A growing number of patients who request medical assistance in dying are asking to donate their organs for transplant, says an international review that found that Canada is performing the most organ transplants from MAID patients among the four countries studied that offer this practice.
The report is the of the growing use of this new practice around the world. The review was conducted in 2021 and the results were formally published in December 2022.
鈥淲e saw everyone is working in different directions. And then we said 鈥極K, well, let's start an international [discussion] of all the countries involved,鈥欌 said Dr. Johannes Mulder, a physician and MAID provider in Zwolle, Netherlands, in an interview with 麻豆影视.
Data collected for the paper shows that in Canada, Belgium, the Netherlands and Spain, combined, 286 assisted-death recipients provide lifesaving organs for transplant to 837 patients in the years up to and including 2021.
Doctors in Canada, where medical assistance in dying (MAID) was decriminalized in 2016, performed almost half of the world鈥檚 organ transplants after MAID for that period (136), according to the publication.
Data from the Canadian Institute for Health Information confirms this new source of transplant organs accounted accounts for from deceased donors in Canada in 2021. Some transplants, like those for kidneys and livers, can be done with patients who are alive.
鈥淚 was rather proud that Canada has done so well in terms of organ donation by MAID patients,鈥 said Arthur Schafer, director of the Centre for Professional and Applied Ethics at the University of Manitoba, in an interview with 麻豆影视.
With more than 4,000 Canadians waiting for organ transplants, some of whom are dying, he says Canada鈥檚 numbers show a strong move to turn death into a win-win.
鈥淪o I say, 'Good on us.' It鈥檚 a wonderful opportunity for someone facing death to make something significant out of the end of their life,鈥 said Schafer.
The international review on this new practice has been overwhelmingly driven by patients who are suffering from irreversible degenerative diseases, like amyotrophic lateral sclerosis (ALS) and Parkinson鈥檚.
鈥淚f this body has deserted me, I could do something good,鈥 is how Mulder says patients frame their decision.
Canadian ALS patient Sharron Demchuk donated her kidneys and lungs after her medically assisted death in September of 2021. Her family says she herself pushed her doctors to consider a way she could help people after she died, becoming to do so.
鈥淪he kept doing follow-ups, kept pushing and even though she wasn鈥檛 able to speak, she would make notes for my dad. 鈥楬ere鈥檚 what I want you to ask them. Here鈥檚 what I want you to say,鈥欌 her daughter, Darlene Demchuk, told 麻豆影视 last year.
One of the goals of the international report, says Mulder, was to share information openly on how countries are managing this controversial and evolving new practice, including the tricky ethical and logistical issues of consent from vulnerable patients.
鈥淲hat should you do, or what shouldn't you do? And how to keep the whole project completely voluntary,鈥 he said of some of the concerns, noting that patients should never be pressured to choose MAID to increase the availability of donor organs.
That is a worry shared by Trudo Lemmens, a professor in health law and policy at the University of Toronto.
He points to statistics showing more than 35 per cent of Canadians who died by MAID in 2021 felt they were "a burden on family, friends or caregivers鈥 according to a Health Canada report.
鈥淚 am concerned that people who struggle with a lack of self-esteem and self-worth may be pushed to see this as an opportunity to mean something,鈥 said Lemmens in an email comment to 麻豆影视.
With other countries like Australia eyeing medical assistance in dying along with organ donations, Mulder says public trust in this new medical practice must be developed and maintained.
鈥淭hat鈥檚 why guidelines are necessary and should also be strict,鈥濃 the doctor said.
鈥淥ur guidance is Canadian made and [it鈥檚] working well,鈥 said Dr. Sam Shemie, an intensive care unit doctor in Montreal and medical adviser to Canadian Blood Services, who helped create the in Canada in 2019.
Like other countries, Canada requires the decision to be voluntary. MAID donors give consent while conscious and competent. The guidance says the choice and approval for MAID must come first. The decision to become an organ donor can only be formalized by a separate transplant team.
