Alexander Raikin Profile picture
Sep 14, 2023 20 tweets 8 min read Read on X
Silencing whistleblowers. Laughing about sedating a patient into euthanasia. Expanding MAID to the vulnerable, homeless, and children, especially Indigenous children.

The next cover story for @NRO tries to answer: how did death care replace health care?

nationalreview.com/magazine/2023/…
@NRO Consider a 2021 seminar from the leading group of "MAID providers" in Canada, a group that is funded by the gov't to train clinicians nationwide.

"How would folks interpret someone who... [is] shouting, pulling their arm away as one tries to insert the IV to provide MAID?"
@NRO So what does the ethicist say? What did MacLean mean by "conversation and calmness"?

The answer is blunt: he administered hydromorphone, an opiate, in order to skirt the law around consent with euthanasia—and the advice is to consider doing it covertly.

In Canada. In 2021.
"Good."

No one in the panel, no one in the audience, objects. Welcome to the world of death care.

Patients with conditions never considered to be valid reasons to die are now being helped to die by willing physicians: hearing loss, autism, sexual exploitation by a psychiatrist Elsewhere, in every jurisdiction, the number of deaths at the hands of physicians or nurses is ballooning as safeguards are rescinded. Nearly a decade ago, the rapid increase of hastened deaths led a Dutch regulator in charge of oversight to plead for other countries to drop their plans for legalization. Too few listened. In California, the number of assisted suicides last year increased by more than 63 percent. In Canada, the number of deaths by euthanasia is on track to increase more than 13-fold in just the first seven years of the practice’s legalization. Belgium has seen a more than tw...
In every jurisdiction that legalized euthanasia, the number of deaths at the hands of physicians or nurses is ballooning as safeguards are rescinded.

Last year, the number of deaths in California increased by 63%. In Canada, over the last 7 years, there was a 1,300% (!) growth
Health care facilities in Australia and Canada that do not allow euthanasia on site are being defunded, threatened, and even nationalized.

Calvary Public Hospital in Canberra, a Catholic hospital, was forcibly acquired by the gov't: all because it refused death care in medicine A picture of Calvary Hospital with its iconic blue cross in the process of being taken down
Physicians in both countries are being censured, demoted, and forced to leave medicine for voicing their concerns.

A physician in Quebec was even targeted by his medical college... for his testimony to a parliamentary committee warning about the dangers of expanding MAID. Even when a complaint is false or frivolous, fighting it is not easy. Félix Pageau, a geriatrician practicing in Quebec, testified to a national parliamentary committee in Ottawa that in his opinion as a physician, based on research, Canada was not ready to expand MAID to advanced dementia. For this, he said, a colleague in his home hospital “filed a complaint to the Collège des médecins” saying he “lied” to the committee. The Collège decided to “open an inquiry, even though they don’t have jurisdiction over testimony at the federal [level] or in the Parliament.” The investigation became an...
This is all by design. The Canadian Association of MAiD Assessors and Providers discussed in their 2018 convention how their goal is to fundamentally change medicine—not just offer death care as an alternative option to those that want it.

They even tried to hide this document: A photo of CAMAP's 2nd annual conference report in 2018.
Palliative medicine is meant "to neither hasten nor delay death," precisely to reassure vulnerable patients—as everyone at end-of-life is—that their physician won't end their life (or smother them with a pillow, as happened in Belgium last year).

CAMAP's goal is to undo that: Question: The World Health Organization stated that palliative care will neither delay nor  hasten death. Can we not in Canada just accept that? And accept that in some  cases, it’s acceptable to hasten death?  Answer: In 2018, the answer is probably no, only because relationships still need to be built, skilled  providers need to be ensured on both sides, good work must be done, mutual respect must be given time to grow. However, over time, perhaps 10 years from now, I think this  conversation will happen again. If we push it now too hard and too fast, I think that will just  put more wedg...
Should only healthcare workers provide health care?

Well, someone at CAMAP even claimed that they are a veterinarian who is also a MAID provider.

No, I have no idea what this means either. Read it for yourself: Comment – I’m a MAiD provider but I’ve also done euthanasia for 15 years because I’m a  veterinarian. My humble suggestion to CAMAP is that you speak to veterinarians. I must make very emotionally charged decisions about magnificent creatures who cannot return to  the wild. I take that emotional baggage home and do not have a team. There are  differences, but there also are huge similarities. For example, we’re euthanizing beloved  family members, too. And we routinely and seamlessly talk to our patients’ owners about  palliative care and MAiD in the same breath. I think that we will eventu...
Moreover, CAMAP discussed a lot about providing MAID to vulnerable communities because of poverty.

