On December 18, Margaret Marsilla called her son to say she had given up on trying to stop a doctor from killing him. “I already stopped you once,” she said. “I’m not going to do it again. I don’t want you to keep hating me, so I’m not going to come there.”
Marsilla had just learned that her 26-year-old son, Kiano Vafaeian, was approved for “medical assistance in dying” (MAID), Canada’s government-run assisted-suicide regime. He was blind, struggling with complications from type 1 diabetes, and living in public housing in Toronto. He also suffered from depression.
Vafaeian was not terminally ill—and did not need to be to end his own life. In Canada, MAID patients must show only that they have a condition that is “intolerable” and cannot “be relieved under conditions that they consider acceptable.” These people often feel beset by enduring illness, unresolved social hardship, and other afflictions, all of which blur the line between medical suffering and the hardships of daily life itself.
