Juno News - October 09, 2023


Has ‘death care’ replaced health care?


Episode Stats


Length

10 minutes

Words per minute

170.00807

Word count

1,826

Sentence count

95

Harmful content

Misogyny

2

sentences flagged

Hate speech

2

sentences flagged


Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

Dr. Alexander Raikin of the National Review joins me to talk about MAID, the controversial practice of providing medical assistance in dying (MAID) in Canada, and the lack of coverage of it in the mainstream media.

Transcript

Transcript generated with Whisper (turbo).
Misogyny classifications generated with MilaNLProc/bert-base-uncased-ear-misogyny .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Obviously, the death of free speech is incredibly important, but it is an issue that pales in
00:00:13.520 comparison to some of the very real and very mounting deaths that are taking place across
00:00:18.600 the country because of MAID, the euphemistic name for doctor-assisted suicide, which is
00:00:25.940 quickly making Canada a very unlikely and I would say unpleasant capital around the world,
00:00:32.060 even more than many places in Europe. And when you compare the Canadian story to
00:00:35.800 that of, say, California, it is particularly egregious that this has been something that
00:00:40.820 Canadians have embraced, except maybe not. The Canadian government seems to be putting
00:00:45.600 forward an approach on this that is incredibly liberal and incredibly open, but Canadians are 1.00
00:00:51.000 even generally socially progressive Canadians finding themselves a little bit uncomfortable
00:00:55.960 with the status quo, certainly as we move to further this liberalization by expanding assisted
00:01:02.260 dying to those who have solely mental illness, as we have stories of people whose issues are not
00:01:07.740 even medical in nature, but to do with housing or inequality or poverty. This was put under the
00:01:14.920 microscope in a fantastic, but I will also say chilling piece in the National Review by Alexander
00:01:21.620 Raikin, How Death Care Pushed Out Healthcare. Alexander joins me on the line now. It's good to talk to you.
00:01:28.760 Thanks so much for coming on today. It's a pleasure to be on. So, I mean, you've written about this in the
00:01:35.020 past and this is one of these issues. I mean, the Freedom Convoy was one, these internet regulations we were
00:01:41.020 talking about are one, but this issue is one that I'm getting people that I know from around the world
00:01:44.880 coming to me and saying, what's going on in your country? Is that similar to reaction you've seen
00:01:50.560 from National Review readers? Oh, 100%. I mean, the earlier speakers said that if you violate the
00:01:58.900 criminal code, you'll face repercussions. There's an exemption to it. If you're a physician in Canada
00:02:03.580 who provides medical assistance in dying, you don't face any repercussions for talking or even
00:02:11.360 violating the criminal code. So one of the cases that I talk about is a patient who was, it's a
00:02:18.340 group of physicians flippantly discussing sedating a patient into me. This would be unthinkable just a
00:02:26.760 couple years ago. And yet, no repercussions, no investigations, no apologies. And this is part of the
00:02:34.680 course of for how MAID functions in Canada.
00:02:39.240 One of the things and you touched on this, and I'm glad you did, because it's often missing from the story is
00:02:44.360 that there is the letter of the law and the letter of the regulations. And then there's the actual practice on the
00:02:50.040 ground. And it's long been established, even when MAID restrictions were fairly stringent in nature,
00:02:56.520 that there were situations where these rules were being bended, where capacity rules, eligibility rules
00:03:02.840 were. And if you keep that pattern in place, and you expand the regulations, it stands to reason that
00:03:09.080 it will become even more permissive as time goes on. Exactly. Every day in 2021, and I'm saying 2021,
00:03:17.480 because we're still waiting on the 2022 data. But every day in 2021, more than 29 Canadians died by
00:03:24.280 the hands of their physicians or nurses. That's double the official suicide rate. If we were talking
00:03:29.320 about any other group of people, if we were talking about any other people besides people with disabilities,
00:03:36.280 who were being impacted by this, this would be a national tragedy. And yet, I don't really see this
00:03:42.200 being recorded in mainstream media in Canada. No, and I'm kind of curious about this. And I'm not
00:03:48.680 second guessing your approach to publish it in an American outlet. But I'm wondering why you think
00:03:53.560 Canadian media has not been as interested to do this deep dive. That's a good question. I mean,
00:04:00.440 we definitely know that there is an element of bias in all of this. CBC, they had a pretty good
00:04:07.240 investigative report on the Fifth Estate that looked into all the ways that MAID was falling
00:04:13.160 short in Canada. And yet, unlike other Fifth Estate investigations, it was never pushed on CBC's
00:04:19.480 website. It was only on cable, which is pretty jarring. Now, like they have other reports that are
00:04:25.000 pushed to their online newspaper. And yet, with MAID, for some reason, editors decided not to do that.
00:04:34.680 And you can see this throughout the whole gamut of conversations around MAID.
00:04:40.360 One of the things that I found interesting was situating Canada in the global context,
00:04:45.080 because I used to, when this issue came up, look to the Netherlands and Switzerland, I think,
00:04:50.360 and be like, oh, although like, we're never going to... I don't know if I would have ever said we're
00:04:53.880 never going to be like that. But I certainly would have said we're far off from that. Whereas,
00:04:58.440 how would you actually, having done the research and the legwork, rank Canada against some of those
00:05:03.000 really permissive approaches to this in Europe?
