The following speech was written by Dr Ramona Coelho for the April 15 launch of the book: Unravelling MAiD in Canada.
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By Ramona Coelho
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Dr Ramona Coelho speaking on April 15. |
We release this book at a critical time. As Trudo has mentioned, the UN Committee on the Rights of Persons with Disabilities has recommended the repeal of Track 2 MAiD. Likewise, the Ontario Coroner’s MAiD Death Review Committee — of which both Trudo and I are members — has begun publishing reports that document serious public safety concerns in MAiD cases. What we see confirms what many of us in healthcare have long feared and have tried to bring to the attention of politicians: people are accessing MAiD through lax application of the law, often without a thorough or humane exploration of their suffering. In some cases, death is being offered more readily than medical care and supports.
As a family physician, I work every day with people who face enormous barriers: refugees, individuals living in poverty, those with disabilities, mental illness, or incarceration histories. Earlier in my career, I provided home care in Montreal for people with dementia, addiction, or severe physical disabilities. These patients — like all of us — need to know their lives are valued, but sadly often don’t. Canadians need support, not an easy exit when life becomes unbearable. They need care, not assisted death as a substitute for our societal collective failures.
MAiD was introduced to Canadians as an “exceptional measure for exceptional cases,” intended to relieve suffering at the end of life when nothing else could. It has rapidly shifted. Private MAiD provider forums leaked by AP journalists- like Maria Cheng – have revealed cases where people qualified because of loneliness, lack of housing, or feelings of being a burden. When death is given because systems failed to offer support — that is not autonomy. That is abandonment.
Our book aims to expose these troubling patterns with clarity, evidence, and compassion. We highlight not only the stories and legal pathways, but also the ethical crossroads we now face as a society.
This is not an abstract debate. These are real people — people whose deaths were approved despite untreated mental illness, poverty, social isolation, or perhaps even the pressure of caregiver burnout.
We must ask ourselves, as the human rights commissioner of Canada also asked last year: Are we building a society where everyone’s life is seen as equally worth living? Or are we creating a system that quietly accepts some lives as more expendable?
We hope this book serves as a resource for those asking these hard questions — and a call to action for those in healthcare, law, policy, and beyond. Because at the end of the day, our task is not just to offer choices — it is to ensure those choices are grounded in dignity, support, and the belief that every person deserves to live a life of meaning, regardless of their challenges.
Thank you.
Order the book from EPC for $40 (after tax) + shipping (Order Link).