鈥淭he first thing is, 鈥楬ave you been accepted?鈥 And once you've been accepted, that's your decision to pursue.
鈥淲e would never say, 鈥楬ey, do you want MAID?鈥 and, 鈥楬ey, do you want to be an organ donor?鈥 It's not ethical,鈥 Shemie told 麻豆影视, adding that patients also have the right to change their minds at any point.
And Canada has other measures that may account for its higher number of MAID donors.
In other countries, patients themselves must first bring up the idea that they wish to donate. But Quebec and Ontario moved to telling patients earlier.
鈥淚n our province, in fact, if the law says if somebody is going to die, you should offer them organ donation and tissue donation, and we should apply that to MAID patients as well,鈥 said Shemie of Quebec's policy.
The other difference in Canada is based on the kinds of patients receiving MAID. In the Netherlands or Belgium, there is a larger proportion of patients with end-stage cancer who choose euthanasia. Those with cancer cannot donate because of the risks to the organ recipients.
In Canada, statistics show 65 per cent of patients seeking MAID have cancer.
鈥淎nd so I think that's one of the reasons why we are ahead of the game, is because more patients who seek MAID in Canada are eligible to donate because they have diseases like ALS, amyotrophic lateral sclerosis, or multiple sclerosis,鈥 said Shemie.
The international review also shows that despite concerns that the cocktail of medications used for assisted death might harm organs, studies from around the world and here in Canada show they are undamaged and work very well after transplantation.
One Ontario study of kidney recipients found that eight of nine kidneys from MAID donors began working normally almost immediately after transplant, with patients avoiding the need for even temporary dialysis.
鈥淪ome of the functions of these organs were almost as good as living donor organs,鈥 said Dr. Patrick Luke, the study author and co-director of the Multi-organ Transplant Program at the London Health Sciences.
鈥淎s far as our transplant patients, so far, it's all been very positive,鈥 he told 麻豆影视.
Studies of lung transplants have shown similar success, with scientists now investigating the potential use of other tissue, including islet cells to treat people with severe diabetes.
Canada is also at the forefront of another emerging trend.
Until recently, only those who agreed to have a medically assisted death in hospital could donate their organs. It was easier and safer for surgeons for retrieval and transplantation.
According to Health Canada data, 44.2% of MAID provisions in Canada .
The report shows there are now eight documented cases in the world where providers offered assisted death in the patient鈥檚 home. Five of these were in Canada.
The MAID recipient is given the medications in their home, and then transported by ambulance to a nearby hospital to have the procedure completed and organs harvested.
Dr. Shemie described the case of a patient in Ontario, saying that "with a lot of help from paramedics in the fire department 鈥e were able to facilitate that.鈥
But there is variation among countries on how to do this and what medications to use.
In fact, Canada is currently updating its protocol, now submitted for publication to the Canadian Medical Association Journal, and Dr. Shemie says it will be shared with other countries considering expanding assisted dying and organ transplantation.
It鈥檚 the kind of openness and transparency Dr. Mulder envisions.
鈥淭hese are all reasons why we wanted to have this paper out now, and hope every hospital and every jurisdiction take this as a starting point to write ethically sound protocols,鈥 he said.
Donald Trump has said he wouldn't be a dictator 鈥 'except for Day 1.' According to his own statements, he's got a lot to do on that first day in the White House.
Applause erupted over and over at the Canada Life Centre in Winnipeg Sunday as the son of Murray Sinclair, a former judge, senator and chair of the Truth and Reconciliation Commission into residential schools, spoke about his father.
A children's book written by British celebrity chef Jamie Oliver has been withdrawn from sale after it was criticized for causing offense to Indigenous Australians.
The union representing some 1,200 dockworkers at the Port of Montreal has overwhelmingly rejected a deal with their employers association.
A man who was critically injured in a police-involved shooting in Hamilton late Sunday afternoon has died in hospital, says the province鈥檚 police watchdog.
