Canada’s assisted dying programme has gone too far, says lawyer who tried to take his own life
Warning: This article contains references to suicide
On Friday this week, MPs will debate if England and Wales should legalise assisted dying.
The proposed legislation restricts it to adults with six months or less to live.
Canada introduced assisted dying in 2016 for adults with a terminal illness. In 2021, it was extended to people with no terminal illness and the disabled.
On 17 March 2027, anyone with a serious mental health problem will also be eligible.
Campaigners in Canada argue that the programme, known as MAID [medical assistance in dying], has gone too far.
Orlando Da Silva has struggled with crippling depression since he was a nine-year-old boy.
The high-flying Ontario lawyer is 56 years old now and has tried to take his own life a number of times.
Orlando Da Silva
He says if MAID had been offered to him when he was at his lowest, he would have taken the option to end his life.
But he argues that people like him need help with their condition – not help to die.
“You just think you’re a worthless little boy and eventually a worthless teenager, and then one day, a worthless man,” Orlando says, describing the impact of his mental health on his childhood and later into his adult life.
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Assisted dying: Lessons from Canada
Working as a top barrister in the province of Ontario helped Orlando. It was a distraction from the suicidal thoughts that would overwhelm him when he left his office on the 47th floor of a downtown Toronto skyscraper.
“If you could measure it on a scale of zero to 10 [where] 10 is the happiest you’ve ever been, and zero is suicidal, my cruising altitude is about five or six, so I rarely get better than that.”
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Orlando has received almost all of the conventional therapies available for his condition.
“Now I have a condition called treatment-resistant depression, which means I’ve been on more than 40 different kinds of antidepressants. I’ve had 13 electroconvulsive shock treatments. I’ve been on ketamine treatments. And nothing works.
“So the critical problem for me with this condition is that it escalates into a major depressive episode every 18 to 24 months.”
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What happens if assisted dying bill passes?
Safeguards in place for Orlando
He says he has now learned how to manage his depression by reminding himself that the cycle will eventually end no matter how impossible the situation might feel at the time.
“I just push myself through one day at a time. Sometimes it’s one hour at a time, one minute at a time, one breath until the next one. Because I know it doesn’t last forever, but when I’m in that moment, I think it will, and there’s nothing anyone can say to convince me.”
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He also has safeguards in place designed to protect him from himself.
“I’ve developed tools and a support network and even a 10-point scale that I share with my family and friends, so they can see how I’m doing, and they know I’m at a three or below, it’s time for an intervention.”
Orlando nearly died in 2008 after a failed suicide attempt. It led to six months in hospital.
He is now using his experience to try and help others like him who might choose an assisted death when they are allowed to in just over two years.
“It scares me to death. If it was available earlier, I would have chosen it in 1994. I would have tried it and I would have asked for it in 2002, in 2004, in 2008 and when I attempted my suicide in 2012, in 2014. And I’m alive because it’s not available now and because I failed in 2008.”
Fears over Canada’s programme
The move to include mental illness in Canada’s assisted dying programme was delayed twice because of fears around the impact it will have on the country’s health system.
By offering people with mental health issues an assisted death, Orlando warns, it further reinforces their sense of worthlessness.
“You want the pain to end, right? And the last thing you need is someone in a white coat who says: ‘Well, I see it’s kind of rough for you. How about we help you and your life? Do you like that?
“Now, does that say you’re worthwhile if you hear that? Does that say you have value? Does that contradict that voice in your head? Or does it reaffirm and confirm it?”
“We need to help. We need to give hope. Don’t need an easy death, like I want us to be a better society than that. If they say we’re judged by how we treat our most vulnerable. How do we treat people with mental illness who want to die?”
Orlando’s struggle is not over. But for him life is worth living no matter how hard it gets.
“Thank God I didn’t succeed, thank God I failed because if I had succeeded, I would never have met my wife.
“I never would have had my three beautiful daughters. I never would have had the rewarding personal and professional career I’ve had since and I would never have learned all that’s beautiful in this world from them.”
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK
The lawyer of a high-profile Gazan doctor detained by Israel since last December has spoken of her shock over his condition after being allowed a rare visit to see him in jail.
