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Reading: Documentary Review: “Life After” frames assisted dying through the context of systemic inequality and disability marginalization
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Documentary Review: “Life After” frames assisted dying through the context of systemic inequality and disability marginalization

Last updated: December 29, 2025 12:40 am
Published: 3 months ago
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Directed by Reid Davenport, a disabled filmmaker, Life After follows disabled people and their families on both sides of the United States-Canada border as they navigate medical assistance in dying.

In many under­stand­ings, the word “choice” often implies hav­ing the right, pow­er, or oppor­tu­ni­ty to shape our future tra­jec­to­ries freely. But “freely” is heavy — can we have the same under­stand­ing of free­dom for all? What if your future is heav­i­ly con­strained by sys­temic inequal­i­ties or lim­it­ed access to resources? Can we then tru­ly say that every­one pos­sess­es the same right, pow­er, or oppor­tu­ni­ty to choose their future?

I have spent a sig­nif­i­cant part of my life think­ing about these ques­tions, and smarter peo­ple than me have as well.

In the recent doc­u­men­tary Life After, these same ideas are explored too, but from a dif­fer­ent per­spec­tive, one that comes from a far more mar­gin­al­ized lens.

Direct­ed by Reid Dav­en­port, a dis­abled film­mak­er, Life After fol­lows dis­abled peo­ple and their fam­i­lies as they nav­i­gate med­ical assis­tance in dying (MAID). Under cur­rent Cana­di­an law, dis­abled indi­vid­u­als may request MAID if med­ical pro­fes­sion­als deter­mine that their “qual­i­ty of life” is insuf­fi­cient, even with­out a ter­mi­nal illness.

Notably, these same ideas and sim­i­lar legal frame­works are present a bit clos­er to home as well. Ore­gon, for instance, passed the first Death With Dig­ni­ty Act in 1994, fol­lowed by Wash­ing­ton in 2008, allow­ing ter­mi­nal­ly ill patients to seek assist­ed death under spe­cif­ic con­di­tions. Pro­po­nents of these laws main­tain that they offer com­pas­sion, auton­o­my, and relief from pro­longed suffering.

Life After, build­ing on these ideas, con­trar­i­ly argues that “assist­ed dying” has become less a mat­ter of choice and more a con­se­quence of sys­temic failure.

Per­sis­tent under­fund­ing of care, lack of acces­si­ble hous­ing and sup­port ser­vices, bureau­crat­ic hur­dles, and social iso­la­tion severe­ly lim­it the viable liv­ing options avail­able to dis­abled individuals.

Dav­en­port there­fore moves beyond fram­ing MAID as progress in human auton­o­my and con­cep­tu­al­izes the expe­ri­ences around it to show how a fail­ing care sys­tem leaves dis­abled peo­ple with no mean­ing­ful alter­na­tives beyond death.

The film opens with footage of Eliz­a­beth Bou­via, a dis­abled Cal­i­forn­ian who fought for the right to end her life in 1983.

After years in a psy­chi­atric insti­tu­tion, where the com­bined pain of her cere­bral pal­sy and arthri­tis left her unable to func­tion, she sought per­mis­sion to refuse food and end her life. The judge ulti­mate­ly ruled that she did not have the right to request assis­tance in dying from the hospital.

Eliz­a­beth is quite impor­tant for Dav­en­port. Her sto­ry reflects a pro­found cri­sis shaped by med­ical and legal sys­tems. Through­out her life, she is por­trayed as a defi­cient woman — some­one who is seen as want­i­ng, and per­haps even need­ing, to be killed.

But Dav­en­port sees the whole sto­ry differently.

For him, her sto­ry is the frame­work; it is the cen­tral lens that Dav­en­port artic­u­lates his call for dis­abled peo­ple to retain con­trol over their own liv­ing life. He delib­er­ate­ly works to decen­ter death in Elizabeth’s sto­ry, choos­ing instead to cel­e­brate her life, and to chal­lenge the way mass media reduced her iden­ti­ty to her desire to die.

One of the film’s most pow­er­ful moments also stems from Eliz­a­beth, when Davenport’s emo­tions sur­face as he express­es hope that Eliz­a­beth lived a full and mean­ing­ful life.

To inves­ti­gate present strug­gles, Dav­en­port then trav­els to Ontario, Cana­da to meet Michal Kaliszan. He is a wheel­chair user and com­put­er pro­gram­mer who seri­ous­ly con­sid­ered apply­ing for MAID after real­iz­ing that his only alter­na­tive was enter­ing a long-term care insti­tu­tion. But with long-term care cost­ing expen­sive, MAID end­ed up emerg­ing as the only fea­si­ble option.

Like Eliz­a­beth, Mike is sim­ply anoth­er dis­abled indi­vid­ual pushed toward assist­ed dying as a per­ceived solu­tion to the lim­it­ed oppor­tu­ni­ties and sup­ports avail­able to him.

It is this accu­mu­la­tion of sto­ries, such as Mike’s, Elizabeth’s, and those of oth­ers liv­ing with dis­abil­i­ty, that makes Life After so dif­fi­cult to confront.

Dav­en­port, how­ev­er, is unique­ly posi­tioned to tell this sto­ry, able to draw open­ly on moments of his own despair and hope. And what­ev­er the argu­ments in favor of MAID could be, whether ground­ed in auton­o­my or indi­vid­ual choice, Dav­en­port choos­es to strive for humans flour­ish­ing in every sin­gle condition.

Life After lingers long after view­ing and tru­ly reflects on struc­tures that shape how we live and how we die. It is fea­ture-length, run­ning just under two hours, and is cur­rent­ly avail­able to watch on PBS and YouTube.

Read more on Northwest Progressive Institute

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