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.
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At Frankfurt am Main’s central station, Deutsche Bahn also warns passengers on board the trains about pickpockets. Travellers leaving the station are confronted with the misery of drug addicts who congregate in Kaiserstrasse and the surrounding streets, whether they like it or not. Police are usually on the scene, but from the outside little seems to have changed in recent years.
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And the figures on violence at Germany’s railway stations are causing headaches for many officials. Since this weekend the federal police have stepped up their presence at stations in ten major German cities. Yet when it comes to crime at stations, Frankfurt does not sit at the top of the list.
The stations particularly affected by crime in 2025 were the central station in Leipzig, with 859 violent offences, the central station in Dortmund with 735 and the central station in Berlin with 654.
Most recently, the fatal attack on a conductor on a regional train in Rhineland-Palatinate last February caused widespread shock. It was followed by a debate about the scale of attacks on Deutsche Bahn staff.
Expert: “No railway station in Germany is a no-go area”
In total, according to police statistics, 27,800 violent offences were committed at railway stations last year. These included 980 recorded knife attacks and more than 2,200 registered sexual offences. Some 5,660 acts of violence were directed against federal police officers. According to the police, the suspected perpetrators were significantly more often non-Germans than Germans.
Criminologist Dirk Baier does describe stations as “hotspots of crime”. But in an interview with WELT the expert also explains that violence at stations is particularly visible precisely because the police presence there is higher and because it is reported on more frequently. “From my point of view there is no major station in Germany that is a no-go area.”
Indeed, directly opposite Frankfurt’s central station many people – including families and women – have no difficulty doing their shopping in the chemists and the supermarket.
Police officers at stations instead of at border controls
The deputy leader of the CDU group in the Bundestag, Günter Krings, wants to improve public safety at stations through technical measures such as more cameras, while at the same time relieving pressure on police officers. Discussions on this are currently taking place within the coalition parties.
The AfD describes Germany’s railway stations as “spaces of fear” and is calling for tougher sentences, more consistent deportations and an increased police presence.
However, the Greens’ domestic policy spokesman, Marcel Emmerich, believes that while video surveillance can be useful, it cannot replace officers on the ground. The government, he says, is deploying thousands of federal police officers for “expensive, pointless and unlawful border controls” instead of strengthening their presence at stations.
Weapons and alcohol bans at stations
As the Süddeutsche Zeitung reports, weapons bans now apply from Friday to Sunday at Munich’s central station and the Ostbahnhof in the Bavarian capital, as well as at the main stations in Nuremberg, Regensburg and Rosenheim. This means that knives and dangerous tools may not be carried there at weekends. According to SZ, officers can stop, question and search people even without a specific reason.
An alcohol ban has been in force at Cologne’s central station (Hbf) since April; it now also applies to the stations in Bonn, Düsseldorf, Duisburg, Essen, Dortmund and Münster.
Deutsche Bahn has domiciliary rights at its stations and can therefore enforce its own rules there, such as an alcohol ban.
Violence at railway stations is by no means solely a German phenomenon, as the recent knife attack in Winterthur in Switzerland shows.
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English police are facing mounting scrutiny after officers handcuffed an 18-year-old university student as he bled to death following a fatal stabbing, allegedly after believing the attacker’s false claim that he had been the victim of a racist assault.
The case has sparked outrage across Britain, fueled political debate over policing and prompted calls for the release of body-worn camera footage from the responding officers.
Alan Mendoza, executive director and co-founder of the London-based Henry Jackson Society think tank, told Fox News Digital that the case reflected broader failures in British policing culture. “The killing of Henry Nowak shows how far the rot of political correctness has set into the British policing mentality,” Mendoza said.
“The reflex attitude today appears to be to believe any and every claim that mentions racism,” he added. “It clearly trumped actual murder in this case as a dying Mr. Nowak was arrested on the say-so of his Sikh assailant without any facts being established by the officers attending.”
BRITISH POLICE RELEASE DETAILS ON SUSPECTS AFTER ‘SHOCKING’ TRAIN ATTACK, UPDATE ON VICTIMS
Freshman student Henry Nowak was stabbed many times by Vikram Digwa who used an eight inch ceremonial knife in December 2025. Digwa was found guilty of murder last week. (Hampshire police handout.)
