Doctors raise alarm about long delays in getting paid for medically assisted deaths

Payments have been slow and amount of time that doctors can bill isn’t enough, says Dr. Tim Holland

CBC News

Emma Davie

The president-elect of Doctors Nova Scotia is concerned that delays in getting paid for administering medically assisted deaths is deterring more doctors from offering the service.

Dr. Tim Holland said he’s yet to be paid for any of the procedures he’s done since Bill-C14 came into effect in June 2016.

Of the 67 claims made in the province for assessments and procedures related to medically assisted deaths, 35 have been paid and 32 are being assessed for payment, the Department of Health and Wellness said Tuesday. . . [Full text]

 

Low fees have B.C. doctors thinking twice about providing assisted dying

‘We’re being paid 50% of what we would doing routine office work. So it’s difficult to justify continuing’

CBC News

Karin Larsen

Medically assisted dying has been legal in Canada for over a year, but one B.C. doctor says he can no longer afford to offer the service, because the costs involved are much greater than the $200 payout from the provincial medical services plan.

In a letter, Dr. Jesse Pewarchuk calls the situation “economically untenable” while outlining a number of steps a physician must follow in the medical assistance in dying (MAID) procedure. . . [Full text]

 

Meet 1 of only 2 London doctors willing to help their patients die

Dr. Scott Anderson says too many barriers stand between patients and access to a doctor-assisted death

CBC News

Although medically assisted dying has been law for more than a year in Canada, Dr. Scott Anderson is one of only two physicians in the London area willing to help his patients die.

Anderson, an emergency intensive care specialist at London Health Sciences Centre, is one of only 74 doctors in Ontario and 11 in the South West Local Health Integration Network registered with the province’s 1-800 number to help connect patients seeking the procedure with doctors willing to perform it. . . [Full text]

 

Canadian doctors turn away from assisted dying over fees

Globe and Mail

In a recent letter to some of his colleagues, Vancouver Island doctor Jesse Pewarchuk explained why he won’t be helping any more gravely ill patients to end their lives, despite his fervent support for assisted death.

“It is my deep regret to inform you that I am no longer accepting referrals for Medical Assistance in Dying,” the letter began. “Recent changes to the [Medical Services Plan] physician fee schedule have made MAID economically untenable and I unfortunately can no longer justify including it in my practice.” . . . [Full text]

 

Conscience protection bill: first reading in the House of Lords

The Conscientious Objection (Medical Activities) Bill [HL] 2017-19, introduced by Baroness Nuala O’Loan, was read for the first time in the British House of Lords.  First reading is a formality that begins the legislative process.  The proposal is a procedure-specific bill limited to activities associated with abortion, artificial reproduction and withdrawing life sustaining treatment.