Snippet
Assisted dying
Care
Comment
Ethics
2 min read

Who holds the keys of death? The logic of assisted dying

The ethical principle of double effect.

Tom is a physician and completing a theology doctorate. 

white pills form an angle on a blue background
Hal Gatewood on Unsplash.

Healthcare hinges on the principle of double effect. This ethical principle makes the vital distinction between intent and effect. That is, one’s intent does not always result in a single intended effect, whether foreseen or not. In taking a patient’s blood, for example, my intent is to acquire information to aid treatment. An additional effect of this process is that—almost inevitably—this patient will experience pain, albeit minor. This principle of single intent and multiple effects applies throughout the practice of caring for human bodies, in all those instances where caring for those bodies involves physical interference, from prescribing medications to surgical procedures. And, in some instances, identifying and treating symptoms (such as terminal breathlessness) involves the use of medications that, as an unintended effect, result in death. 

In the case of assisted dying, the distinction is important. The intent of assisted dying is to end pain and suffering by ending life. The ending of life is the treatment used to relieve pain and suffering. The intent is not to isolate and treat particular symptoms associated with a condition. The intent is to bring the condition itself to an end—which requires bringing the patient’s life to an end. This is not to make any judgment whatsoever about whether such a course is “right” or “wrong”, but rather to draw out the simple observation that this course involves an unprecedented change in medical practice. Assisted dying involves the categorical adoption of ending life as a possible treatment for a condition. 

This is not quite the same as the slippery slope argument; it is about the logic of assisted dying. The point I am making is this: once ending life is introduced as a treatment, the key ethical step has already been taken. Applying that treatment in other instances of “suffering” (be they mental illness or ageing, for example) does not involve any new ethical steps. It simply involves the further application of a principle that has already been adopted. Despite the considered safeguards of the bill, therefore, the moral-ethical arguments against applying this treatment more widely will, at best, stand on shaky ground. For who could be so bold as to insist on what constitutes “suffering” for an individual?  

Should the bill hold out the keys of death in this way? I can only think of One who is strong enough to wield those… 

Article
Comment
Leading
Politics
5 min read

Canadians are riled up: who's got the plan to meet the moment?

A restless nation looks to what’s next.

Emerson writes on geopolitics. He is also a business executive and holds a doctorate in theology.

Ice hockey players fight in front of a goal
Canadian and American hockey players fight it out.

Canada is on edge. The world feels more volatile than it has in years, and at the center of the political storm is the looming presence of Donald Trump. With a Canadian election called this past Sunday, Canadians are fixated on a single question: who among our leaders is best equipped to deal with the return of Trumpism?  

It is not just about diplomacy; it is about defining Canada's role in a world that is growing more uncertain by the day. 

Right now, two figures are in competition: Mark Carney and Pierre Poilievre. They are, in many ways, opposites. Carney, with his economic expertise and international standing, represents a polished, globally respected leadership style. Poilievre, by contrast, channels raw frustration, presenting himself as the anti-establishment fighter ready to take on both the political elite and external threats.  

The country is divided, with polls showing both men running neck and neck. The choice before Canadians is not just about policy; it is about the kind of leadership style they believe can best meet the challenges ahead. 

Canadians are restless and want a leader with a clear plan - a person who is willing to fight but who also has a strong, actionable vision for the country. Empty rhetoric will not suffice; voters want substance behind the message. They want to know that the elected leaders - and their team - can actually deliver.  

This moment demands a different kind of leadership, one grounded in values and virtues that resonate with Canadians. This is because Canadians want to know that their next leader has substance, given the lack of this over the last decade.  

Among these, community stands out as essential. Communities are not just social units; they are the backbone of resilience. In times of crisis, as I argued in a previous article Canada’s Long Hot Summer, strong communities determine whether a nation weathers the storm or succumbs to decline.  

The plans devised by the Federal government, and in partnership with Canada's thirteen provinces and territories, will need to be delivered at the community level. It will not be government bureaucracies but rather communities pulling Canada through upcoming challenges.  

Community is not just about togetherness - it is about shared responsibility and the willingness to take action. Historically, the strength of Canadians comes from pulling together in times of crisis, not from passive compromise. We built our communities with a sense of collective responsibility, recognizing that our prosperity depends on our willingness to support our neighbors. 

Canadians respect leaders who fight for their values while delivering results. In hockey terms, we admire the hard-working, two-way player who battles in the corners and delivers when it counts - not someone who plays a careful, neutral game. A leader who embodies that spirit, who presents a clear, actionable plan for Canada’s future, will resonate deeply with voters.  

Indeed, the last ten years for Canada have been anything but this: all words and no action.  

There is therefore a delicate balance between channeling people's justified frustrations and a focus on presenting a better future.  

Now is the time to reflect on individual and shared values and virtues. My own personal and political values are those of integrity, honesty, pluralism, self-reliance, ingenuity, and a commitment to protecting the most vulnerable. Values and virtues are not abstract ideals; they are practical necessities in a rapidly changing world.  

For instance, integrity means acting in accordance with one’s principles and delivering on promises. Honesty is about telling hard truths, even when they are inconvenient. Pluralism acknowledges the richness of the Canadian people and the need for different perspectives at the decision-making table. Self-reliance is not about isolation; it is about ensuring Canada can stand on its own economically and politically without over-reliance on others. Ingenuity is about fostering a culture of innovation that keeps Canada competitive in an era of global transformation. And protecting the vulnerable is not charity - it is about creating a country where everyone has the opportunity to contribute meaningfully. 

A leader who can embody these types of principles (or any principles) while also presenting a concrete plan for Canada’s future will resonate with voters. 

While Pierre Poilievre has had difficulty adapting to the election of Donald Trump and is losing ground in the polls to Carney (a previous 20-point lead now reduced to one), he remains in a good position and can achieve victory by adapting his messaging and policies to the world we are in.  

Anger and a focus on the brokenness of Canada is not what Canadians want; dissatisfaction needs to be channeled in a way that is more forward-looking. What can Canadian communities achieve together, based on our shared values and virtues, translating words into actions? Answering this question clearly and authentically is key to Carney's success.

This election is not just about choosing between Carney and Poilievre - it is about what kind of Canada we want to build. Canadians will not be satisfied with vague assurances of moderation or status quo politics.  We do not want the same old, and this is where Carney must be careful - bringing voices into his team from beyond the ancien régime. A plurality of voices is powerful. 

We want a leader who will take decisive action and who brings real change.  

As Canadians, we do not just watch history unfold; we participate in it. We built one of the world’s strongest economies, and now we face the challenge of defending it in an era of deglobalization and shifting alliances. Canada has the resources, the talent, and the spirit to succeed, but we need leadership that understands how to harness that potential. 

The political landscape is shifting, and Canadians are ready for change.  

The question is no longer just who can stand up to Trump; it is who has the plan, the resolve, and the leadership to ensure Canada thrives in an uncertain world. That is the ballot question, and it will define the country’s next chapter. 

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