Vickrum Digwa, 23, was convicted Thursday at Southampton Crown Court of murdering Henry Nowak, an 18-year-old finance student at the University of Southampton, during a confrontation on Dec. 3, 2025.
Officers arriving at the chaotic scene initially treated Nowak as the suspect after Digwa allegedly claimed he had been racially abused and attacked. Officers handcuffed Nowak before realizing the severity of his injuries. He later collapsed and died at the scene despite attempts to administer first aid, according to Sky News.
Following the verdict, Hampshire Constabulary publicly apologized and referred the case to the Independent Office for Police Conduct (IOPC), England and Wales’ police watchdog, for investigation. “I’m sorry that he was handcuffed and arrested in the moments before he lost consciousness,” Temporary Deputy Chief Constable Robert France said in a statement reported by Sky News.
Prosecutors told jurors Digwa stabbed Nowak multiple times using a 21-centimeter blade described in court as a Sikh kirpan-style weapon. Digwa claimed he acted in self-defense after being racially abused, but jurors rejected that argument and found him guilty of murder.
The case has since ignited fierce public debate online and in British media over whether police prioritized allegations of racism over basic investigative and medical procedures.
TEXAS PRESS CONFERENCE IN AUSTIN METCALF KILLING DEVOLVES INTO CHAOS OVER TRACK MEET STABBING
Handout photo issued by Hampshire Police of Vickrum Digwa who has been found guilty at Southampton Crown Court of the murder of university student Henry Nowak, who he stabbed to death with a Sikh kirpan ceremonial knife. Digwa told police a “wicked lie” that he was the victim of a racist attack after he stabbed finance student Henry Nowak, from Chafford Hundred, Essex, five times in the incident in Belmont Road, Southampton, on Dec. 3 2025. Issue date: Thursday, May 28, 2026. (Press Association via AP Images)
Speaking on GB News on Friday, Reform UK Member of Parliament Robert Jenrick called for the release of body-worn camera footage if the Nowak family consents.
“The officers chose to prioritize the accusation of racial abuse over saving the life of this young man,” Jenrick said. “I think that was a terrible mistake.”
Jenrick also criticized what he described as a muted response from Britain’s political establishment compared to reactions following the 2020 death of George Floyd in the United States.
“The Prime Minister says absolutely nothing. The Home Secretary says absolutely nothing.”
The killing has also raised concerns about hostility toward Britain’s Sikh community, which Sikh organizations have sought to distance from the crime.
In a public statement issued following the verdict, Sikh community organizations condemned the killing and stressed that the case should not be viewed as representative of Sikhism.
2 JEWISH MEN STABBED IN LONDON ATTACK CLASSIFIED AS TERRORISM
File of a police car in Derbyshire, England. (Derbyshire Constabulary via Facebook)
“Henry’s life has tragically been cut short by a moment of madness by an individual for which there can be no excuses,” the statement said.
The organizations also acknowledged that “the actions of police officers who handcuffed the victim just before he died” had intensified criticism of police and “unnecessarily stirred up community hatred.”
The statement further emphasized that legal protections allowing Sikhs in Britain to carry ceremonial kirpans for religious purposes do not apply if the blade is used violently.
“We understand in this case the weapon that may have been used was not the normal Kirpan worn by fully practicing Sikhs,” the statement read.
Mendoza stressed that Britain’s Sikh community broadly condemned the murder and supported the investigation.
“It’s legal for Sikhs to carry ceremonial knives in the U.K. but they are almost always tiny ones that religious authorities have ordained are sufficient to fulfil the obligation,” Mendoza told Fox News Digital. “He had one of those, plus his [8 inch] blade.”
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A member of the London Met Police stands guard outside Westminster Abbey. (BEN STANSALL/AFP via Getty Images)
He also described Digwa as “a weapons nut,” referencing evidence presented during the trial that prosecutors said showed the defendant had a fascination with knives and weapons.
The IOPC investigation into the officers’ actions remains ongoing. Fox News Digital reached out to Hampshire & Isle of Wight Constabulary for comment but did not receive a response before publication.
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