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Many people in our society are now living into their late 80's and 90's, but it is also apparent that a large percentage of them have chronic illnesses, injuries and conditions that make life miserable and often virtually intolerable. Then you factor in the massive and heroic utilization of resources for their care, the dramatic toll taken upon the caretakers, family and person in care. I know from personal experience that people are bankrupted, suffer from mental distress and illness, are "stuck" in facilities which provide a low standard of minimal care, and express a desire to end their lives, praying not to wake up the next day. Would it not be more humane to allow euthenasia and release those who suffer the most intensely from their pain and torment? What would you prefer if you found yourself in this situation? Unfortunately many of these human beings are in our society deemed legally disabled from making such a decision for their own care.

Geaton,
While I agree with you on many points and I am rather against MAIDs or see it as DIY, however it is freedom of choice.
This article about Mrs. B is somewhat misleading. MAIDs is very strictly controlled and only person receiving it can make request and has every right to refuse till the end. Furthermore, it is strictly confidential and our privacy laws are taken seriously, he must have obtained info from not quite reliable source.
In Canada, I don’t believe palliative care or hospice would be denied to anybody, many people choose to go to hospice facilities which are getting better with special care and rooms for visitors to stay in. Caregiver burnout exists, but as much as our medical system is going downhill, it is relatively easy to arrange facility. For those who cannot afford it, it would be rather nominal amount.
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Well, Geaton, it is technically a diy. But as I noticed with dad’s meds, there was no narcan provided. There were however vials of liquid morphine and Ativan that one could request refills on anytime.

After dad passed, mom shared that he really wanted to kill himself but was worried about his insurance policies finding out. Which no one would have had to hear about with a cocktail containing a week’s worth of those two things alone. But
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PeggySue, for the record, I don't think it's a good idea and this case from Canada highlights why. I think the US is way too litigious and liability-shy to take this on, not to mention religious groups will vigorously oppose it. I think taking one's self out early is a DIY.
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Geaton, I don’t agree with maid the way it’s being used in Canada. I largely don’t think it’s necessary given that we have hospice and their comfort meds to do the job just as well.
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My husband found this article and forwarded it to me:

"Woman Euthanized Against Her Will in Canada at Husband's Request"

https://www.christianpost.com/news/woman-euthanized-against-her-will-in-canada-at-husbands-request.html

I reviewed what ChatGPT had to say about it. It cited the husband's CAREGIVER BURNOUT as a reason to move forward...

"This is a real case in Ontario, Canada involving an elderly woman’s death under the Medical Assistance in Dying (MAiD) program has been reported and reviewed by official authorities. But the claim “euthanized against her will at her husband’s request” oversimplifies a complex and contested situation. 

Here’s what’s known from credible reporting and an official review:

✅ What actually happened (based on reports and the Ontario review):

An elderly woman in Ontario (referred to in reports as “Mrs. B”) experienced complications after heart surgeryand initially expressed interest in MAiD. 
She later told an assessor she wanted to withdraw her MAiD request, citing personal and religious beliefs, and asked for palliative (hospice) care instead. 
Her hospice referral was denied due to eligibility and resource criteria. 

>>> Her husband, who was struggling with caregiver burnout, continued to seek another MAiD assessment. <<<

A second MAiD assessor judged her eligible, despite concerns from the first assessor about coercion and lack of clarity on her wishes. 

A third assessor then confirmed eligibility, and she received MAiD later that same day. 

⚠️ Important Nuances

It was not legally a case of a husband simply demanding euthanasia — Canada’s MAiD system requires assessors and medical eligibility, and multiple professionals were involved. 

The official review raised serious concerns — including that her request was reversed, that she was denied palliative care, and that the process happened very quickly with possible undue influence from her husband’s situation. 

Some commentators interpret the case as euthanasia “against her will,” but this reflects debate about consent and process, not a legal finding that someone committed murder or acted with malicious intent. 

📌 Context About Canada’s MAiD System

Canada legalized Medical Assistance in Dying in 2016 and allows it for adults who meet specific criteria, including voluntary and informed consent. 

Cases like this one have sparked debate about whether safeguards are strong enough to ensure true voluntariness, especially when caregivers are overwhelmed or palliative options are limited. 

Bottom line:

This is a documented case in Ontario where an elderly woman’s MAiD procedure went forward even though she reportedly withdrew her request. It has been widely reported and reviewed, and it has generated controversy and policy concern. But the situation involves multiple clinical assessments and legal procedures, and it’s not as simple as a husband “ordering” her euthanasia without oversight."
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i made my comment to Geaton, not you. She’s the one who brought it up in this thread.