Now remember: Justin Trudeau promised that no one will receive MAID “because you’re not getting the supports and cares that you actually need.” CAMAP denies it is happening Providing MAiD to Vulnerable, Indigenous, Homeless and Frail Elderly populations (panel)
@CharlieAngusNDP, you said there's no chance that MAID will be expanded to children.

But look how @CAMAPCanada in 2018 advocated to expand MAID to Indigenous children, to Indigenous people driven by poverty, and pushed against church-run homeless shelters

@BCANDS1
I have a First Nations patient who meets all the criteria for MAiD, but much of  their suffering is due to a life lived in poverty. If I could change their social  determinants of health, their situation might improve. How do I tackle this?  Composite answer - Trying to get their basic needs met is a good place to start and our first  duty of care. As soon as a patient tells me their suffering is enough, whether I like it, that is  their situation and that is their context. Let’s let it motivate us to try to change the system  whilst responding to their suffering.  I wanted to bring access ...
"In some Indigenous cultures, children are considered wise because they're closest to the ancestors."
Even a hypothetical patient with fixed delusions was considered potentially eligible because "it doesn't matter what he wants it for: You can request MAID due to psychological suffering and if that's what caused his changed state, it would be reasonable"

In 2018. Before Bill C-7 Case 3: Fixed delusions and lymphoma A 75-year-old man, a widower, has fixed delusions that are causing him severe suffering.  He has also been diagnosed with a high-risk follicular lymphoma but is refusing treatment.  He wants MAiD and has capacity. His children are supportive, however, his brother, a  Catholic priest, is not. Is he eligible for MAiD and does it matter what he wants it for? Points  raised by the audience included the following: • In this case, a very thorough before and after comparison would help to document  the potentially advanced state of decline due to fixed delusion...
CAMAP claims they're not an "advocacy organization." And yet they discussed how they needed to push through "politics" to get MAID-free spaces out of healthcare—which in Canada mostly means faith-based hospitals.

Instead, they described MAID as "sacred".
Do institutions have Charter rights? The Charter of Rights and Freedoms says that “everyone” has the right to freedom of  religion and conscience, but does “everyone” include institutions? Currently there is no  resolution for institutional refusals, however, there are two ways that could happen: • The government could act and pass legislation. However, the political will to speak  out against Catholic institutions around MAiD has not yet been forthcoming.  • The courts could resolve the issue. Although progress here is underway, there is still  one problem: the court process needs litigant...
I’d like to invite further conversation about the sacred dimension and how do we  find each families’ journey - how can we give more breathing room for that?  Spirituality is a very important component and has become a part of the conversation that  the social workers have with patients at The Ottawa Hospital.  Comment – A lesson learned for us was that when your intensivists come in to declare  death, they should be cognizant of what the MAiD provider and team put in to the  relationship with that family, and not take over. Please remember to try to keep the spirit of  MAiD intact, and not...
CAMAP, I should add, is also an organization that teaches how age alone "helps qualify for MAID", even though Quebec's monitoring agency claims that is illegal

"Advanced age and the problems associated with aging does not constitute a serious and incurable illness"
A few providers (and patients) believe age, example over 90, helps qualify for MAID: why? advanced state of decline in capability, and reasonably foreseeable death
Quebec's memo from the independent monitoring agency. I translated it above.
But the largest impact is not on physicians or hospitals. It's on people with disabilities, who as @mssinenomine told me, need "MAID-free" spaces to get health care.

When this doesn't happen, as I found out with 'Rachel' and 'James', it means that MAiD becomes the only option. Signs from disability orgs about why "you are important. you are valuable. your needs are important"
@mssinenomine Rachel told me that when she tried to call the suicide prevention hotline, she was told to visit Dying with Dignity's website.

Let me be clear: She tried to get help for thoughts of suicide, and instead she was being offered advice for how to die from assisted suicide.
@mssinenomine Rachel eventually managed to beat the odds and find a bed by showing up at CAMH’s ER, a mental health hospital that doesn’t allow MAID on site.

James isn’t so lucky. “I have diagnosed mental-health conditions and I can’t get treatment. I need therapy. My doctor asked me the other day, What do I need? I need therapy. I need a long-term relation- ship with someone. And she told me, she said, That’s impos- sible.” Instead, he was sent YouTube videos on how to do stretches. He chuckles. “I need actual health care,” James said. Eventually, he tells me, he’ll get death care instead.
@mssinenomine There is plenty more in this story. Read on here:

Thank you to @RameshPonnuru and the great editors and fact-checkers at @NRO for giving the proper attention to this storynationalreview.com/magazine/2023/…
@mssinenomine @RameshPonnuru @NRO And of course, it goes without saying, thank you to @tamaraberens for putting up with all of my euthanasia-related small talk at dinner parties now.

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More from @AlexanderRaikin

Sep 26, 2024
BREAKING: Here's a thread of the "significant announcement" by @InclusionCA @BCANDS1 and other Canadian disability organizations regarding an imminent "Charter challenge".