00:05:06.920 Oh, I mean, we already have the largest and most permissive assisted suicide program in the world.
00:05:13.400 In the Netherlands and Belgium, they have additional safeguards where if a patient wants to apply
00:05:18.440 for euthanasia or assisted suicide, they have to at least try some acceptable level of medical
00:05:25.160 treatment first, right? This is a very commonsensical safeguard. In the Netherlands,
00:05:30.120 physicians would not push MAID onto patients. And yet we have stories of exactly that. In the
00:05:37.000 Netherlands, there were review processes. There are no such review processes in Canada.
00:05:41.640 So it's, I mean, we're already far ahead. I mean, just look at the numbers, right? Between, you know,
00:05:46.440 over a span of seven years, we're on track to have a 13 fold increase in the number of euthanasia and
00:05:52.440 the number of deaths from euthanasia. We have never seen that anywhere in the world.
00:05:56.600 Amanda Act, actually, Sean, if you could get that picture that I sent you from Amanda Actman in the
00:06:05.320 queue, I want to show that in a couple of moments here, because I'll ask you about where you think
00:06:11.480 this goes from here. Because I do feel like the government, when it loosened the restrictions and put
00:06:16.600 that change in place on the mental illness aspect, that was a turning point. And that was what moved this
00:06:24.040 from a lot of like into a territory where a lot of people were very uncomfortable this and even
00:06:30.120 people that you wouldn't call social conservatives or, or pro-life activists. Do you see that
00:06:34.600 continuing? Or do you think like anything else, people will talk about it for a couple of moments,
00:06:38.680 and then kind of forget about it and move on?
00:06:41.480 I don't think people are going to be able to forget about this or move on. I mean, just look at the
00:06:46.360 just look at the disability community, you have over 140, over 140 disability organizations
00:06:52.680 nationwide, saying that the latest expansion to MAID was a direct threat to their lives over 140.
00:06:59.320 You have the United Nations, several human rights experts at the United Nations condemning Canada
00:07:06.360 for expanding MAID to those who are not terminally ill. And even those who are terminally ill are dying at a
00:07:11.880 later stage than in other jurisdictions. So it's, it's pretty fascinating to think about this,
00:07:19.560 right? We had over again, over 140 disability organizations, pretty much every single major
00:07:24.440 disability organization in Canada, made a firm statement against MAID. You had another letter that
00:07:30.760 came out of earlier this year. And yet the reaction from Canadian media has been pretty abysmal. And the
00:07:39.080 reaction from the government has been even less. So I don't think that people are going to be able to
00:07:44.280 forget this or move on. But when we're talking about the massive normalization that certain lives
00:07:49.800 are not worth living. Amanda Actman, who's a pro-life advocate and speaker, I forget where she's based 1.00
00:07:57.800 now, she's moved around, she shared this image that I wanted to show you in the audience. This is an 88 year
00:08:04.280 old woman from Calgary named Christine Nagel, who, if you can make that out, had tattoo, never had a 0.97
00:08:10.600 tattoo in her life, but at 88 got tattooed on her arm. Don't euthanize me. And you can say it's a bit
00:08:16.920 cheeky and feisty. Sorry, she's 81, not 88. My apologies. You can say it's a bit cheeky and feisty. But
00:08:23.480 you know, at a certain point, there must be some people that genuinely live with a sense of fear
00:08:28.920 that their life will be ended when they're no longer in a position to say, I don't want this.
00:08:36.200 Right. I mean, the impact is not just on physicians who are being censored, and we can discuss that,
00:08:41.000 or hospitals that are effectively being defunded, because they're choosing healthcare over death
00:08:46.520 care. The largest impact is on patients, patients like Rachel, who I spoke to, and I talk about in my
00:08:53.960 piece. She's someone who is someone with disabilities. She has chronic disabilities.
00:08:58.840 She has a chronic pain condition. She has depression. And yet when she tried to get help
00:09:04.440 for her depression by calling suicide hotlines, she was instead being advised to look up Dying
00:09:11.000 with Dignity Canada. Like, think about what that means. You call it a suicide prevention hotline,
00:09:16.200 and instead you're getting recommended ways for you to die from assisted suicide.
00:09:22.120 And she said, and I'll read this quote, I've been afraid, you know, over those last couple of years
00:09:26.840 to go to just my local hospital, because I was afraid that if any doctor either brought up maid 0.91
00:09:31.800 themselves or met my kind of ambivalent desire for maid, all I needed was a push, and I'll be dead
00:09:37.000 right now. What she ended up needing to do was to purchase a bus ticket for an hour, like for an hour
00:09:43.800 and a half away. She had to go all the way to Toronto to CAMAGE, which is a mental health hospital,
00:09:48.280 the largest mental health hospital in Canada that does not allow maid on site in order for her to
00:09:55.160 attempt to get healthcare. And we know how broken the healthcare system is. So it doesn't seem to be
00:10:00.920 kind of a coincidence that you have the largest expansion of euthanasia ever seen in the world
00:10:07.000 in a voluntary euthanasia system happening at the same time that Canada's healthcare system is
00:10:11.720 disintegrating. Well, it's a very important story. And you've touched on Rachel's story and many
00:10:17.640 others in the feature you wrote for the National Review, which is in this month's issue and also
00:10:22.760 online, how death care pushed out healthcare. Alexander Raikin, very good work on this. And thank
00:10:28.520 you for coming on today. Thank you for having me on. Thanks for listening to the Andrew Lawton Show.
00:10:34.440 Support the program by donating to True North at www.tnc.news