Dr. David Swann, Alberta Liberal Party leader, was a member of a three-person advisory committee set up by the provincial government to seek public feedback on the issue of physician-assisted death. Swann was first elected as a member of the legislative assembly in 2004 for the constituency of Calgary Mountain View. He attends Hillhurst United in Calgary and spoke to Mario Toneguzzi.
Q What is your position on physician-assisted dying?
A Over the last few years, I have come to be much more sympathetic and supportive of the idea of people having greater control over the quality of their lives in their last days and hours. I have personally come to a position where I’m more comfortable with assisted dying than I was five years ago. . . . [Being a doctor] fundamentally shaped [my position]. As I watched people suffering and wasn’t able to do anything about it, I looked for ways to provide both relief to that person and more control over their own process. Nobody should be making that decision [whether to choose an assisted death] for anybody else. It’s a very personal, very spiritual decision. And it’s certainly a medical one and a legal one.
Remembering Gloria Taylor
By Chelsea Temple Jones
A coffee-stained email printed out three years ago hangs over my desk. Gloria Taylor, the first person in Canada ever allowed to choose physician-assisted death, wrote to me after I interviewed her for a 2012 Observer story. “You are my style of writer,” she wrote, a compliment that stirs up unsteady, anticipatory grief.
“Anticipatory grief” was the term Taylor used to describe the feeling that kept her up until 4 a.m. some nights — anger and turmoil that brought her closer to God. Taylor, diagnosed with amyotrophic lateral sclerosis (ALS) a year before becoming a plaintiff in the 2011 British Columbia right-to-die case, had forgotten I was coming to interview her on that mid-summer Okanagan day. She had to phone her lawyer before we talked. “I thought I emailed her. I probably did, I don’t know,” Taylor said, hanging up the phone. The lawyer asked us to avoid discussing the case. Dodging the argument for death meant talking about life. Tucked into her mobile home’s kitchen, Taylor told me about being a Sunday school kid, a competitive motorcyclist, a foster parent and an employee at many jobs including a group home for disabled adults. She laughed a lot and spoke about her Russian heritage, her tattoos and her new wheelchair.
Taylor also talked about inaccessibility and isolation. Cabbing to church and around town was becoming expensive. She had visitors, but few affordable transportation options. Eating and dressing on her own were increasingly frustrating. In rereading the interview transcript three years on, I realize that Taylor’s swelling anticipatory grief intersected with her new identity as a disabled woman whose social desirability was quietly being brought into question.
Taylor fought her case on the premise that all Canadians should have the choice of assisted dying. But choice is contextual, and the choices we make can shift based on how vulnerable we feel. Shame, loneliness and anxiety about whether the support will be there as our bodies grow more disabled — all are factors that affect our decision-making. I re-read Taylor’s account as less hopeful than I initially realized. She was fearful that her tight network of supporters — including her church community — would irreparably loosen.
The Supreme Court’s confirmation that Canadians have the constitutional right to choose physician-assisted dying that followed Taylor’s death in 2013 has launched me, and other members of the disability community I work with as a researcher and ally, into a particular trajectory of anticipatory grief. Assisted dying is presented to us as a choice. But the proposed Bill C-14, the act to decriminalize medically assisted dying, stipulates that the choice is only available to competent adults. Others, like intellectually disabled people or people with psychiatric disabilities, can’t access this choice.
But even “competent” adults are at risk. They may choose to end their lives for fear of what lies ahead. The very real threats of institutionalization that disabled people face regularly — time spent on psychiatric wards, in group homes, in nursing homes — loom large. Their choices may be laced with anxiety about being absorbed into medical systems that too often frame disabled lives as undesirable.
I don’t begrudge Taylor’s pioneering advocacy. I remember her fondly. Yet, I realize that as Canadians, we are putting a lot of time and consideration into crafting laws that will support people in hastening death. Yet, there is room for more thought about how disability is received in our communities and what this means for our end-of-life decisions. Instead of falling into a trap where we equate disability with suffering, we can focus our energy on radically supporting and desiring disabled people’s lives as we navigate the outcomes of vulnerability and grapple with how we collectively choose to care with, and for, each other.
Chelsea Temple Jones teaches in the School of Disability Studies at Ryerson University.
This story originally appeared in the June 2016 issue of The Observer with the title "A new way to die."
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