BC Hospice challenges closure over government’s proeuthanasia policy

Government refuses compromise

Easier and cheaper to kill than to care

News Release

Delta Hospice Society

Vancouver — Delta Hospice officials were shocked and outraged this week by the Fraser Health Authority’s blatant move to cut off all discussions and close the facility because it wants the hospice to provide MAiD (Medical Assistance in Dying) at every facility. The Irene Thomas Hospice is dedicated to allowing patients access to expert symptom management for physical, emotional and spiritual distress. It provides comfort, meaning dignity and hope as one dies a natural death.

Angelina Ireland, President of the Delta Hospice, said the Fraser Health Authority and the British Columbia Minister of Health abruptly cancelled the Hospice’s contract on Tuesday without even acknowledging or responding to the hospice’s offer to a reduced level of government financing of the facility by $750,000 per year in order to meet the 50% funding level for exemption from providing MAiD.

“The actions of the Ministry reveal that the issue of MAiD vs. palliative care is an agenda-driven policy rather than one that ensures access to skilled and compassionate palliative care for eligible patients in distress, and their families,” she said. “And it’s all about dollars. It is easier and cheaper for the government to provide euthanasia rather than continue with palliative care. Basically, they are saying that no palliative care facility in BC has a right to exist unless it also provides euthanasia.”

Faced with the government’s decision and refusal to consider other options such as decreased provincial funding, Ms. Ireland said the hospice will look at all of its legal and other options to continue to exist and serve patients and families in their final days, as they have always done.

The decision is particularly baffling, she said, since access to MAiD for those who request it is available at many locations in the lower mainland, including Delta Hospital right next door to the hospice. That, in her mind, reinforces the view that this is not about patients or families, but rather about a social policy agenda.

BC Hospice challenges closure over government’s proeuthanasia  policy

“MAiD is a separate public health care stream, distinct and apart from palliative care. If the government wants to open MAiD facilities that’s their option, but they must not be allowed to download it onto the backs of private palliative care facilities.”

“Palliative care physicians and nurses believe in the philosophy of specialty palliative care and practice as defined by the World Health Organization (WHO), which maintains that palliative care provides relief from pain and other distressing symptoms and which affirms life and regards death as a normal process. At no point does WHO include euthanasia as an aspect of palliative care!”

Forced closure of the facility ignores the fact that this is a privately owned hospice built on land leased from the government, employs more than fifty people and has contributed significantly to BC’s public health care system.

“This is an invasion of the historic medical discipline of palliative care. The Canadian model is respected around the world. The government and the health authority are running roughshod over that principle and reputation.”

Ms. Ireland expressed hope that “even at this late date” Fraser Health Authority and the BC Ministry of Health will come to the table and discuss the issues, including the financial offer. “Our deepest concern is with those patients and families who have entrusted their final days to us. We want to make sure those days are filled with comfort and peace. That is still our goal.”

The Ministry and the Authority have both publicly stated they plan to take control of the premises currently occupied by the Hospice. The Delta Hospice Society built the Irene Thomas Hospice without taxpayer funds, at the cost of approximately $9,000,000. The Society has operated the Irene Thomas Hospice for 10 years, providing more than 700,000 hours of volunteer labour and $30 million to the public health care system. For the government to step in and seize this private property is “a scandalous appropriation of private assets,” said Ireland.

On Saturday April 4, a Rally for Delta Hospice will be held in front of the
Legislative Buildings at noon. Speakers include Dr. Margaret Cottle (palliative care physician) and Dr. Will Johnston (family physician and obstetrician) along with MP Tamara Jansen and Alex Schadenberg of the Euthanasia Prevention Coalition.

-30-
For further information, contact:
Angelina Ireland. President Delta Hospice
irelandangelina@gmail.com

Delta Hospice would rather lose funding

Delta Optimist

Sandar Gyarmati

It looks like the leadership of the Delta Hospice Society has decided to forgo substantial funding from the Fraser Health Authority by refusing to provide Medical Assistance in Dying (MAiD).

An article this week in The BC Catholic featured an interview with DHS board president Angelina Ireland who was quoted as saying the society rather lose funding, saying MAiD is completely incompatible with palliative hospice care. . . [Full text]

Canadian hospice struggles against state demand to allow euthanasia

Hospice begs permission to refuse $750,000 in state funding

Euthanasia and assisted suicide available in state hospital next door

News Release

Delta Hospice Society

Vancouver area hospice is asking the government to reconsider their proposal to give up $750,000 a year in funding so that it not be required to violate its mandate of care and compassion for patients by providing Medical Assistance in Dying (MAiD) at its facility.

The health authority’s demand is unnecessary, the hospice contends, noting that the MAiD option is widely available at many other facilities, including one next door.

Canadian hospice struggles against state demand to allow euthanasia

By forfeiting the government funding, the hospice would be under the 50% threshold set by the government and therefore exempt from providing MAiD.

Angelina Ireland, President of the Delta Hospice Society, said that the Society’s Charter specifically mandates it to provide compassionate care and support for persons in the last stages of living, so that they may live as fully and comfortably as possible.

“Helping and supporting patients to live fully and comfortably in their last days and giving support to them and their families is what our patients and families come to us for and expect and it is certainly what our staff are dedicated to providing. Taking steps to end a patient’s life is not providing care and support so that ‘they may live fully.’”

