, 2020
L'association des medecins psychiatres de Quebec publishes paper “Access to medical assistance in dying for people with mental disorders”. Complex issue cannot be discussed fully. But timing no coincidence, so let's look at some deeply troubling issues (1) bit.ly/37Aqlxs
(2) Authors clearly know they feed into a process of Bill C-7 & endorse inclusion of MH; but Bill’s provisions DO NOT provide a reliable, safe basis for what even they recommend as minimal standards under which MAID for MD could be practiced
(3) 'in their view', as this is presuming that the reports’ recommendations are ethically sound/unproblematic, legally coherent, and evidence-based. Not so, imho. Let’s look at some components.
Read 31 tweets

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