Federal Department Funded Children’s ‘Activity Book’ on Medically Assisted Suicide

Federal Department Funded Children’s ‘Activity Book’ on Medically Assisted Suicide
A 60-year-old woman suffering from cancer rests in a hospital palliative care unit. Alain Jocard/AFP/Getty Images
Peter Wilson
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A federal department helped fund the publication of a children’s “activity book” meant to inform young people about medical assistance in dying, or MAiD.

Titled “Medical Assistance in Dying (MAiD) Activity Book“ and published by the Canadian Virtual Hospice (CVH), the book is split into eight chapters, the first seven of which answer questions like, ”What is MAiD?“ and ”Why would someone want MAiD?”

The book begins by saying it was “created for young people, like you, who have someone in their life who may have MAiD” and goes on to say the book answers “questions, thoughts and feelings” that children might have about medically assisted suicide.

“It is best suited to children aged 6–12,” it says.

The book ends with a small note crediting Health Canada for its “financial contribution,” through which it says the book’s production was “made possible.”

“The views expressed herein do not necessarily represent the views of Health Canada,” it adds.

Made legal in Canada in 2016, MAiD is currently available only for mentally competent individuals aged 18 years or older who are physically and seriously ill—but not necessarily terminal—and are undergoing “unbearable physical or mental suffering” and are also in an advanced state of decline.

The book’s eighth chapter is titled “A note for adults” and gives a number of suggestions for answering possible questions by children about MAiD.

“Adults sometimes worry that the answers to these questions may be ’too scary,' but if the child has asked the question, they have often imagined what the answer might be,” the book reads.

“Imagining different possibilities can be scarier than reality.”

‘Three Different Medicines’

The book defines MAiD as using “medicines to stop the person’s body from working.”

“When their body stops working, the person dies. This is done in a way that does not hurt the person. The medicines help them feel comfortable and peaceful,” it reads, later elaborating on the process of “three different medicines” being injected into the patient to induce a coma followed by death.

Another section titled “Why would someone want MAiD?” says that most people who choose medically assisted suicide do so because they are terminally ill.

“They are not choosing to die instead of live. They are choosing what will make their body die, when and where it will happen, and who they spend that time with,” it says.

The book goes on to explore other hypothetical questions, such as, “What if I (or someone else) don’t want them to have MAiD?”

The book answers this question by saying that MAiD is “a personal choice” and that “no one can decide for another person.”

“It is okay to feel angry, sad, confused, or upset about the person dying, or about them choosing MAiD,” it says, adding, “It can be very hard to hear other people disagree or even argue about MAiD. Sometimes people feel like they need to choose whose ’side' they’re on.”

The book has another section near its end titled “Information for adults” that runs through a list of potential questions and concerns parents or caregivers might have about the book before introducing it to children.

“These activity books include topics that can stir up strong feelings. Children may cry or become upset, or they may not seem to react at all,” it says, adding, “All of these are natural reactions.”

“Sometimes when a child has a big emotional reaction, adults wonder if that means they should not be talking about these things. The opposite is often true.”

MAiD Eligibility

MAiD was set to become available in March 2023 to individuals whose only medical condition was severe mental illness, but Justice Minister David Lametti announced on Dec. 15 that the federal government would seek to delay the eligibility expansion to ensure the health-care system is prepared for it.

“Some provinces, territories and those working in the health-care system say that more time is needed,” Lametti said during a press conference on Dec. 15.

Canada already has some of the most liberal assisted dying laws in the world. Although available only for those over age 18, concerns that MAiD could be extended to children were raised by Conservative MP Garnett Genuis after a doctor told a parliamentary committee in October that expanding the procedure to include children born with severe disabilities “could be explored.”

Dr. Louis Roy from the Quebec College of Physicians also told the parliamentary joint committee on MAiD that it could be considered for “emancipated minors between the ages of 14 and 17.”
“The pain that these young people may suffer must be taken into account,” Roy told the committee on Oct. 7.
“The suffering may become intolerable and it may no longer make sense in certain situations,” he said, adding that the “same is true” for babies born with “severe deformities and very serious syndromes for which the chances of survival are virtually nil.”

Conservative MP Garnett Genuis later responded to Roy saying, “Disability is no justification for killing children.”

“I can’t believe I have to say this: Killing children is always wrong,” Genuis said in a YouTube video posted on Nov. 12.

The government currently has no legislative provisions to expand MAiD eligibility to include individuals younger than 18 years old.

The Canadian Press contributed to this report.