In any case, there is nothing offensive here except to people deciding to be offended. This is now an octogenarian couple who are both stroke survivors. Yeah, Lea, I think Alva’s done taking the 38 Geary to Kaiser anymore. She’s very fortunate she has a daughter who is overseeing things.

Until you went off, I was going to be quiet about the whole “oh she can’t “die with dignity” spiel that you, Lealonnie, personally went off on because she’s not cognitively able anymore. Either was fil right after his stroke! He regained his mentation so that if he wanted to he could pursue that or whatever else he wanted to, because he got better. So for you of all people to even intimate she will not regain the cognitive function to take back her arrangements for maid is just not correct in all stroke cases. And if you are in fact correct about your assumption, Alva would need 24/7 care for the rest of her life.

So quit jumping my stuff, Lea. I mean, you of ALL PEOPLE should know how valuable it is to have children who can drop what they’re doing to help you or their stepdad. Alva is very fortunate she has a daughter that is present to help, and if the couple finds themselves in a ccrc the next county over it will be just fine.
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Peggysue, I find it disturbing that you're making such comments about Alva on THIS post when you didn't even have the common decency to comment on the post I devoted to her. You're so quick to remind everyone that her daughter is now helping out with her own MOTHER despite the fact Alva recommends living 1000 miles apart! That was her DAUGHTER'S CHOICE, might I remind you, who still DOES live 1000 miles away, and no managed care is "looming" either. Have you not ONE IOTA of compassion in you? I pray....yes PRAY.....that Alva lives to 100!
Here's a Bronx Cheer for you today.
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Shouldn't these concerns be covered by DNR or Living Wills? My husband has such in place and has very thoroughly discussed it with me.
He watched his father being kept alive for a decade or more, simply because the rest of the family was able to live in a small mansion due to dad's retirement and veterans pension. Couldn't walk, talk, or eat. Had to have a suction machine to clear his throat because he couldn't swallow. Wore diapers and had a catheter. The primary bedroom was turned into a hospital suite, for all purposes. It was disgusting to see them keep him alive for their benefit!
However, I'm not going to play "God" either. That, I could never resolve the guilt for which I would feel.
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Melawman, I would be absolutely furious with my husband if he thought that little of himself, of me and of our marriage. My husband's mere "presence" has been the light of my life for the whole of our marriage.
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There is no doubt. Forcing a person to linger under these circumstances is extremely cruel. The primary obstacles are religion and the financial incentive for the so called "healthcare industry" to keep them alive. I recently counseled an older gentleman who was ill with multiple related chronic terminal conditions and illnesses. He discussed that he has no interest in remaining alive just to waste away and in the process suffer. He also raised an issue with regard to his wife of more than 40 years. He says she is in relatively good health and could be living a full life and that the anxiety she suffers is leading her to depression. His travel is very limited, he is no longer capable of fulfilling sex, and he offers her virtually nothing but his limited "presence." He has urged her to separate and divorce him so she can seek a more meaningful relationship. If he could he would proceed with euthanasia so he could free her from what he perceives is a feeling of "obligation" which is destroying the life should be enjoying. That would be his final act of love to which he feels committed. Get out of the way and let his partner go on with her life. He says that would ease his departure. It is what we do with our pets out of love to prevent them from unnecessary pain. But for human beings we seem determined to make BOTH partners suffer.
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Notgoodenough makes very good points in her entire post about the complexities and results of modern medicine we are dealing with or may deal with . I agree with it all .

But to focus on one problem , the refusal of doctors to assign a dementia diagnosis is real. My FIL had a minicog test with a low score as well as other very obvious signs of dementia . He refused to follow up with neurology . The primary at his assisted living would not officially diagnose on his record . This caused problems obviously for my husband to be POA . My husband had to do some stealth like things behind a computer screen to manage his Dad’s finances and pay his Dad’s bills .FIL was no longer able to do any of that .

Hospitals no longer will diagnose either . So ER dumps are failing to lead to placement . They also send home and tell the family to follow up with neurology which many elders refuse .

My own sister who was diagnosed with Lewy Body dementia and vascular dementia had some temporary improvement taking the med Aricept .

