Category: Canada

Doctors challenge Ontario policy on assisted-death referrals

Physicians go to court over requirement to send patients to other doctors if they don’t want to provide medical assistance in dying.

Toronto Star

Alex Mckeen

A group of doctors has mounted a legal challenge to an Ontario policy that requires them to refer patients to other doctors for medical assistance in dying.

The Christian Medical and Dental Society of Canada, the Canadian Federation of Catholic Physicians’ Societies and Canadian Physicians for Life, along with five individual physicians, are arguing at Ontario Superior Court this week that the Charter of Rights and Freedoms protects them from being required to refer patients elsewhere if they don’t want to help those patients end their lives.

They are fighting a policy of the College of Physicians and Surgeons of Ontario that says doctors must provide an “effective referral” if they refuse to help a patient end their life due to “reasons of conscience or religion.” . . . [Full text]

 

Physician’s conscience should trump patient demands, argues Justice Centre

News Release

Justice Centre for Constitutional Freedoms

TORONTO: The Justice Centre will intervene at the Ontario Superior Court of Justice, Tuesday June 13 through June 15, in support of the Christian Medical and Dental Society of Canada (“CMDS”) Application against the College of Physicians and Surgeons of Ontario (the “CPSO”) in the Ontario Superior Court of Justice.

The CPSO has adopted policies that require doctors to assist patients who want to commit suicide, and other medical services such as abortion, even if those services conflict with a doctor’s conscience or religious beliefs.  The CPSO further requires doctors to provide “an effective referral” for physician-assisted suicide, also known as Medical Assistance in Dying (“MAID”).

The Justice Centre’s intervention will focus on the Supreme Court’s repeated rulings that there is no Charter right to health care, or any medical procedure, including MAID.  Therefore, there cannot be a right, Charter or otherwise, which allows patients to demand that an individual doctor perform or provide any medical procedure or an “effective referral” for any specific medical procedure or service that violates that doctor’s conscientious or religious beliefs.

On the contrary, doctors have protected conscience and religious rights under section 2(a) of the Charter, and government bodies like the College are required to respect those Charter freedoms. In failing to respect the conscience rights of medical practitioners, the CPSO threatens the integrity of the entire medical profession.

The Justice Centre’s Factum concludes:

The Policy uses threats and coercion to compel conduct that overrides a physician’s foundational right-and-wrong imperatives. The CPSO’s justifications as to why it is  necessary in the instant case to violate an individual’s conscience are fallacious. There is no constitutional right to health care, and no fiduciary obligations exist to require a physician to assist with suicide. History is replete with examples of state entities that compelled their citizens to act contrary to conscience, with horrific and tragic results. In attempting to compel conduct against the wills and consciences of medical practitioners the CPSO adds itself to a list of infamy.

Conscientious objection “not an issue” in management of euthanasia/assisted suicide in Canadian hospital

Physician-Assisted Dying: Most Patients Have Cancer

Medscape

Roxanne Nelson, BSN, RN

Last year, Canada joined a small but growing number of countries and US states in legalizing physician-assisted dying.

A new paper, reporting on the experience to date at a large healthcare system in Toronto, Ontario, found that three quarters of patients inquiring about the program had cancer, and for various reasons, only 26% actually received the intervention.

The paper is published online May 25 in the New England Journal of Medicine.

The degree to which physician-assisted dying has become “normalized,” both in their network and throughout Canada, “was unexpected,” especially considering the degree of controversy that preceded passage of the law, note the authors. . . [Full text]

 

Ontario and Manitoba: A Tale of Euthanasia and Assisted Suicide in Two Provinces

News Release

Catholic Civil Rights League

Toronto, ON May 23, 2017 – How can governments in two provinces come to such opposite conclusions?

As assisted suicide spreads its nefarious presence across the country, provincial governments in two provinces have moved in opposite directions when it comes to recognition of the Charter right of freedom of conscience and religion of healthcare professionals in dealing with the practice.

In Ontario, on May 9, two days prior to the March for Life in Ottawa, Bill 84 passed at third reading 61-26. The new law received royal assent on May 10, and the self-reporting regime of assisted suicide has now been enacted, without any additional provision for clarification of conscience rights of doctors or healthcare workers. In thousands of letters and petitions, and despite the significant majority of in person submissions to the legislative committee studying the bill, the enshrinement of clear conscientious protections was denied.

Last week, a private members bill from Ontario MPP Jeff Yurek, to stipulate such conscience recognition, likewise faced defeat at the hands of the ruling provincial Liberal government.

This same government will send its lawyers next month to oppose a court challenge of the rulings of the College of Physicians and Surgeons of Ontario (CPSO), which enacted a requirement that objecting physicians provide an effective referral to patients seeking death, or other morally repugnant treatment demands.

In Manitoba, Health Minister Kelvin Goertzen introduced Bill 34 on May 16, legislation to provide for assisted suicide in that province, with specific provisions to protect doctors and healthcare professionals from having to participate, or refer, or face disciplinary proceedings for exercising their rights to conscience. “The legislation will protect the rights of those who do not wish to participate in a medically assisted death for conscience, faith or other reasons,” he told the legislative assembly.

The proposed Manitoba bill allows for an individual to be protected from disciplinary or employment repercussions for refusing to participate in assisted suicide requests, in full recognition of the importance of the personal convictions of the healthcare provider. Bill 34 further prohibits a provincial regulatory body from requiring healthcare professionals from participating in assisted suicide.

The Ontario law also suppresses data collection regarding medically assisted suicides, a position opposed by the Privacy Commissioner of Ontario, and the CCRL, in the legislative committee hearings.

Several doctors who presented their positions at the Ontario legislative committee made absolutely clear their opposition to the imposition that assisted suicide would have on their practices, in particular those involved in palliative care. The experience of other jurisdictions has shown that demands for pain management, or palliative care resources, decrease when assisted suicide becomes an available course of action.

We now observe that when it comes to conscience rights, Ontario stands alone in greasing the wheels of assisted suicide requests.

About the CCRL

Catholic Civil Rights League (CCRL) assists in creating conditions within which Catholic teachings can be better understood, cooperates with other organizations in defending civil rights in Canada, and opposes defamation and discrimination against Catholics on the basis of their beliefs. The CCRL was founded in 1985 as an independent lay organization with a large nationwide membership base. The CCRL is a Canadian non-profit organization entirely supported by the generosity of its members.

For further information:

Christian Domenic Elia, PhD CCRL Executive Director
416-466-8244
@CCRLtweets

How to End a Life

A year since assisted suicide became legal, only a small number of physicians are willing to perform the procedure, and their numbers are shrinking. Taking a life is harder than they thought

Toronto Life

Nicholas Hune-Brown

The first thing April Poelstra noticed was the hitch in her father’s shoulder. Jack’s left arm was drooping, hanging limply at his side, as if he didn’t have the muscle to cinch it into alignment. It was the fall of 2015, and Jack was living in Frankville, Ontario, waking up at 4:30 a.m. to plow roads and work odd jobs for a construction company. . . Jack tried to downplay his shoulder problems. He visited his doctor for a battery of tests, but always changed the subject when April pressed for details. . . .In early 2016, her fears were validated: Jack was diagnosed with ALS. Amyotrophic lateral sclerosis, or Lou Gehrig’s disease . . .On June 17, Bill C-14 became law, making medical assistance in dying, or MAID, legal for mentally competent Canadians. Jack Poelstra was overjoyed. . . [Full text]