Quebec’s split over euthanasia a warning for Canada

Palliative care specialists’ reluctance to administer life-ending drugs indicates it may be easier to change laws than attitudes.

Toronto Star

Allan Woods

MONTREAL―Quebec”s euthanasia law is the template and test case for the rest of the country, but problems emerging just months before the terminally ill can start demanding their deaths show that laws are easier to change than attitudes.

Since legislation was adopted in the summer of 2014 that would allow dying patients access to a life-ending drug cocktail under strict conditions, politicians here have celebrated the perception of Quebecers being the vanguards of social change.

But with time running out before Dec. 10 — the date that patients can begin requesting the procedure — hospitals and health-care providers are scrambling to draw up policies and find the staff who will carry out those patients” wishes.

If that wasn”t tough enough, some of those who might be expected to lead the change — palliative care physicians and hospice administrators — have let it be known that they are instead digging trenches for the battle.

“The vocation of a palliative care hospice is to provide care, and that doesn”t include medical aid in dying,” said Élise Rheault, director of Maison Albatros Trois-Rivières. . . [Full Text]

Unacceptable to force doctors to participate in assisted dying against their conscience: CMA head

National Post

Sharon Kirkey

No physician in the country should be forced to play a role in any aspect of assisted dying against their moral or religious beliefs — including referring patients to another doctor willing to help them die, the Canadian Medical Association says.

Legalized physician-assisted death will usher in such a fundamental change in practice “we simply cannot accept a system that compels physicians to go against their conscience as individuals on something so profound as this,” CMA president Chris Simpson said in an exclusive interview.

The unanimous Supreme Court of Canada ruling legalizing assisted dying would not compel doctors to help patients end their lives when the historic decision takes effect next year.

But the justices were more guarded on the issue of mandatory referral, saying the Charter rights of both patients and doctors will need to be reconciled.

Dr. Simpson said that many doctors who conscientiously object to assisted dying feel the very act of referral “is contrary to their personal ethics or moral or religious beliefs.” . . . [Full text]