Prime Minister Justin Trudeau announced voters in Cloverdale鈥擫angley City will pick their next member of Parliament on Dec. 16.
Donald Trump's Mar-a-Lago club has been brimming in the last 48 hours with two kinds of people: those angling for a job in the president-elect鈥檚 incoming administration, and those trying to influence him into hiring their picks for the top spots.
Tenty-five of the 43 monkeys bred for medical research that escaped a compound in South Carolina have been recovered, officials said Sunday.
A government-funded report released to 麻豆影视 highlights 'systemic racism' against dozens of Black executives within the federal public service, including allegations of abuse, violence and harassment that, in some instances, led to suicide.
The union representing some 1,200 dockworkers at the Port of Montreal has overwhelmingly rejected a deal with their employers association.
A government-funded report released to 麻豆影视 highlights 'systemic racism' against dozens of Black executives within the federal public service, including allegations of abuse, violence and harassment that, in some instances, led to suicide.
A man who was critically injured in a police-involved shooting in Hamilton late Sunday afternoon has died in hospital, says the province鈥檚 police watchdog.
Police in Newfoundland say a man was electrocuted Saturday by a downed power wire about 10 kilometres north of St. John's, N.L.
Applause erupted over and over at the Canada Life Centre in Winnipeg Sunday as the son of Murray Sinclair, a former judge, senator and chair of the Truth and Reconciliation Commission into residential schools, spoke about his father.
Nova Scotia's New Democratic Party says a candidate criticized by the Centre for Israel and Jewish Affairs for "troubling" and "damaging" social media posts is no longer running for the party in the Nov. 26 general election.
Donald Trump's Mar-a-Lago club has been brimming in the last 48 hours with two kinds of people: those angling for a job in the president-elect鈥檚 incoming administration, and those trying to influence him into hiring their picks for the top spots.
Much of the U.S. federal workforce is on edge and bracing itself for the likelihood its ranks will be purged when President-elect Donald Trump takes office.
Donald Trump has said he wouldn't be a dictator 鈥 'except for Day 1.' According to his own statements, he's got a lot to do on that first day in the White House.
Thousands of Spaniards marched in the eastern city of Valencia on Saturday to demand the resignation of the regional president in charge of the emergency response to last week's catastrophic floods that left more than 200 dead and others missing.
Paris police said Sunday that 4,000 officers and 1,600 stadium staff will be deployed for a France-Israel soccer match to ensure security in and around the stadium and on public transportation a week after violence against Israeli fans in Amsterdam.
Gunmen open fired in a bar in central Mexico killing 10 people and injuring seven, a local official said.
Murray Sinclair鈥檚 family members say the late justice and senator has been laid to rest according to his wishes.
Prime Minister Justin Trudeau announced voters in Cloverdale鈥擫angley City will pick their next member of Parliament on Dec. 16.
Canada's ambassador to the United States 鈥 and co-lead of the federal government's Team Canada war room 鈥 says U.S. president-elect Donald Trump has a different understanding of the bilateral relationship than he did during his first term in the White House.
Just five more minutes of exercise doesn鈥檛 sound so bad, right? Especially when such a small amount may improve your blood pressure, according to a new study.
Researchers say taking a peek inside a person's brain is as difficult as understanding the universe or discovering the ocean in its entirety.
B.C. health officials say they have detected Canada's first-ever case of H5 avian influenza in a human.
Bernadett 'Bett'鈥 Szab贸, a 19-year-old Hungarian sex worker, was murdered in the Dutch capital in 2009. Now, more than 15 years after her death, police are hoping to uncover new information about her killing.
In 1916, Harold Wrong plucked a flower from the fields of Somme, France and tucked it into a letter he mailed home to Toronto. For decades, the type of flower sent remained a mystery.
Elwood Edwards, who voiced America Online鈥檚 ever-present 'You鈥檝e got mail' greeting, has died Tuesday at his home in New Bern, N. C. He was 74.
