World
Takeaways from AP's report on euthanasia, doctors and ethics in Canada
TORONTO (AP) — Canada has arguably the world’s most permissive system of euthanasia — the practice of doctors and nurse practitioners killing patients with an injection of drugs at their request. Canada allows euthanasia for people who aren’t terminally ill but are suffering unmanageable pain.
As Canada pushes to expand euthanasia and more countries move to legalize it, health care workers here are grappling with requests from people whose pain might be alleviated by money, adequate housing or social connections. And internal data obtained exclusively by The Associated Press from Canada’s most populous province suggest a significant number of people euthanized when they are in unmanageable pain but not about to die live in Ontario’s poorest areas.
Here’s a look at the main takeaways from an AP investigation into euthanasia in Canada, commonly known there as medical assistance in dying, or MAiD.
Some doctors fear providing euthanasia, even in legal cases
Canada allows euthanasia for people with “irremediable suffering” from serious but nonfatal medical conditions and disabilities.
After euthanasia was legalized in 2016, doctors and nurses set up email discussion groups as confidential forums to discuss potentially troubling cases, with limited patient details. They’re now run by the Canadian Association of MAiD Assessors and Providers, an educational and research organization.
Dozens of messages provided to the AP by a participant in the forums — on condition of anonymity, due to the confidential nature of the messages and cases — show a fraught process where medical professionals test the limits of what conditions warrant euthanasia.
In one case, a middle-aged worker whose ankle and back injuries made him unable to resume his previous job told his doctor the government’s measly support was “leaving (him) with no choice but to pursue MAiD.” His doctor told forum participants the patient met legal criteria, with severe pain, strained social relationships and inability to work.
Others agreed, but the doctor hesitated because the man cited reduced government payments as a key factor — and the doctor noted fear of being portrayed in the media as having euthanized someone “in a case where services were inadequate.”
Case of homeless people spark debate
Cases of homelessness appear regularly on the private forums.
One doctor wrote that although his patient had a serious lung disease, his suffering was “mostly because he is homeless, in debt and cannot tolerate the idea of (long-term care) of any kind.” A respondent questioned whether the fear of living in a nursing home was truly intolerable. Another said the prospect of “looking at the wall or ceiling waiting to be fed … to have diapers changed” was sufficiently painful.
One provider said any suggestion they should provide patients with better housing options before offering euthanasia “seems simply unrealistic and hence, cruel,” amid a national housing crisis.
Data suggest marginalized people are affected
Government officials have largely refuted the idea that socially disadvantaged people are being euthanized.
But in Ontario, more than three-quarters of people euthanized when their death wasn’t imminent required disability support before their death in 2023, according to data from a slideshow presentation by the province’s chief coroner, shared with AP by both a researcher and a doctor on condition of anonymity due to its sensitive nature.
Of people killed when they weren’t terminally ill, nearly 29% lived in the poorest parts of Ontario, compared with 20% of the province’s general population living in the most deprived communities, the data show.
The figures suggest poverty may be a factor in Canada’s nonterminal euthanasia cases.
But Dr. Dirk Huyer, Ontario’s chief coroner, told AP that the data was only an early analysis and “it’s tough to know exactly what it means,” saying that his job was only to present the statistics.
Poverty doesn’t appear to disproportionately affect patients with terminal diseases who are euthanized, according to the leaked data. Experts say no other country with legal euthanasia has seen a marked number of deaths in impoverished people.
Overall for Ontario, the data show, nonterminal patients account for a small portion of all euthanasia cases: 116 of 4,528 deaths last year. But the presentation and discussion among Ontario officials and medical professionals show rising awareness of euthanasia deaths for social reasons.
Privately, officials admit concern
Canadian officials have examined worrisome cases that haven’t been publicly disclosed.
A document from the Ministry of the Solicitor General in Ontario sent to all euthanasia providers in the province in May noted two cases of “lessons learned” in nonterminal cases. The document was shared with AP by a doctor on condition of anonymity because it wasn’t authorized for release.
In one, a 74-year-old patient who’d suffered blood pressure, a stroke and blindness was increasingly dependent on their spouse. The patient told their doctor they were interested in euthanasia, citing deteriorating vision loss and quality of life.
Among other issues identified, officials wrote the patient’s euthanasia was scheduled “based on the spouse’s preference of timing” and questioned whether “the patient’s death was genuinely voluntary.”
Canada pushes boundaries
Theo Boer, professor of health care ethics at Groningen University in the Netherlands, said that unlike other countries with legal euthanasia, Canada appears to be providing it for social reasons in some cases.
“That may be what Canadians want, but they would still benefit from some honest self-reflection about what is going on,” he said.
Some of that reflection is happening in the confidential providers’ forums. They’ve debated whether it’s valid to euthanize people for obesity in several cases. They’ve also beem divided over ending the lives of people in mourning.
Canada’s government said it legalized euthanasia to reduce suffering and support individual autonomy — and polls have consistently shown public approval.
But its laws are now being challenged on all sides. The advocacy group Dying with Dignity filed an August lawsuit in Ontario, alleging it’s “discriminatory” to exclude mentally ill people from euthanasia. Meanwhile, a coalition of disability-rights organizations in another lawsuit argued that euthanasia legislation has resulted in the premature deaths of people with disabilities.
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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. This story also was supported by funding from a Pulitzer Traveling Fellowship grant. The AP is solely responsible for all content.