(for Americans tuning in, it's Canada's version of their Bill of Rights)

🧵 MEDIA ADVISORY     Disability rights organizations to make significant announcement     On Thursday, a coalition of disability rights organizations – including Inclusion Canada, Council of Canadians with Disabilities, Indigenous Disability Canada, and DisAbled Women's Network Canada – will make an important announcement regarding a Charter challenge.     When: Thursday, September 26, 2024, at 10 a.m. ET  Where: Terrace West Meeting Room, Chestnut Conference Centre, 89 Chestnut Street, Toronto, ON M5G 1R1 (across the street from the Ontario Superior Court of Justice)
@InclusionCA @BCANDS1 Krista Carr from @InclusionCA is speaking first:

"We are here today because of an appalling injustice happening in our country." She lists a list of disability organizations and two people with disabilities joining this Charter challenge.
@InclusionCA @BCANDS1 She argues that suicide prevention for some and suicide facilitation for others is wrong. People with disabilities are the only people who would qualify for non-terminal euthanasia.

"It is not just wrong. It is discriminatory and violates our most fundamental rights."
Read 20 tweets
Mar 21, 2023
Are there problems with Canada and its euthanasia program, the world's largest? Over 140 disability groups and three UN special rapporteurs say yes.

But the @Humanists_UK claims that's all "misinformation": no one died who wasn't supposed to die.

Only problem? It's just bs. 🧵 Accounting for all this, th...
@Humanists_UK should know better. They concede that "the facts surrounding some of the cases featured in the coverage are often hard to verify," leading to their analysis being "difficult to conduct".

That's by design. Police investigations in Canada have also been stonewalled  Alicia Duncan's testimony ...
Instead, by ignoring most of the evidence, the British humanists decided that "we don’t believe that anyone in Canada has had an assisted death who shouldn’t have been able to."

So if facts are intentionally obscured, no worries, that means they don't exist?
Read 13 tweets
Jan 29, 2023
SCOOP: The Alzheimer's Association promises that it is "committed to transparency" with its partners.

So why is it hiding its new partnership on "historically underserved communities" with America's leading assisted suicide lobby?

freebeacon.com/latest-news/al… "Our Commitment to Transparency:  With our broad partne
It's a bizarre match. The title of an op-ed by the CEO of Compassion & Choices called dementia "a fate worse than death".

After this article came out, Compassion & Choices quickly changed the title... but not everywhere. A Google search for  "A Fate Worse than Death" Op-ed on C&C's website describing "A Fate Worse than DeNow the title is "Living with advanced dementia"The original title on IllinoisTimes is "A fate worse th
I suspect the backpedaling won't stop there. The new partnership wasn't announced on the Alzheimer's Association's website.

Maybe the reason is that if you want to improve "end-of-life care" to Black Americans, you would partner with a palliative association, not a lobby group
Read 6 tweets
Jan 4, 2023
What I still can't understand about euthanasia in Canada is the reality of it.

Mary wants to live. "She has no other options"--in part because she's been maxing out her credit cards.
This is what MAiD providers in Canada heard in their own training seminar. This is the exact situation they said that doesn't exist.
CAMAP finally issued a press release right before Christmas. Want to know what they said? It's a doozy.

They said that "Health care colleagues in Canada and worldwide share the common values that are identified
in... the World Health Organization"

camapcanada.ca/wp-content/upl…
Read 12 tweets
Dec 22, 2022
Leon Kass in @firstthingsmag in 1996: "Physician-assisted suicide, once legal, will not stay confined to the terminally ill and mentally competent who freely and knowingly elect it for themselves. Requests will be engineered and choices manipulated
firstthings.com/article/1996/0…
@firstthingsmag by those who control the information, and, manipulation aside, many elderly and incurable people will experience a right to choose death as their duty to do so. Moreover, the vast majority of those who are said to “merit” “a humane and dignified death” do not fall in
this category and cannot request it for themselves. Persons with mental illness or Alzheimer’s disease, deformed infants, and retarded or dying children would thus be denied our new humane “aid-in-dying.” But not to worry.
Read 5 tweets
Dec 16, 2022
What's going on with Canada's MAiD program? Let's ask the physicians in charge.

This piece took a long time to report. I interviewed 50+ people. I went over two years of training seminars. And it turns out, MAiD in Canada is seriously flawed thenewatlantis.com/publications/n…
Stefanie Green is the president of CAMAP, Canada's leading organization of MAiD providers and assessors. She told me that no one is accessing MAiD because of a lack of housing--or poverty, or lack of medical care. Image
But her own organization presented multiple seminars on exactly that. In April and May of 2021, and April of 2022, CAMAP held seminars and panels on MAiD being provided because of a "lack of resources".
Read 11 tweets

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