Quebec opens door to expanding end-of-life law to Alzheimer’s disease

Montreal Gazette

Joceleyne Richer

A consensus is emerging among Quebec parliamentarians to launch a public debate on the appropriateness of legalizing medically assisted suicide for persons unable to give informed consent, such as patients suffering from Alzheimer’s disease.

Without making any commitment, Health Minister Gaétan Barrette opened the door on Thursday for a public debate after calls by the two main opposition parties, the Parti Québécois and the Coalition avenir Québec. . . [Full text]

 

Slaying of nursing-home patient renews questions about medical assistance in dying

Montreal Gazette

Aaron Derfel

The alleged murder of an ailing nursing-home patient by her spouse on Monday has renewed questions about Quebec’s law on medical assistance in dying, especially when it comes to those who might be suffering from dementia.

On Tuesday, Michel Cadotte was charged with second-degree murder in the death of Jocelyne Lizotte, a patient of the east-end Centre d’hébergement émilie-Gamelin. Lizotte was reportedly suffering from Alzheimer’s disease and was denied a request for assisted dying.

Under Quebec’s “end-of-life care” act, which came into effect on Dec. 10, 2015, a patient seeking medical assistance in dying must make the request “in a free and informed manner.” . . . [Full text]

 

Barrette chastises MUHC over policy not to provide medically assisted death

Montreal Gazette

Caroline Plante

QUEBEC — The McGill University Health Centre is being forced to backtrack on a policy that exempts its palliative care unit from helping patients die.

Health Minister Gaétan Barrette issued a strongly worded letter to the MUHC’s director general Wednesday, urging him to change the policy, which he says does not respect the law.

“To say that medical aid to die will not be offered in a particular unit … poses a serious problem when it comes to respecting patients’ lawful right to receive end-of-life care,” the minister wrote. . . [Full text]

“Now you want to crush every tiny focus of opposition”

Physicians’ Alliance Against Euthanasia Open letter to Mme Véronique Hivon

Note: Véronique Hivon, now a member of the Quebec National Assembly, was Minister of Health in the previous government and was responsible for bringing forward Quebec’s euthanasia law.

Mme Hivon:

You label as « ideology » the decision made by the McGill University Health Centre to not euthanize patients on the palliative care ward.

“The patients at the end of life are the ones who should have their rights respected and be at the centre of the organization of care”, you say. If that is what you really believe,

  • where were you when the number of palliative care beds at the MUHC was reduced for budgetary reasons?
  • When the specialized geriatrics unit was closed completely?
  • Why do you not speak out when patients are transferred all over the hospital and the city for trivial reasons, as is regularly done in Quebec?

What other than ideology could make you want to force hospitals, not only to kill patients, but to kill them in the one place where they most need to be protected?

Palliative care professionals are experts in easing the pain and suffering of terminally ill patients, accompanying them to the very end of their lives, with no need to kill them in order to do so. Now they are struggling, all over Quebec, to continue providing the same peace at the end of life in a situation where death is being promoted. Yes, promoted. This law was passed against the better judgment of those who know best how to care for the dying. Now you want to eliminate even the little safe space that is left for patients and professionals. All they ask for is one place in the hospital where there is no risk of being killed.

You got what you wanted when this law passed. Now you want to crush every tiny focus of opposition to your favourite project.

That is more than ideology. It’s intolerance, pure and simple.

We support the freedom of the palliative care professionals at the MUHC (and at every hospital) to ensure there are safe spaces for patients.

Yours truly,

[Original text and over sixty signatories]

 

MUHC to allow medically assisted dying in palliative care unit

Montreal Gazette

John Meagher

The McGill University Health Centre said Monday it will change its policy and allow medically assisted dying in its palliative care unit after coming under fire from Health Minister Gaétan Barrette last week.

The uproar came about after a patient at the Glen site had to be transferred out of the palliative care unit to receive medical aid in dying in April.

Barrette sent a letter to the MUHC’s director general last week, asking the hospital network to change its policy, because it does not respect the new law. . . [Full text]