Ghaid Qassem has told Sky News that Dr Hussam Abu Safiya – the director of the Kamal Adwan hospital in northern Gaza – survives on very little food, including two spoonfuls of rice a day and has lost a third of his body weight. She said he has been subjected to severe beatings.
“As a young woman, seeing an older man – a respected doctor like Hussam Abu Safiya – broken in front of me, degraded, surrounded by prison guards, in the worst possible condition, how am I supposed to feel?” she said.
“The conditions of his detention are extremely harsh, inhumane, with continuous assaults.
“This is the sixth time he has been brutally attacked.
“The most recent incident was on 24 June 24, which coincided with the end of Israel‘s war with Iran and the strike on Soroka Hospital in Beersheba [Israel].
“It seems the prison authorities decided to take revenge. They raided Abu Safiya’s cell and began assaulting him.
“He was beaten, sustaining bruises on his head, neck, and back. Afterwards, he requested medical treatment because he felt abnormal heartbeats, but his request was denied.”
Dr Hussam Abu Safiya (centre) with his colleagues. Pic: Dr Eid Sabbah, Kamal Adwan Hospital
Ghaid Qassem
It is thought that since his detention Dr Abu Safiya has been held at a number of Israeli jails.
His lawyer said she was allowed access to meet with him at Ofer prison, near Jerusalem.
Ms Qassem said there was no proper healthcare or hygiene and it is claimed the paediatrician is being held in an underground cell.
“They can’t shower, their clothes aren’t replaced, not even underwear,” she said. “Scabies is rampant, skin diseases are widespread and the most basic medical attention is only given when they see you’re on the verge of death.”
Dr Abu Safiya was last seen in Gaza, wearing his white doctor’s coat as he walked through the rubble outside his hospital towards an Israeli tank in December 2024.
This is believed to be one of the last sightings of Dr Hussam Abu Safiya before he was detained
Before then he had become a well-known voice and face of the Kamal Adwan hospital, sharing videos about the siege of the medical facility and explaining how staff were struggling to continue working under Israeli bombardment.
The hospital has since been forced to close down.
Oneg Ben Dror, from Physicians for Human Rights Israel, told Sky News they believe Dr Abu Safiya is one of more than a 100 medical professionals from Gaza currently being detained in Israeli jails.
Oneg Ben Dror, from Physicians for Human Rights Israel
She said: “We know that more than 250 health care workers were arrested since the start of the war on Gaza.
“Part of them were released, and more than 100 are still detained. We have their names, and we managed to visit dozens of them while in detention.
“All those we met weren’t charged officially with any offence.
“We asked them about the interrogation and all of them said the questions they were asked weren’t about them or a specific offence.
“It was more information gathering about their workplace and people they knew and this is against international law arresting them while doing their job and holding them for intelligence gathering and as bargaining chips for a potential deal.”
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Doctors on the frontline
A spokesperson for the Israel Prison Service (IPS) said: “All prisoners are detained according to the law. All basic rights required are fully applied by professionally trained prison guards.
“We are not aware of the claims you described, and as far as we know, no such events have occurred under IPS responsibility.
“Nonetheless, prisoners and detainees have the right to file a complaint that will be fully examined and addressed by official authorities.”
Dr Abu Safiya’s colleague, Dr Eid Sabbah, head of the nursing department at Kamal Adwan Hospital, told Sky News more than 30 medical staff from the hospital have been killed during the conflict.
Dr Hussam Abu Safiya and Dr Eid Sabbah, worked together in Gaza. Pic: Dr Eid Sabbah, Kamal Adwan Hospital
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He said: “We pray to God to give Dr Abu Safiya strength, to ease his suffering soon, and to see him free – just like the rest of our people, our patients, our wounded, and all the doctors who were detained from this hospital.
“He is in a very difficult situation. The news we are hearing is troubling and far from reassuring.
“He was the kind of doctor who took bold stands for his colleague. At the same time, he never abandoned his patients, even under extreme pressure.
“Despite calls urging him to evacuate the hospital for his own safety, he refused to leave. He stayed by his patients’ sides, fully committed to serving them – especially the children, the elderly, the women, and the injured.”
An aid worker in the central Gaza Strip has told Sky News the food situation in the enclave is “absolutely desperate” and “the worst it’s ever been”.
