
The Québec National Assembly voted today on Bill 52 that legalizes euthanasia on demand in the Canadian province.
 
 Bill 52 legalizes euthanasia by re-defining it as a form of  healthcare under the term “end-of-life care.” The measure passed this  afternoon by a 94-22 margin, with no abstentions.
 
 Alex Schadenberg, executive director of the Euthanasia Prevention  Coalition stated: “Let’s be clear, Bill 52 gives Québec physicians the  right to intentionally and directly cause the death of persons by lethal  injection. This represents an act of homicide and not an act of “end of  life care.”
 
 “Bill 52 claims to limit euthanasia to voluntary requests from  people who are at the end of life but Bill 52 does not define end of  life,” he said. “Québekers should not trust their life to the provisions  in Bill 52, which are imprecise, open to abuse and based on the Belgian  euthanasia law. In Belgium, euthanasia is being done to people who are  not terminally ill but living with depression, euthanasia has been  extended to children and studies have proven that euthanasia is often  done to people without request.”
 
 The Québec government re-introduced Bill 52 even after people with  disabilities and palliative care leaders strongly opposed the bill.
 
 Previous public surveys do not show strong support for the  legislation. In an online survey of almost 500 residents conducted  October 23-28 by Abingdon Research, 47% said Bill 52 requires further  study, while another 14% expressed opposition. Only a minority – 35% –  were in favour of the bill.
 
 Natalie Sonnen, executive director of LifeCanada, said the poll  also highlighted problems with the bill’s use of the vague term,  “medical aid in dying.” Before being given the definition, only 30%  answered correctly that “medical aid in dying” as proposed by Bill 52,  involves “a doctor giving a patient a lethal injection.”
 
 Sonnen said the widespread confusion created by ambiguous terms  calls into question the reliability of previous polls citing strong  support for this type of practice.
 
 “Once people understand and think about the implications of  ‘medical aid in dying’ they back away from supporting Bill 52,” she  said.
 
 Sonnen said when poll participants were informed that Bill 52 is  based on a Belgian law, and that a study showed that one-third of  Belgian patients given a lethal injection were killed without their  consent, 83% of respondents expressed concern that this might happen in  Quebec.
 
 “This poll shows the Quebec population has not given its informed  consent to ‘medical aid in dying’,” said Ms. Sonnen. “Contrary to what  may have been assumed, the people have not given the government a  mandate to proceed with such a monumental change in medical practice.  The representatives of the people should reconsider before they take  this step.”
 
 The National Assembly’s Committee on Health and Social Services  recently held public hearings on Bill 52. LifeCanada was one of seven  organizations whose application to appear before the hearings was  refused.
 
 In Oregon, where assisted suicide is legal, the number of deaths  by assisted suicide has grown by 381% between 1998 and 2012.  Prescriptions for a poisonous cocktail to kill patients have grown by  379%.
 
 Alex Schadenberg, director of  Euthanasia Prevention Coalition, has written about problems with the law in Belgium.
 
 A study that was published in the (CMAJ June, 2010) concluded that  32% of euthanasia deaths in the Flemish region of Belgium are done  without explicit request. A similar study that was published in the  (CMAJ June, 2010) concluded that 45% of euthanasia deaths involving  nurses in Belgium were done without explicit request.
 
 Many people claim that the Belgian euthanasia law is controlled  and yet the data indicates that many euthanasia deaths are never  reported.
 
 The Belgian euthanasia law specifically limits the act of  euthanasia to physicians. The study that was published in the (CMAJ  June, 2010) found that when nurses were involved with the euthanasia  death the lethal dose was injected by the nurse 12% of the time. The  study indicated that in 12 cases the doctor was not present at the time  of injection and twice, the nurse did not consult the physician. All of  these acts are technically illegal in Belgium.
 
 There has never been an attempted prosecution for abuses of the Belgian euthanasia law.
 
 Under-reporting of euthanasia.
 
 A study that was published in the (BMJ Oct 2010) concluded that  euthanasia deaths are significantly under-reported in the Flemish region  of Belgium. The study found that only 52.8% of euthanasia deaths in the  Flemish region of Belgium were reported.
 
 Belgian government statistics indicate that the number of reported  assisted deaths increased by 25% from 1133 in 2011 to 1432 in 2012,  representing 2% of all deaths in Belgium. The number of reported  assisted deaths in 2010 was 954. It is important to note that these  statistics do not include the unreported assisted deaths.
 
 Data indicates that euthanasia is under-reported and done without  request. This proves that the actual practice of euthanasia is not  accurately represented in the Belgium government reports.
 
 Euthanasia requests are rarely refused.
 
 A study that was published in November 2011 found that only 5% of  euthanasia deaths are refused in Belgium, compared to a 12% refusal rate  in the Netherlands. The study stated that: “Unfortunately we have no  information on the reasons why the attending physicians from our study  refused to grant requests.”