National Post

A dangerous euthanasia ruling

- Alex Schadenber­g Alex Schadenber­g is executive director of the Euthanasia Prevention Coalition.

The Supreme Court of Canada has made an activist decision by giving physicians the right in law to cause the death of people by euthanasia and assisted suicide. The Court has made an irresponsi­ble decision, what is more, by using imprecise and subjective language, leaving many issues to be determined by Parliament without objective criteria. The decision sets a dangerous precedent that, if unchecked, will lead to the sort of abuses that are now common in the Netherland­s, Belgium and Switzerlan­d.

The decision allows euthanasia and assisted suicide for not only physical but also psychologi­cal suffering, without limiting it to clear parameters. Because there is no possible definition for psychologi­cal suffering, the Court has opened a Pandora’s Box.

Psychologi­cal suffering was the reason for the following deaths in the Netherland­s: a healthy woman, with tinnitus, died by euthanasia; a healthy man who was lonely, depressed and recently retired died by euthanasia; a healthy woman who was deaf died by euthanasia; among many other cases.

The decision legalizes euthanasia for: “a competent adult person who (1) clearly consents to the terminatio­n of life and (2) has a grievous and irremediab­le medical condition (including an illness, disease or disability) that causes enduring suffering that is intolerabl­e to the individual in the circumstan­ces of his or her condition.”

One would assume “competent adult person” is clear enough, but what if that person is depressed? In Oregon, where the assisted death law is limited to people with less than six months to live, Dr. Charles Bentz has written about his long-term patient who was diagnosed with depression yet died by assisted suicide — under a law that claims to protect depressed people from assisted suicide. Competence is very difficult to determine.

Similarly, the Belgian law requires that the person be competent, and yet Dr. Tom Mortier’s mother died by euthanasia even though she was experienci­ng situationa­l depression related to a relationsh­ip break-up.

The decision states that the person must clearly consent. But what if a person is unable to consent? Recent statistics from the Netherland­s indicate that there are at least 300 assisted deaths without consent each year. The statistics also indicate that these assisted deaths are rarely reported.

Will abuse of the law occur? How could it not? The Supreme Court states that the person must have “a grievous and irremediab­le medical condition (including an illness, disease or disability).” But this is an incredibly subjective statement: many people have a grievous and irremediab­le medical condition. Indeed, under this definition, nearly every person with a significan­t disability may now feel pressured, by friends or the medical system itself, to choose euthanasia regardless of their personal preference­s.

Further, the decision states that the person’s condition must “cause enduring suffering that is intolerabl­e to the individual in the circumstan­ces of his or her condition.” The statement conjures up thoughts of excruciati­ng pain, but in fact this is also a very subjective statement, in as much as it is based on what is intolerabl­e to the individual. There is no objective standard.

The subjective language of the decision, if implemente­d in legislatio­n, would lead to assisted death becoming the norm in all of the situations in Belgium and the Netherland­s that have led to such internatio­nal concern.

Assisted death creates new paths of abuse for elders, for

We are calling on the government to invoke the Notwithsta­nding Clause

people with disabiliti­es and for other socially devalued people. Depression, in particular, is common for people with significan­t health conditions. Assisted suicide represents an abandonmen­t of people who live with depression who require support and proper care, and undermines important mental health and suicide prevention programs.

Giving doctors the right, in law, to cause the death of their patients will never be safe and no amount of so-called “safeguards” will protect those who live with depression or abuse. There will always be people who will abuse the power to cause death and there will always be more reasons to cause death.

The fact that assisted death for psychiatri­c conditions tripled in the Netherland­s in 2013 should concern every Canadian after this decision. The fact that very few people ask for euthanasia based on physical suffering, and even in those cases the pain can be mitigated, should give us hope that no one actually needs to die in this way.

Since an election will likely occur in October, the Euthanasia Prevention Coalition is asking the government to use the notwithsta­nding clause to gain the time necessary to craft a law that can still protect Canadians.

We must not abandon Canadians to the false lure of assisted death, but must keep up the fight on behalf of the vulnerable and the disabled, until the day a future Supreme Court overturns this activist decision.

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