Medical assistance in dying is legal in Canada, but only when strict conditions are clearly met
Warning: This article contains discussion of assisted dying, which some readers may find distressing.
An elderly woman who reportedly expressed doubts about assisted dying was euthanized, with allegations now suggesting the decision may have gone against her wishes.
The woman, who was in her 80s, had initially submitted a request to access MAiD services in Canada, short for Medical Assistance in Dying.
Assisted dying is legal in Canada, but only if patients meet strict eligibility requirements set out in federal law.
These conditions include making the decision freely without pressure, having a serious and incurable illness, being in an advanced and irreversible state of decline, and providing informed and ongoing consent.
According to an official report from the Chief Coroner of Ontario’s Medical Assistance in Dying Death Review Committee, the woman, referred to as Mrs. B, was experiencing complications following coronary bypass graft surgery.
After what the report described as a significant physical and functional decline, Mrs. B allegedly asked her family to look into the option of assisted dying.
Her spouse then contacted MAiD services, and a practitioner assessed her eligibility the following day.
However, the report stated that Mrs. B later said she wanted to withdraw her request, citing her personal and religious beliefs.
The report stated: "She communicated that pursuing in-patient palliative care/hospice care and palliative sedation was more in-keeping with her end-of-life goals."
At that time, her spouse was described as experiencing caregiver burnout, and a request for hospice care was submitted but later denied.
Following her spouse’s request, a second MAiD assessor was consulted, who reportedly objected to proceeding with assisted dying.
The report said: "This MAiD practitioner expressed concerns regarding the necessity for 'urgency' and shared belief for the need for more comprehensive evaluation, the seemingly drastic change in perspective of end-of-life goals, and the possibility of coercion or undue influence (i.e., due to caregiver burnout)."
This assessor asked to meet with Mrs. B the following day, but the request was denied, and instead a third assessor attended.
Mrs. B was later euthanized, despite allegations that she had told assessors she no longer wished to proceed.
Members of the Ontario MAiD Death Review Committee have since raised concerns that the process may have been rushed due to what they described as a short timeline.
These concerns were outlined in a report from the Office of the Chief Coroner and included issues such as the denial of hospice care, limited care alternatives, caregiver strain, consistency in Mrs. B’s request, and differing opinions among MAiD practitioners.
The report added: "Many members brought forward concerns of possible external coercion arising from the caregiver's experience of burnout and lack of access to palliative care in an in-patient or hospice setting."
One of the committee’s main concerns was that Mrs. B’s spouse appeared to be the primary driver in advocating for and navigating access to MAiD.
"Moreover, the MAiD assessments were completed with the spouse present," the report noted.
Assisted dying remains a deeply controversial issue, with supporters arguing it offers dignity and relief from suffering, while critics warn about weakened safeguards and the risk of vulnerable people being pressured into ending their lives.
For advice, support, and more information, you can contact Dignity in Dying via their website or email them at [email protected]. For more state resources, you can also contact End of Life Choices Oregon or Patient Choices Vermont.
Additionally, if you or someone you know is struggling or in crisis, help is available through Mental Health America. Call or text 988 to reach a 24-hour crisis center or you can webchat at 988lifeline.org. You can also reach the Crisis Text Line by texting MHA to 741741.