Last May She successfully strong armed the PA that she sees at a neurologist office to take dementia diagnosis off her record despite scans that prove it . He also wrote in his notes that she was not showing enough reasons in his office that day or the visit a month prior to keep her from going back home to her previous legal residence , which was her son’s home . She showtimes well , in truth she is not safe home alone when her son goes to work . She also won’t let a companion in the home . Her son has cameras up but he can’t watch them constantly at work either .

My sister won her way out of her board and care home and back to her son’s house . My sister thinks her only problem was metabolic encephalopathy that she had and almost died from prior to being placed and she believes she is cured .
The truth is she was having dementia symptoms prior to the encephalopathy . Before the encephalopathy sis even told me she thought she had dementia and made me promise to support her son in placing her when necessary .

My nephew ( her son ) is literally back to square one with her living with him and her Lewy Body and vascular dementia symptoms are increasing again . The Aricept is no longer working .

And now she refuses to go back to the neurologist to be diagnosed . That PA caused her to be emboldened and she will never go back to a neurologist . She says she was misdiagnosed . She clearly has anosognosia. She thinks there is nothing wrong with her now. She is also clearly not in early stage , she’s in middle at least . She’s also having trouble walking and at times feeding herself. So nephew is stuck waiting until she gets worse and he says he will now just wait until she can’t walk and place her in SNF .

My other pet peeve is when the doctor won’t tell a person with dementia that they can’t drive .
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To expand on Way's comments about doctors, I have to agree with her. You can't even get a doctor to deem an obviously demented adult who is clearly incapable of living alone a danger to themselves and in need of placement; how many realistically will sign on to sign the "death warrant"? Even if you remove the threat of litigation from the equation.

And then there is the whole issue with mental illness. At what point will mentally ill people (or those who advocate for them) want to be given the same option? Is not allowing them access to MAID, in effect, telling them that their suffering is somehow less terrible than those who suffer from physical illness? If the quantifying requirement is a terrible quality of life, then who is to say that someone suffering from severe bipolarism or schizophrenia isn't suffering as much as, say, a terminally ill cancer patient? To say (or even imply), by not allowing them access to MAID, that their suffering is not as bad because it is mental rather than physical - well, is that attaching yet another stigma onto those suffering with mental illness, albeit inadvertently?

And what about the mental toll on the doctors who would be making the determination? There are already studies that vets suffer from some of the highest rates of depression and anxiety among medical providers, mostly due to euthanizing beloved pets and the emotional fallout from witnessing it on a daily basis...how long until these doctors and nurses are in the same position?

And to touch on a point that is far more disturbing, how long is it until we hear stories about family members who encourage their elderly LO's to take "advantage" of MAID, not because they are suffering, per se, but because the family can't manage care of them - or worse, to get their hands on an inheritence? Because there are no doubt people in this world who would absolutely do that, sad to say. And then use the excuse of "oh, they were old and suffering, why prolong it for no reason?"
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Gershun, if the pills and booze fails, what could be worse? If you were wanting to end it because it was already intolerable, a failed attempt probably won't move that needle much further if you were already in chronic pain or terminal.

I totally agree about the spiritual element of suicide. This is each individual person's issue as they stand alone before God. God is a perfect judge.
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Jwelsy, I was interested in your comment and checked on AI this morning. Here’s what it says about wards of the state:

Canada's Medical Assistance in Dying (MAID) law allows eligible, consenting adults with grievous, irremediable, and intolerable suffering to receive assisted death. It is a voluntary, patient-driven process—not a "ward of state" system—requiring mental capacity, independent assessment by two practitioners, and, for non-terminal cases, evaluation of alternative care options. 

So I am not sure what you state is accurate.

The way I see it MAID is a reasonable option for those who want it and meet the criteria to do so. The government of Canada is not euthanizing people.
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How well do you think Canada's Medical Assistance In Dying (MAID) law is working out? They announced this week that all wards of the state are eligible for forced MAID participation.

You used a lot of de-humanizing language in your carefully thought out question, like the sarcastic use of the term 'human being'.
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My problem with the "stockpile your pain meds and chug whiskey" is what if it fails and you are even worse off than you were before.

I had a friend when I was in my twenties. He invited me to one of his AA meetings. We were sitting there and he recognized a friend in the row of seats in front of us. He tapped him on the shoulder. His friend turned around and half his face was missing from a failed suicide attempt.

So, yeah take pills and drink whiskey but make sure you do it right.