Taylor Swift came out on top at the 2024 MTV EMAs on Sunday, walking away with best artist, best U.S. act, best live act and best video for 鈥淔ortnight鈥 (featuring Post Malone).
Chu shared on his Instagram Stories that he and his wife Kristin Hodge welcomed their fifth child on Saturday, writing that he 鈥渃an鈥檛 believe this happened while the movie is premiering.鈥
On Thursday morning, Dave Penny officially ended a suggested hundred-day isolation period that followed his diagnosis and stem cell treatment for non-Hodgkin's Lymphoma. On Thursday night, Penny returned to a stage at a downtown St. John's bar, regaling a small crowd with songs and stories with a distinctive Newfoundland flair.
Shannon Davidson was let go from her executive role at a marketing firm last year after a merger led to cuts. She knew she wasn't done with her career yet, but finding her next workplace in her mid-50s was a daunting prospect.
Bitcoin on Sunday hit a new record above US$80,000. The world鈥檚 largest cryptocurrency surged in the run-up to Tuesday鈥檚 US presidential election, rose sharply immediately on election night after it became clear Donald Trump would win and has continued rising in the days since his victory.
Contract negotiations resume today in Vancouver in a labour dispute that has paralyzed container cargo shipping at British Columbia's ports since Monday.
Doom spending, or the practice of spending money to soothe fears about broader issues like politics or the economy, shows up everywhere from YouTube and TikTok videos to Reddit to personal finance discussions and data in surveys.
A Vancouver designer is making waves in the architectural world with an outdoor modular building created to address the city鈥檚 unrelenting housing crisis.
A rare letter signed by three of the U.S. Founding Fathers of the United States is going on sale, and is expected to fetch up to US$1 million when it goes under the hammer next week.\
The Edmonton Oilers may have found the break they were looking for.
No. 15 LSU has been criticized for unveiling a live caged tiger in its stadium for the first time in almost a decade before they were routed 42-13 by No. 11 Alabama in their SEC showdown.
A Maui man who lost a part of his leg to a shark bite is now out of the hospital and thanking those who saved his life and helped him recover.
Select Porsche owners in Canada have been told to stop driving their cars immediately and to seek repairs after an issue was identified that could cause wheels to separate from vehicles.
A driver's trip from London, Ont. to Ottawa to visit their girlfriend ended in a traffic stop for speeding on Highway 417, according to police.
Recall notices have been issued for some Volkswagen models from 2006 to 2019 for airbag safety issues.
A congestion crisis, a traffic nightmare, or unrelenting gridlock -- whatever you call it, most agree that Toronto has a congestion problem. To alleviate some of the gridlock, the Ontario government has announced it plans to remove bike lanes from three major roadways.
For the second year in a row, the 鈥楪ift-a-Family鈥 campaign is hoping to make the holidays happier for children and families in need throughout Barrie.
Some of the most prolific photographers behind CTV Skywatch Pics of the Day use the medium for fun, therapy, and connection.
A young family from Codroy Valley, N.L., is happy to be on land and resting with their newborn daughter, Miley, after an overwhelming, yet exciting experience at sea.
As Connor Nijsse prepared to remove some old drywall during his garage renovation, he feared the worst.
A group of women in Chester, N.S., has been busy on the weekends making quilts 鈥 not for themselves, but for those in need.
A Vancouver artist whose streetside singing led to a chance encounter with one of the world's biggest musicians is encouraging aspiring performers to try their hand at busking.
Ten-thousand hand-knit poppies were taken from the Sanctuary Arts Centre and displayed on the fence surrounding the Dartmouth Cenotaph on Monday.
A Vancouver man is saying goodbye to his nine-to-five and embarking on a road trip from the Canadian Arctic to Antarctica.
Weather watchers were treated to an exceptionally rare display on Friday evening as rare cloud formations filled Vancouver skies.
For some shoppers it was Nov. 1, but for others the first hints of Christmas - saccharine treats, festive-fragranced candles and gaudily wrapped gift sets - were being noticed in stores long before the final Halloween decor had been cleared.
