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Ethical concerns raised over surge in organ donations in Canada after legalisation of assisted suicide

The legalisation of assisted suicide in Canada has led to a surge in organ donations and the open solicitation of those considering medically assisted death, raising ethical concerns.

During the first 11 months of 2019, Trillium Gift of Life Network, which oversees organ and tissue donation in Ontario, revealed that 18 organs and 95 tissues were donated by people who had ended their life through assisted suicide in the Canadian province. Even without the inclusion of organs and tissues donated in December’s data, the number of donations is up 14% from 2018 and 109% higher than it was in 2017.

“Medical assistance in dying,” as it is legally referred to in the country, has been legal in Canada since 2016, under certain conditions. Since then, organs and tissues donated from those who ended their life through assisted suicide have risen significantly each year.

The 113 assisted suicide related donations in 2019 accounted for 5 percent of overall donations in Ontario, a share that has also been increasing. In 2018, assisted suicide related donations made up 3.6 percent of the province’s total donations, and in 2017 just 2.1 percent.

This new source of organs and tissues is significant as Ontario’s waiting list for organs remains typically static around 1,600.

Countries such as Belgium and the Netherlands require assisted suicide recipients to initiate organ donation, while others, like Switzerland and several US states, prohibit them from donating organs altogether.

In Canada, however, provincial law requires medical professionals to notify the Trillium Gift of Life Network of any potential assisted suicide recipients when a death is imminent. Trillium is then free to approach these individuals and solicit organ donations, leading politicians and medical professionals to question its ethical implications.

Conservative MP Michael Cooper told CNA that the practice raises questions regarding consent and opens up the possibility of coercion.

“The concern that I have is that it muddies the waters in terms of the patient making a decision freely, without any degree of coercion or influence from anyone,” said Cooper.

He added that with the current setup of physician-assisted death in Canada, there is a chance that it is administered to a patient who is not able to properly consent or who may not want to die.

Dr Moira McQueen, executive director of the Canadian Catholic Bioethics Institute, said such practices appear “rather horrifying.”

Given that a person who is approved for euthanasia may not be terminally ill, McQueen she added it is not out of the realm of possibility that a primary physician “might well suggest organ donation as, if not an incentive, a kind of ‘consolation’ for the person’s own loss of life.”

Despite ethical concerns, the policy of allowing medical groups to solicit those considering assisted suicide for organ donations is being adopted by more Canadian provinces and could be a templated for other countries that introduce medical assisted death.

Quebec recently approved Transplant Quebec to raise the possibility of organ donation with patients after their request to die by euthanasia is approved by doctors.

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Dear reader,

We are facing two major threats in the Lords - an extreme assisted suicide Bill and an abortion up to birth amendment.

THE GOOD NEWS - OUR STRATEGY IS WORKING

At Second Reading of the Leadbeater assisted suicide Bill in the House of Lords, a record number of Peers spoke, and of those who took a position, around two-thirds opposed the assisted suicide Bill. That is more than double the number who supported it.

Our side also secured a significant win, with the establishment of a dedicated Lords Select Committee to further scrutinise the Bill’s proposals – and Committee Stage has been delayed until it reports.

This momentum has been built by tens of thousands of people like you. Thanks to your hard work, Peers are receiving a very large number of emails and letters by post, making the case against the Bill. 

Thanks to your support, we have been able to mount a major campaign in Parliament, in the media and online – alongside your own efforts – to keep us on course for our goal: that this dangerous Bill never becomes law.

BUT MORE CHALLENGES LIE AHEAD

We cannot become complacent. Well-funded groups - Dignity in Dying, My Death My Decision and Humanists UK - have poured millions into pushing assisted suicide. They can see support is slipping and will fight hard to reverse that.

This is not the only fight we are facing in the House of Lords.

At the same time, the Antoniazzi abortion up to birth amendment, which passed in the House of Commons in June, is moving through the House of Lords as part of the Crime and Policing Bill.

Second Reading will take place in a matter of weeks. It will then go on to Committee and Report Stages, where we will be up against the UK’s largest abortion providers – BPAS and MSI Reproductive Choices (formerly Marie Stopes) – who are expected to lobby for even more extreme changes to our abortion laws.

If the Antoniazzi amendment becomes law, it would no longer be illegal for women to perform their own abortions for any reason – including sex-selective purposes – at any point up to and during birth.

Thousands of vulnerable lives - at the beginning and the end of life - depend on what happens next. We must do everything in our power to stop these radical proposals.

WE NEED YOUR HELP

Our campaign against the Leadbeater Bill in the House of Lords is working, but the work we have already done has significantly stretched our limited resources.

We are now stepping up our efforts against the assisted suicide Bill while launching a major push to stop the abortion up to birth amendment in the Lords. 

To fight effectively on both fronts, we aim to raise £183,750 by midnight this Sunday (5 October 2025).

Every donation, large or small, will help protect lives, and UK taxpayers can add 25p to every £1 through Gift Aid at no extra cost.

Will you donate now to help protect vulnerable lives from these two major threats?

URGENT
APPEAL
to protect vulnerable lives

Help stop three major anti-life threats.

Help fight the next phase of our battles against major assisted suicide and abortion up to birth threats.