Fraser Health Authority ordered the Delta Hospice Society late last year to provide Medical Assistance in Dying (MAiD) claiming that failure to do so would be a breach of the Society’s agreement with the authority.

Ireland said in order to comply with the Authority’s instruction it would have to violate its legal commitments under the province’s Societies’ Act which requires them to follow their Charter. Further, DHS is not in breach of the Agreement. There is nothing in the Agreement which requires DHS to provide MAiD or allow it to be provided on its premises. The FHA is attempting to amend the Agreement by making a unilateral decision to impose an obligation, which in itself would be a contravention of the Agreement. The Fraser Health Authority’s new directive puts the Hospice Society in a difficult position of either honouring their Charter and legal obligations or acceding to what she called “an agenda-driven demand which ignores ourprimary function and pays no heed to the needs or wants of those patients and families we are caring for.”

The Delta Hospice Society has tried to work with the health authority, explaining the dilemma the order places upon them, outlining their function to assist patients live fully in their final days before natural death, and offering options to help settle the dispute but the Fraser Health Authority has refused to budge.

On January 15, 2020, Delta Hospice Society wrote the Fraser Health Authority to ask that they reconsider the proposal to give up the $750,000 a year in funding so that they may benefit from the exemption set out in a Ministry of Health policy.

Ireland said that giving up the funding would cause the Society to focus exclusively on their Hospice operations. The other services the Society provides to the community would be put on the back burner until alternative funding partnerships can be established. The Society is committed to continuing to provide the quality care it has provided since its founding in 1991, and protecting the Society’s mandate and organizational integrity.

Ireland noted further that there are many locations where MAiD is already available to those wishing to avail themselves of that option, including a facility next door.

“Nobody wanting such a service would be prevented access. The issue is not accessibility. It seems to be a purely agenda-driven demand that runs rough shod over both Delta Hospice Society’s desire to live up to its legal requirements under our Charter, as well as ignoring the reality that we are dealing with patients and families in a very vulnerable and delicate position.”

“Our goal,” she added, “is to fulfill our mission. And that is to help patients and their loved ones live quietly, comfortably, and as fully as possible in their final days of life.”

She reiterated the hospice’s desire to negotiate an equitable arrangement with the Fraser Health Authority to maintain Delta Hospice’s role of serving its patients well.

Contact: Angelina Ireland 778-512-8088; irelandangelina@gmail.com

Here’s the deadline given to Delta Hospice

Delta Optimist

Sandor Gyarmati

The Fraser Health Authority has given the Delta Hospice Society a deadline to agree to provide medically assisted deaths.

The new board of the society has been on a collision course with the health region after reversing a decision by the previous board to not allow Medical Assistance in Dying (MAiD) at the Irene Thomas Hospice in Ladner.

A spokesperson with the region yesterday told the Optimist that the FHA “reached out again to the Delta Hospice Society to share our expectations that they comply to permit medical assistance in dying by February 3, 2020.” . . . [Full text]

Forcing a Hospice to Euthanize in Canada

National Review

Wesley J. Smith

Euthanasia is more than just legal in Canada. It has become a government-guaranteed right.

But how to guarantee that the legally qualified who want to die are made dead? Unless the government establishes killing centers out of Soylent Green, it will have to coerce doctors to do the killing or procure the euthanasia doctor -called “effective referral” — as has been done in Ontario. And, it will have to force medical facilities into allowing euthanasia on premises, whether their administators like it or not.

Such an imposition is now taking place in British Columbia, where the Delta Hospice board of directors are standing tall for the hospice philosophy of caring — but never killing — by refusing to permit euthanasia in the facililty. In response, the BC Health Minister is threatening to restrict funding in the single-payer system, which, ironically, would undercut the facilities ability to care optimally for their patients who don’t want to be killed. From the Globe and Mail story:

A B.C. hospice society that refuses to provide medical assistance in dying at its facility in violation of local rules has been given until Thursday to submit plans for compliance.

Health Minister Adrian Dix said the Delta Hospice Society, which operates the Irene Thomas Hospice in Ladner, may face penalties if it fails to do so.

“We’ve asked them … to provide their plan to fulfill their contract with the Fraser Health Authority and it is our expectation that they will,” Mr. Dix said on Wednesday. “Should they not want to fulfill their contract with Fraser Health, there may well be consequences of that.”

It it my understanding that there is a Fraser hospital directly across the street from the hospice where patients are euthanized. It would be easy to move hospice patients who want to have that done to the hospital where they could be put down according to their desire. But even if that weren’t true, so long as the hospice advises patients that euthanasia is not permitted on site, why force the issue? Why threaten to bring financial ruin upon a small, heterodox-managed institution?

Forcing a Hospice to Euthanize in Canada

Because of the message that Delta sends that euthanasia is morally wrong and an improper way to treat terminally ill patients. That is what burns. Hence, the authoritarian response of the government.

This is both a civil rights issue and a matter of basic compassion. Think about the patient in the next bed who values life and knows that his neighbor is being killed by a doctor. That would be both terrifying and morale destroying because of the cruel message communicated that his life — like that of the neighbor — is no longer deemed worth protecting.

The ongoing assault on medical conscience in Canada demonstrates how the culture of death brooks no dissent. The same thing will happen here if we let the wolf in the door. Those with eyes to see, let them see.