Connect with us

World

Takeaways from AP's report on euthanasia, doctors and ethics in Canada

Published

on

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.

Advertisement

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.

Advertisement

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.

Advertisement

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.

Advertisement

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.

Advertisement

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.

____

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.

Advertisement

World

Iran War Live Updates: Tehran Is Defiant After Trump Threatens Power Plants

Published

on

President Trump said that he would “obliterate” Iran’s electricity plants if it did not open the Strait of Hormuz within 48 hours. Iran dismissed the ultimatum as its missiles hit southern Israel, including near the country’s main nuclear research center.

Continue Reading

World

Analysts say Gaza ‘civilian’ deaths include Hamas, other terror members working as medics, media workers

Published

on

Analysts say Gaza ‘civilian’ deaths include Hamas, other terror members working as medics, media workers

NEWYou can now listen to Fox News articles!

As Hamas and Palestinian Islamic Jihad (PIJ) publicly claim their dead, new research shows that many previously counted as civilians were in fact members of the terrorist organizations, undermining accusations that Israeli forces deliberately targeted civilians in Gaza.

Researchers monitoring the Hamas-run health ministry’s death reports told Fox News Digital that a growing number of “martyrs” were exposed as terrorists by their own groups such as Hamas, despite maintaining public identities as healthcare or media workers.

Gabriel Epstein, senior policy associate at Israel Policy Forum, told Fox News Digital that he has tracked multiple individuals named by Hamas and PIJ as martyrs killed in battle in Gaza who held positions in the health industry, including nongovernmental organizations (NGOs.)

US-BACKED GAZA AID GROUP SLAMS DOCTORS WITHOUT BORDERS, ACCUSES IT OF SPREADING ‘FALSE’ CLAIMS

Advertisement

Smoke rises and ball of fire over buildings in Gaza City on Oct. 9, 2023, during an Israeli air strike. (Sameh Rahmi/NurPhoto via Getty Images)

Epstein found several individuals labeled as medical staff who are also members of terrorist groups. The most serious revelation from the martyr list is Fadi al-Wadiyya, a physiotherapist for Médecins sans frontières, who was killed by Israel Defense Forces in June 2024. MSF responded to the death, saying they were “outraged” and “strongly condemn[ed] the killing of our colleague.”

When the IDF claimed that al-Wadiyya was a member of PIJ, MSF said they had “no prior knowledge” of his “alleged involvement in military activities” and said they had “not received any formal explanation” of “the circumstances of his killing.”

In a Telegram account claiming to be the media reserve for the Al-Quds Brigades, a post mourning al-Wadiyya’s martyrdom on Feb. 24 lists the physiotherapist as an assistant to the military manufacturing unit of PIJ’s Al-Quds Brigades.

Fox News Digital asked MSF whether they were aware of al-Wadiyya’s PIJ connections prior to the martyr announcement. A spokesperson said, “We would not knowingly employ people engaging in military activity” as it “would pose a danger to our staff and patients by compromising our neutrality.”

Advertisement

HAMAS TERRORISTS USE AMBULANCES, SCHOOLS, HOSPITALS IN VIOLATION OF US-BROKERED CEASEFIRE, IDF OFFICIAL SAYS

Hamas terrorists march in Gaza during a parade. (Getty Images)

The spokesperson said that “MSF had no indication that Fadi Al Wadiya might have been involved in military activity of any kind prior to the Israeli authorities’ online posts in June 2024. In the immediate aftermath of Al-Wadiya’s killing, we asked for explanations from the Israeli authorities, but never received an official response. If the Israeli authorities were aware of Al-Wadiya’s links with militant activities, they never shared this info with us until after he was killed. To this day, the only information they shared and that we are aware of is what was shared through public social media posts.”

The IDF banned MSF operations in Gaza from the beginning of March because the organization refused to provide a list of its Palestinian employees. In response to Fox News Digital’s questions about whether they would consider providing this list to the IDF presently, MSF’s spokesperson said, “We did not share our staff lists with Israel because we did not receive concrete assurances to ensure the safety of our staff or the independent management of our operations. This is a place where humanitarian workers have frequently been detained, attacked, and killed. We have a responsibility to protect our colleagues from harm.”

Epstein shared several other cases of healthcare workers who played prominent roles in terror groups.

Advertisement

MEDICAL NGO THAT SLAMMED ISRAEL’S ANTI-TERROR RAID NOW QUITS GAZA HOSPITAL OVER ARMED OPERATIVES

Ambulances carrying patients from Kamal Adwan Hospital in Beit Lahya, Gaza City. Oct. 12, 2024. (Hamza Z. H. Qraiqea/Anadolu via Getty Images)

Mohammed Akram Abdullah al-Kafarna was mourned by the Palestinian Nursing and Midwifery Association’s Facebook page as the nursing supervisor at Kamal Adwan Hospital and by the Institute for Palestine Studies as head of the Gaza nursing system. A Telegram account that lists members of Hamas’ best-outfitted Izz al-Din al-Qassam Brigades, al-Kafarna is described as one of Beit Hanoun’s “Qassam Martyrs.”