Plus as a Christian woman there is always that moral dilemma regarding suicide. Please, don't hate me for bringing that up. But these are the thoughts that go through my mind when I ponder this topic.
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Thought of another reason doctors keep offering treatment , to cover themselves against lawsuits from unrealistic families . How many times do we have people come here saying that hospice killed their relative ?

Back in the 1990’s I worked in a rural hospital . There was a surgeon who was from Russia . He had been in the US over 20 years with his wife who was also from Russia . Not sure how they had gotten out back in the 1970’s but he was a citizen and his kids were born here. He was the best . His patients were up and walking quick , He was so nice too , to all the nurses .

Anyway , he was the on call surgeon one night when a 98 year old very frail woman came into the ER with a ruptured appendix .
The surgeon told the family she would not live . The family insisted on surgery anyway. So the surgeon did the surgery , the woman lived for about another day or two after the surgery . She was septic BEFORE the surgery from the ruptured ALREADY infected appendix . This is the reason she died . The family then was attempting to sue the surgeon .

The surgeon had been honest and told the family she would not live. The surgeon went out in his backyard and shot himself dead. He left a page long note . The note was printed in the newspaper along with supportive comments from other doctors regarding this doctor’s innocence . In the letter the surgeon spoke about how happy and grateful he was to be in the US , but he could not understand being sued for this woman dying . He described other parts of our culture he could not understand either . He could not understand our overly litigious society. He felt deeply betrayed and shamed for no reason other than someone trying to gain money , and in the process damage his reputation . It was very sad .
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I’d like to highlight geaton’s comment about Alva.

The fact is that many of us will end up this way the longer we journey through life. Many heart attacks and strokes are not fatal, but debilitating. Alva always said she wanted her daughters 1000 miles away but for right now it’s her daughter who flew out to manage things including presumably liaising with Alva’s partner and his children. The days of them hopping on Muni are likely over. The days of facilities are now looming.
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Evamar....I said to myself and others while caring for my Husband that I was "ruled" by 2 major organs.
My HEAD
My HEART
I only hoped that when it came to the tough decisions the right organ would win any argument there was.
I like you knew my Husband would not want to live the way he was, just a shell existing. That is not "living"
Luckily I never had to make a tough decision that would have caused me an inordinate amount of stress.
As tough as it is you follow his wishes.
🙏
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This is the subject that we as caregivers understand better.
On one hand we would like our LOs to live on other side we want their suffering to end. Constant suffering for us as well, I know sometimes I wish for end then when my husband was in hospital I prayed to keep him alive.
I know my husband’s pain is becoming worse and irreversible.
He was extremely healthy until 60 and for the last five years going down and for last year with increased speed.
He really does not want to live anymore.
Now he has so many health issues, advanced Parkinson’s, spinal stenosis, pain not controlled even with morphine, heart, kidneys and other issues, the
last Saturday I am pretty sure now he had TIA, which may lead to major stroke. I am sure he won’t want to live and I am struggling with what if as it did happen to his father and hubby was the one to make decision to pull the plug, which he did. He knew his father would not want to live like that and hubby repeatedly saying he does not want to either. I don’t know if I am able to do it. I am not particularly religious, rather agnostic, I just think of valuing living but knowing rationally it is better to end it, yet I know I cannot face it. Hopefully sometime else happens.
He is seriously considering MAID, I am against it, although I understand how he feels. The struggle is tremendous.
It looks we will have options for people with mental diseases.
Medical Assistance in Dying (MAID) has been legal in Canada since June 2016 for eligible adults with serious, incurable, and irreversible medical conditions causing enduring, intolerable suffering. It is a legally regulated service administered by physicians or nurse practitioners, with 16,499 cases in 2024. 
Key aspects of MAID in Canada as of 2026:
Eligibility: Individuals must have a serious/incurable illness, be in an advanced state of decline, and have enduring, intolerable suffering. A natural death does not need to be foreseeable.
Excluded Conditions: Currently, mental illness as the sole underlying condition is not eligible, though this is expected to change in March 2027. But if there is serious illness in combination of mental then people qualify based on first condition.
Safeguards: Two independent assessments are required. The process requires a written request and a 90-day assessment period if death is not reasonably foreseeable.
Process: It can involve a doctor-administered injection or a prescription for self-administration.
Data: 16,499 people received MAID in 2024, a 6.9% increase over 2023. 
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My father’s oncologist was honest and forthcoming . Dad’s cancer had been at bay , tumors shrunk and dormant for years . When it “ came alive again “ and grew like a weed a football sized tumor in his abdomen , doc said no treatment was going to help and recommended palliative care .