Thousands of people are expected to gather in downtown Vancouver on Monday to observe the city鈥檚 100th Remembrance Day ceremony.
A man who was critically injured in a police-involved shooting in Hamilton late Sunday afternoon has died in hospital, says the province鈥檚 police watchdog.
A man is wanted after allegedly presenting himself as a rideshare driver then sexually assaulting a woman from Brampton late last week, say police.
Patrons were inside a movie theatre when a suspect fired bullets at the business鈥 doors on Saturday night, before the cinema was shot at again hours later in a second incident, police say.
A pair of 105-mm howitzers bark constantly as they turn plywood tank targets into kindling kilometres away on the windswept landscape of one of Canada's largest military bases.
Two semis were among the vehicles involved in a multi-vehicle crash that brought westbound traffic along Stoney Trail Northwest to a standstill on Sunday.
More than 700 people danced, ate, and sang to celebrate Diwali Saturday night at the Genesis Centre in northeast Calgary.
An Ottawa boy with a rare disease will be getting the chance to see Taylor Swift in concert after the winner and organizers of an auction held on his behalf gifted the tickets to him.
CTVNewsOttawa.ca looks at Remembrance Day ceremonies in Ottawa.
After months of controversy surrounding a dog park in Ottawa's west end, a solution has been reached to divide the park in half.
The union representing some 1,200 dockworkers at the Port of Montreal has overwhelmingly rejected a deal with their employers association.
Despite some opposition, a motion was passed at the party鈥檚 convention in Levis, Que. over the weekend to create a Quebec constitution.
The West Island Mission hosted its second food drive Sunday amid increasing demand.
Monday is Remembrance Day, a time to honour armed forces members who have died in the line of duty.
Boasting 2,300 square metres of skating space at its new location, Edmonton's Rollers Roller Rink believes it is the largest in Canada.
A woman is dead after a driver crashed a truck through a Boston Pizza in Fort McMurray late Saturday morning.
Here鈥檚 what鈥檚 opened and closed across the Maritimes on Remembrance Day.
Police in Newfoundland say a man was electrocuted Saturday by a downed power wire about 10 kilometres north of St. John's, N.L.
As Nova Scotia politicians make their fall election promises, Julie Leggett is urging them to commit to helping people on income assistance stay cool during heat waves.
A pillar in Canada鈥檚 history was honoured in Winnipeg Sunday afternoon, with thousands showing up to pay tribute to the life and legacy of the late Murray Sinclair.
Winnipeg police have identified two men involved in a stabbing incident earlier this week.
The Winnipeg Blue Bombers whipped the Saskatchewan Roughriders 38-22 in Saturday's CFL West Division final to earn their fifth consecutive trip to the Grey Cup.
Regina author Valerie Crowther is celebrating the release of her book 鈥榃ar Letters: Linking Lives in the Second World War.鈥
It was a somber day at Mosaic Stadium as members of the Saskatchewan Roughriders officially cleaned out their stalls and closed the book on the 2024 season.
Twilight Tech Arcade, an entertainment location specializing in retro gaming, is closing its doors for the foreseeable future.
A man has been charged after a stabbing at an apartment building in Kitchener.
The Guelph Police Service is putting out a warning after two deaths in the downtown area.
Two new tributes to Canada鈥檚 veterans have been unveiled at the Elmira Cenotaph.
Saskatchewan RCMP are searching for a suspect after a man was seriously injured in a farm-related incident in Montreal Lake.
It was a somber day at Mosaic Stadium as members of the Saskatchewan Roughriders officially cleaned out their stalls and closed the book on the 2024 season.
The Regina Rams claimed the Hardy Cup after a hard fought battle against the Saskatoon Huskies 19-14 on Saturday in the first all Saskatchewan U-Sports western conference final since 2002.