World
Walz calls Trump a 'tyrant' who is trampling Americans' rights and violating the rule of law
Democratic Gov. Tim Walz of Minnesota assailed Donald Trump in a law school graduation speech Saturday, accusing the Republican president of creating a national emergency by repeatedly violating the rule of law.
Walz, the vice presidential nominee in 2024, used his remarks at the University of Minnesota’s law school commencement ceremony to call on graduates to stand up to abuses of power. Lawyers, he said, “our first and last line of defense.”
“Right now, more than any other time in my lifetime, we need you to live up to the oath that you’re about to make. Because, I have to be honest with you: You are graduating into a genuine emergency,” Walz told the crowd, which greeted him with loud applause. “Every single day, the president of the United States finds new ways to trample rights and undermine the rule of law.”
Walz pointed to Trump’s immigration crackdown, which includes deporting alleged gang members to a notorious prison in El Salvador without due process, and the offer of a gifted jet from the Qatari ruling family to the president.
“This is what the crumbling of rule of law looks like in real time. And it’s exactly what the founders of this nation feared: A tyrant, abusing power to persecute scapegoats and enemies,” he said.
Since Kamala Harris’ loss to Trump in November, Democrats have been debating which direction to take the party amid deep frustrations from Democratic voters that its leaders are failing to do enough to check the new administration.
Walz is among a long list of potential 2028 candidates who have been traveling to early voting states.
Others include Illinois Gov. JB Pritzker, who sharply criticized “do-nothing” Democrats last month for failing to oppose Trump. Pritzker, who is scheduled to headline a Minnesota Democratic dinner in June, drew attention in February when he used part of his joint budget and State of the State address to draw a parallel between Trump’s rhetoric and the rise of Nazi Germany.
This past week, President Joe Biden’s transportation secretary, Pete Buttigieg, returned to Iowa for a town hall where he criticized Trump’s administration while demanding that Democrats make their agenda clear and reach out to people who disagree with them.
California Gov. Gavin Newsom has been hosting a high-profile podcast. Vermont Sen. Bernie Sanders and New York Rep. Alexandria Ocasio-Cortez have been drawing huge crowds to rallies across the country. Walz and Gov. Wes Moore of Maryland have scheduled stops in South Carolina at the end of May.
In his commencement speech, Walz acknowledged his words were particularly pointed for a celebratory ceremony.
“Some would say, ’Boy, this is getting way too political for a commencement address.’ But I would argue: I wouldn’t be honoring my oath if I didn’t address this head on,” he said to applause and cheers.
Later, he scoffed at some Democrats who have urged the party to focus on issues such as trade, where Trump is polling badly, instead of the rule of law.
He also attacked “feckless” and “cowardly” big law firms that have acquiesced to Trump in the face of threats, with some offering millions in pro bono work and other benefits.
“It’s a flagrant betrayal of the oath they took as lawyers,” he said, urging graduates to refuse to work for or with those firms as they make their way into the workforce.
World
Grandmother arrested at abortion clinic warns of expanding free speech 'buffer zones'

A grandmother in the U.K. who was arrested for holding a sign outside an abortion clinic is sounding the alarm against further attacks on free speech as lawmakers move to expand so-called “buffer zones” outside such facilities.
Rose Docherty, 74, was arrested in Glasgow, Scotland near the Queen Elizabeth University Hospital (QEUH) in February for holding a sign that read: “Coercion is a crime, here to talk if you want.”
Docherty was the first person to be arrested and charged under the Abortion Services (Safe Access Zones) Act, which went into effect in September, the BBC reported.
The law prohibits any protests or vigils from taking place within 200m or 656ft of 30 clinics offering abortion services in Scotland, but the law specifies that the Safe Access Zone could be extended if considered appropriate.
Docherty’s arrest came just days after Vice President JD Vance highlighted the law as an example of free speech being under attack in the U.K.
Rose Docherty, 74, was arrested in Glasgow, Scotland near the Queen Elizabeth University Hospital (QEUH) in February for holding a sign that read: “Coercion is a crime, here to talk if you want.” (Rose Docherty)
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Now, Gillian Mackay, the Green Party parliamentarian responsible for introducing the buffer zones legislation, has now suggested that the Scottish government consider expanding the area of prohibition on “influence” outside hospitals, according to ADF International, a Christian legal advocacy group.
Docherty has rejected a formal warning from the Crown Office – arguing that it was “unjust” – and is waiting to find out what action may now be taken against her.
In her first broadcast interview since her arrest, she told the BBC she had “no reason to regret” the incident, noting it was an “alarming” and “surreal” experience.
She said she had read the law and believed her actions did not violate the legislation.
“I gave consideration to what I was doing…I looked at the law and saw what it said I couldn’t do, and thought, OK, well, this is what I can do…I can offer to listen, and if anyone wants to come and speak to me, they can do so, only if they want to come and speak with me,” she told BBC’s Scotcast.
She said she is prepared to go to prison over the offense.
Docherty has also said that the government essentially wants to stamp out any opposition to abortion.
“I believe it wouldn’t matter where we stood…it wouldn’t matter how far they pushed the ‘buffer zone,’” she told ADF International, a Christian legal advocacy group.