Part of the problem is people like my in laws think there is no end to what can be done . My MIL would be shocked when a 96 year old friend would die of pneumonia . No matter how many times I explained to her that even with antibiotics the immune system has to fight off the infection . Old immune systems can fail . So I think doctors feel they have to offer everything , especially to that generation that saw such rapid advances in health care in the last century .
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Going to chime in again on this.
I think one of the "problems" is that doctors are not honest with patients and families and they continue to "treat"
I do not think doctors are taught how to accept that death in inevitable and that continuing to treat no longer does the patient or the family any good.
I think the doctors are taught to "heal /cure" and to acknowledge that there is noting more that can be done may be seen as a "failure". No one likes to fail.
I think a rotation in Hospice care, Hospice referral and Palliative Care should be included in the Medical School Rotation just as ER, Surgery and other disciplines are.
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Btw, my next door neighbor is 96, fully functioning, driving, cleans her own home, grocery shops, plays cards 2x a week with neighbors, flies around the country to see her grand and great grandchildren. Not everyone is living too long. Some live to 100 and live well.
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Of course they’re all living too long.

FIL and MIL had their major crisis in 2020 but thanks to well over 1.5m in Medicare, they are still here
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My father is 97 years old, is in a nursing home with dementia. He needs 24/7 care. He eats, sleeps and drools. He is on Medicaid. I actually feel guilty that so much state and federal money is being paid to keep my father alive. I think about the younger generations many of these people do not have health insurance and here is my father who doesn't remember his wife of 71 years is dead or who I am hogging up a lot of taxpayer money.

Obviously he is getting good care or he would not be entering year four of his nursing home life. His body refuses to shut down but it is time for him to finally go.

I really don't know what the solution is because it is a slippery slope. I just wish he'd just stop eating already.

As far as I am concerned, I hope to be able to take my own life when I'm ready.
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Darn auto correct... the movie is called "Still Alice"
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In the 1990’s , I worked with a nurse whose father was terminally ill , bedbound and had all his faculties .
His plan was take a pile of pills , he waited too long , couldn’t open the bottles . So his daughter ( the nurse ) opened all the bottles for him and left the room .
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We have a front-row seat to this issue (in America) as we are aware of AlvaDeer's situation. If I'm not mistaken, she has had a voluntary exit plan but due to a pretty serious stroke recently she may now not be able to pull it off because she maybe waited "too long" to execute her plan after a reoccurance of her breast cancer.

This is a complex issue that is not just about costs or corporate greed keeping people alive, or a labor shortage, or a religious/spiritual issue, or a legal liability issue. It's a combo of all that and more.

Once we start down a path of "who should be kept alive" can easily turn into Utilitarian thinking, which is a slippery slope. Who would be next after the terminally ill and very elderly? People with disabilities who can't hold a job? People who can hold a job but require all sorts of assistance just to live "independently"?

I'm with lealonnie1, that we stockpile our own meds, chug some of our favorite booze and do it on our own when we are ready. However -- being "ready" is the tricky part. We all talk a big game about shutting down our lives on our own terms and timing, but even Alva didn't do it when she got the 2nd breast cancer diagnosis at 83. People naturally want to live and it takes a lot to change that and by then it is often "too late" for us to put it into play. Much like in the movie, "Still Alive".
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Where I live, medically assisted death is legal and is becoming quite well accepted. However it is fairly limited, mostly to people who have a terminal illness and would like to opt out a bit sooner, with no pain and all the family around them. It is not an option for people who are just declining from dementia and from being very very old. The medical profession certainly doesn’t push it, and are very careful to follow all the rules.

My problems with the medical profession are more about medicating to keep people alive, with no hope of improvement and no enjoyment in life. In earlier times, it was easier for people to fade away without medication. For families with limited finances, it was common for bed-ridden grandma to turn down being spoon fed so that there was more for the children, and just gently fade away.
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Our society is not equipped for the tsunami of nonagenarians and older coming our way. We no longer accept death as a part of life and have been taught to fight it all the way. Pneumonia used to be called the “old man’s friend” for a reason. It was a quick end and not lingering a living death for years or decades. We need to stop choosing extraordinary measures for ourselves and choose quality over quantity for ourselves and our loved ones. And we need acceptable options when we have a terminal diagnosis and all be given the right to choose our exit under these types of circumstances.
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