CTVNewsNorthernOntario.ca is livestreaming the annual Remembrance Day ceremony at the Sudbury Community Arena starting Monday at 10:30 a.m.
Donald Trump has said he wouldn't be a dictator 鈥 'except for Day 1.' According to his own statements, he's got a lot to do on that first day in the White House.
Police have arrested a 15-year-old in connection with a break-in and $50,000 in damage done to the Centennial Arena in Elliot Lake in September.
The events will start at 10:15 a.m. with a parade that forms up in front of the Delta London Armories, marches east on Dundas Street and turns north onto Waterloo Street to Dufferin Avenue, the west to the Cenotaph.
Emergency crews responded to the scene on Road 68/Highway 2 east of Thamesford around 7 p.m.
On Friday, the Sarnia Police Service (SPS) received a report of an alleged abduction in the area of Kathleen Avenue and Walnut Avenue.
A group of former NHL players faced off against York Regional Police officers in Newmarket Sunday afternoon to raise funds for Special Olympics programs across the province.
A driver is facing multiple charges after a multi-vehicle collision on Highway 400 early Sunday morning.
The agreed statement of facts was read to the court on Friday in the case of Alex Williams, the 24-year-old jail guard charged last fall with smuggling cannabis and tobacco into Central North Correctional Centre in Penetanguishene.
For Gene Lotz, the spark of curiosity to delve into the history of those who served in war only began when the answers became difficult to find.
Three players returned Sunday to help the Windsor Spitfires to a 4-1 win over the visiting Peterborough Petes.
One person has been arrested after Chatham-Kent Police Service (CKPS) received multiple complaints about an alleged drunk driver.
Environment Canada says heavy rain and winds could cause power outages on Vancouver Island as an "intense" storm system is set to hit the B.C. coast Sunday.
Six deer were struck by vehicles in six different locations in a six-hour period on B.C. highways on Saturday, according to the transportation ministry.
The union for locked-out port workers in British Columbia says the BC Maritime Employers Association cut off talks in less than an hour Saturday, refusing to budge on a final offer that the union has so far rejected.
The emergency department at South Okanagan General Hospital in Oliver, B.C., will be closed for 31 hours this weekend, the second such closure in a week and the third since the start of November.
Police in Kamloops, B.C., are reminding parents and guardians to check their children's Halloween candy after receiving a report of a mother finding a razor blade in one of her daughter's treats.
More than two years after Alannah Brown and Douglas Barker were found dead north of Penticton, police are asking for help identifying a vehicle they believe was associated with the crime.
The Southern Alberta Recreation Association is officially announcing the Town of Taber as next year鈥檚 host for the Southern Alberta Summer Games.
The Lethbridge Hurricanes broke open a close game with three goals in the first two minutes of the third period as they defeated the Warriors 7-3 in a game played Friday night in Moose Jaw.
There might not a lot snow just yet, but many southern Albertans are still itching to get outdoors.
Police have arrested a 15-year-old in connection with a break-in and $50,000 in damage done to the Centennial Arena in Elliot Lake in September.
Mayors of the five largest cities in northern Ontario met in North Bay the last two days to discuss a range of critical issues impacting their cities and the region.
Residents in the Sault expressed concerns ranging from vandalism to privacy invasions during recent consultations on the city's plan to install automated speed enforcement cameras.
Police in Newfoundland say a man was electrocuted Saturday by a downed power wire about 10 kilometres north of St. John's, N.L.
On Thursday morning, Dave Penny officially ended a suggested hundred-day isolation period that followed his diagnosis and stem cell treatment for non-Hodgkin's Lymphoma. On Thursday night, Penny returned to a stage at a downtown St. John's bar, regaling a small crowd with songs and stories with a distinctive Newfoundland flair.
A Memorial University scientist says the mysterious white blobs washing up on Newfoundland beaches are actually gobs of plastic -- and they need to be cleaned up.
The Shopping Trends team is independent of the journalists at 麻豆影视. We may earn a commission when you use our links to shop.聽Read about us.