Her comments to Sky’s chief presenter Mark Austin come amid fresh international outcry over Israel’s restrictions on aid, as the UK has joined together with 24 other countries to say: “The war in Gaza must end now.”
Rachael Cummings, humanitarian director for Save The Children, is in Deir al Balah, a city in central Gaza where tens of thousands of people have sought refuge during repeated waves of mass displacement.
Middle East latest: Key points from UK statement on Gaza
She said: “One of my colleagues said to me yesterday, ‘We are all walking together towards death’. And this is the situation now for people in Gaza.
“There is no food for their children, it’s absolutely desperate here.”
Palestinians gather to receive food from a charity kitchen. Pic: Reuters
“The markets are empty,” she said. “People may even have cash in their pockets yet they cannot buy bread [or] vegetables.
“My team have said to me, ‘There’s nothing in my house to feed my children, my children are crying all day, every day.”
Israel launched a ground assault on Deir al Balah on Monday morning, another charity said earlier.
Smoke rises during strikes amid the Israeli operation in Deir al Balah. Pic: Reuters
Ms Cummings’s comments came as the UK and 24 other nations issued a joint statement calling for a ceasefire.
The statement criticised aid distribution in Gaza, which is being managed by a US and Israel-backed organisation, Gaza Health Foundation.
“The Israeli government’s aid delivery model is dangerous, fuels instability and deprives Gazans of human dignity,” it said.
The 25 countries also called for the “immediate and unconditional release” of hostages captured by Hamas during the 7 October 2023 attacks.
Lammy promises £40m for Gaza aid
Foreign Secretary David Lammy later promised £40m for humanitarian assistance in Gaza.
He told MPs: “We are leading diplomatic efforts to show that there must be a viable pathway to a Palestinian state involving the Palestinian Authority, not Hamas, in the security and governance of the area.
“Hamas can have no role in the governance of Gaza, nor use it as a launchpad for terrorism.”
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Lammy: ‘There must be a viable pathway to a Palestinian state’
Addressing the foreign secretaries’ joint written statement, charity worker Liz Allcock – who works for Medical Aid for Palestinians (MAP) in Gaza – told Sky News: “While we welcome this, there have been statements in the past 21 months and nothing has changed.
“In fact, things have only got worse. And every time we think it can’t get worse, it does.”
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“Without a reversal of the siege, the lack of supplies, the constant bombardment, the forced displacement, the killing, the militarisation of aid, we are going to collapse as a humanitarian response,” she said.
“And this would do a grave injustice to the 2.2 million people we’re trying to serve.
“An immediate and permanent ceasefire, and avenues for accountability in line with international law, is the minimum people here deserve.”
The war in Gaza started in response to Hamas’s attack on Israel on 7 October 2023, which killed 1,200 people and saw about 250 taken hostage.
More than 59,000 Palestinians have since been killed, with more than half being women and children, according to Gaza’s health ministry, which does not distinguish between civilians and combatants in its count.
In recent weeks hundreds of Palestinians have reportedly been killed while waiting for food and aid.
The Israeli military has blamed Hamas militants for fomenting chaos and endangering civilians.
At least 19 people have died after a Bangladesh air force plane crashed into a college campus, the military said.
The aircraft crashed into the campus of Milestone School and College in Uttara, in the northern area of the capital Dhaka, where students were taking tests or attending regular classes.
The pilot was one of the people killed, and, according to the military, 164 were injured in the incident.
The Bangladesh military’s public relations department added that the aircraft was an F-7 BGI, and had taken off at 1.06pm local time before crashing shortly after.
Video shows fire and smoke rising from the crash site, with hundreds looking on.
Pics: Reuters
The cause of the crash was not immediately clear.
Bengali-language daily newspaper Prothom Alo said that most of the injured were students with burn injuries.
Pics: Reuters
Citing the duty officer at the fire service control room, Prothom Alo also reported that the plane had crashed on the roof of the college canteen.
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Rafiqa Taha, a 16-year-old student at the school who was not present at the time of the crash, told the Associated Press that the school has around 2,000 students.
“I was terrified watching videos on TV,” she added. “My God! It’s my school.”
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