K Sonu Gaind, a professor and chief of psychiatry, challenges Downar and colleagues’ claim that eligibility criteria have little impact on who receives medical assistance in dying (MAID) in Canada. Gaind argues that the expansion of MAID has led some individuals to seek death as a solution to social suffering rather than illness. He highlights that Canada has become a leading provider of euthanasia worldwide since introducing MAID in 2016. Gaind criticizes the expansion of MAID to include adults with disabilities who are not terminal, pointing out disparities in access based on social factors. He suggests that these policies are akin to “social murder” and raise ethical concerns.
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Assisted dying: safety and access are not balanced in practice