Former First Minister Nicola Sturgeon, left, poses for a photograph with Scottish Green MSP Gillian Mackay, right, in the lobby of the Scottish Parliament, in support of Mackay’s “buffer zones” bill on June 27, 2023 in Edinburgh, Scotland. (Ken Jack/Getty Images)
NEW ONLINE ‘MISINFORMATION’ BILL SLAMMED AS ‘BIGGEST ATTACK’ ON FREEDOMS IN AUSTRALIA
“It wouldn’t matter where we stood –201 meters, or 500 meters away – it seems the authorities would still try to crack down harshly and unfairly on individuals because the government simply disagree with their point of view. This is unjust – of course, there should be laws against harassment, and we all condemn such behavior. But merely offering conversations near a hospital is not a crime.”
Dr Greg Irwin, a doctor at the QEUH, was pictured confronting a group of protesters in February 2023, saying that they “cause emotional upset to patients, but also to staff members,” per the BBC. Groups have been protesting outside the hospital for 10 years, leading to the passing of the Safe Access Zones Act.
Mackay said patients and staff had told her that they still had to pass the protesters when attending the QEUH leading to distress.
“I think it’s appropriate that we take those concerns seriously and the government take a look at whether an extension is appropriate or not,” Mackay told the BBC.
The act allows ministers to extend the size of a buffer zone if it is decided that the existing zone is not adequate, a Scottish government spokesperson told the outlet.

Isabel Vaughan-Spruce was arrested for praying silently outside an abortion clinic in Birmingham, England. (Alliance Defending Freedom UK)
Docherty isn’t the first person to be arrested outside abortion facilities.
For instance, Isabel Vaughan-Spruce, a prominent pro-life activist, was arrested twice in Birmingham for silently praying without any signs near an abortion facility within a buffer zone. She was arrested under a local law known as a Public Spaces Protection Order (PSPO). She was later awarded $13,000 in compensation for wrongful arrests, according to Christian Today.
The U.K. has drawn international attention for its alleged clampdown on free speech. A number of people have been investigated and arrested for social media posts.
World
Tornadoes kill 21 in US states of Missouri and Kentucky

The storms are part of a severe weather system sweeping across the Midwest, leaving thousands without power.
At least 21 people have died after tornadoes caused by severe storms swept through the states of Missouri and Kentucky in the United States, officials said.
Kentucky governor Andy Beshear on Saturday said on X that at least 14 people died in the Friday night’s storms.
At least seven others were killed in Missouri as authorities launched a search for people trapped in buildings.
Kentucky authorities said there were severe injuries when a tornado tore across Laurel County late on Friday. “The search is continuing in the damaged area for survivors,” the office of Sheriff John Root said in a statement posted on social media.
In Missouri, St Louis Mayor Cara Spencer confirmed five deaths in her city and said more than 5,000 homes were affected.
“Our city is in mourning tonight,” she told reporters. “The loss of life and destruction is truly, truly horrific.”
Another tornado struck Scott County, about 209km (130 miles) south of St Louis, killing two people, injuring several others and destroying multiple homes, Sheriff Derick Wheetley wrote on social media on Friday.
“Our first responders acted swiftly, even while the tornado was still active, putting themselves in harm’s way to provide immediate assistance and care to those injured,” he said.

The storms, which began on Friday, are part of a severe weather system that has also spawned tornadoes in Wisconsin, leaving thousands of people without power in the Great Lakes region and bringing a punishing heatwave to Texas.
A dust storm warning was issued around the Chicago area on Friday night. The weather service said a wall of dust extended along a 161km (100-mile) line from southwest of Chicago to northern Indiana that severely reduced visibility.
In Texas, a heat advisory was issued for San Antonio and Austin cities, with temperatures at a blistering 95F (35C) to 105F (40.5C). Parts of the southern East Coast, from Virginia to Florida, also battled with heat in the 90s (32-37C).
The National Weather Service Office for Austin and San Antonio said humidity over the weekend was expected to make temperatures feel hotter.
“There are concerns of heat exhaustion for people that aren’t taking proper precautions when they’re outdoors,” meteorologist Jason Runyen said, advising those affected to take breaks and stay hydrated.
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