Ayman Suleiman Aliyan Abu Tayr was listed as martyred in Khan Younis in June 2025. The Institute for Palestine Studies labels him as a nurse and head of the clinical nutrition department at Nasser Hospital. According to a Telegram account linked to PIJ’s Al-Quds Brigades, Abu Tayr was a Commander in the Central Operations Unit of the Al-Quds Brigades.

Jaber Abdulhamid Diab Mohammedin was mourned on the Palestinian Ministry of Health General Directorate of Nursing’s Facebook page as an Intensive Care Unit nurse at the Al-Rantisi Specialized Children’s Hospital. A Telegram account linked to the Islamic Jihad Movement lists Mohammedin as a commander in the military manufacturing unit of the PIJ’s Al-Quds Brigade.

Advertisement

Nidal Jaber Abdulfattah al-Najjar is labeled as an administrator at the Palestinian Ministry of Health, according to the Institute for Palestine Studies, while a mourner on Facebook noted that he worked in the Al-Rantisi Children’s Hospital. He is labeled on a Telegram account emblazoned with Hamas’ distinctive red triangle as a martyr commander of Hamas’ Al-Radwan Battalion.

IDF forces are seen operating in Rafah, in the Gaza Strip. (IDF Spokesman’s Unit)

Salo Aizenberg, director of media watchdog group HonestReporting, told Fox News Digital that he is tracking at least 10 “virtually indisputable” examples of journalists who are actually combatants, working with Hamas and other terrorist groups.

David Adesnik, vice president of research for the Foundation for Defense of Democracies, told Fox News Digital that he has also been tracking the disclosures. “With PIJ, the number of commanders who operated with civilian cover is striking,” Adesnik said. “We’re at a point where the evidence indicates that this duplicity was a routine part of a strategy to infiltrate civilian organization, especially humanitarian ones. This provides access and protection while ensuring outrage when these supposed humanitarians are killed.”

Adesnik said he believes it “likely that Hamas also employed this strategy in a systematic way, but right now we mainly have the PIJ disclosures. Given that Hamas is many times larger, if it were to disclose this kind of information, the effects could easily ripple across the humanitarian sector in Gaza.”

Advertisement

Among the cases Aizenberg is tracking are media workers. He said that his list is “based solely on admissions by those groups and other Gazan sources,” and “does not include the many additional examples identified through Israeli evidence.”

Yahya Sinwar, the former Hamas terror leader who was killed by the IDF, waves to a crowd in Gaza. (Mustafa Hassona/Anadolu Agency via Getty Images)

Though the Committee to Protect Journalists (CPJ) cites Yacoup Al-Borsch as a journalist and the executive director of Namaa Radio, Aizenberg has found “numerous social media posts and martyr notices identifying him as a fighter and ‘mujahid.’” This includes a Facebook post from an account affiliated with the Al-Omari Mosque in Jabalia.

Ahmed Abu Sharia was a freelancer who worked for outlets like Iranian Tasnim News Agency, the CPJ says. According to the “official” Telegram site of the Mujahideen Brigades, the Palestinian Mujahideen movement’s military wing, he was also a member of the Mujahideen Brigades.

Rizq Abu Shakian was a “media worker and administrator for the pro-Hamas Palestine Now Agency,” according to CPJ. Shakian also appears in Hamas uniform on a Telegram site that shares images of Palestinian martyrs. According to Aizenberg’s research, he was a member of the Al-Qassam Brigades.

Advertisement

In response to questions about whether CPJ would update listings of journalists who have been claimed as terror affiliates, the group directed Fox News Digital to its policy for updating listings, which states, “CPJ has a long-standing policy of updating its data and the accompanying narrative accounts without issuing formal corrections as new information becomes available over time. In certain cases, a record may be removed from public view when new information leads CPJ to determine that a case falls outside its mandate or for security concerns, such as the safety of the journalist and their family.  CPJ will publicly record when it has removed a journalist from the database for a reason outside of security concerns. “

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

As the shaky ceasefire in Gaza continues, analysts say they continue to place value in closely examining the war’s casualties. Epstein said that “reviewing cases of militants who held dual civilian roles in key sectors like media, healthcare and education is important for the historical record and underscores the information limitations press, government, and analysts face in real time during conflict.” He said that “over time, militant identification can give a sense of just how deep Hamas, PIJ and other militant groups’ hold over key sectors in Gaza was.”

Continue Reading

World

‘Risk of escalation is extremely high as Iran shows it can retaliate’

Published

on

‘Risk of escalation is extremely high as Iran shows it can retaliate’

Military analyst Elijah Magnier says the risk of escalation is extremely high as Iran responds to US and Israeli strikes on nuclear and energy facilities in a growing cycle of retaliation.

Advertisement
Continue Reading

Trending