{"id":6456,"date":"2016-02-15T01:14:16","date_gmt":"2016-02-15T09:14:16","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=6456"},"modified":"2018-03-06T16:03:33","modified_gmt":"2018-03-07T00:03:33","slug":"physicians-quebec-solution-is-collaboration-in-killing-not-an-elegant-compromise","status":"publish","type":"post","link":"https:\/\/news.consciencelaws.org\/?p=6456","title":{"rendered":"Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise"},"content":{"rendered":"

\"quebec-001\"<\/a>Physicians reject claim that referral for euthanasia is “ultimate compromise”<\/h2>\n

Force no participants to act against their will, neither\u00a0doctors nor anyone else.<\/strong><\/em><\/p>\n

Introduction (by Project Administrator)<\/strong><\/p>\n

In June, 2014, Quebec passed a law authorizing euthanasia <\/a>in the province, despite the standing criminal prohibition of the procedure.\u00a0 The province argued that physician-administered euthanasia\u00a0is a form of health care, and, as such, exempt from the jurisdiction of the federal government in criminal law.\u00a0 The Quebec law came into force in December, 2015, 10 months after the Supreme Court of Canada struck down the criminal prohibition of physician assisted suicide and physician administered euthanasia in Carter v. Canada (Attorney General)<\/a>.\u00a0<\/em> The Supreme Court had, however, suspended its ruling for one year to give governments a chance to develop legislation, so the criminal law against euthanasia was still officially in force when the provincial law authorizing it came into effect in Quebec.<\/p>\n

In response to a lawsuit launched by objecting physicians, an injunction against the law was issued by the Quebec Superior Court<\/a> on 1 December, 2015,\u00a0but overruled by the Quebec Court of Appeal<\/a> three weeks later.\u00a0 The Court of Appeal ruling was based on the fact that the Quebec\u00a0law\u00a0was\u00a0consistent with the Carter<\/em>\u00a0decision, though subject to review once the federal government amended the Criminal Code<\/em>.<\/p>\n

Dr. Yves Robert is the Secretary of the Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec,\u00a0the state\u00a0regulator of medical practice in the province.\u00a0 Three years ago, he appeared before a legislative committee studying the\u00a0bill that\u00a0later became the province’s euthanasia law with Dr. Charles Bernard, President of the Coll\u00e8ge des m\u00e9decins.\u00a0 At that\u00a0time, Dr. Bernard said:<\/p>\n

\u201c[I]f you have a conscientious objection and it is you who must undertake to find someone who will do it, at this time, your conscientious objection is [nullified]. It is as if you did it anyway.” | \u201cParce que, si on a une objection de conscience puis c\u2019est nous qui doive faire la d\u00e9marche pour trouver la personne qui va le faire, \u00e0 ce moment-l\u00e0 , notre objection de conscience ne s\u2019applique plus. C\u2019est comme si on le faisait quand meme.[Consultations<\/a><\/i>]<\/p><\/blockquote>\n

However, in\u00a0November, 2015, just before the Quebec euthanasia law\u00a0came into force, Dr. Robert wrote an editorial <\/span><\/span><\/a>claiming that forcing objecting physicians to refer for euthanasia is a compromise that reconciles the rights and freedoms of both patients and physicians.<\/p>\n

Dr. Robert’s position was rejected in the following strongly worded\u00a0response from over eighty Quebec physicians, to which others subsequently added their names.\u00a0\u00a0The rejection is particularly significant because the President of the Canadian Medical Protective Association recently recommended<\/a> the Quebec model as an “elegant” solution that reconciles physician freedom of conscience and religion with the legal right of patients\u00a0to\u00a0access euthanasia and assisted suicide. Clearly, those most directly affected by the Quebec “solution” do not share that opinion.<\/p>\n

\n

PREAMBLE:<\/h2>\n

The present letter was written in response to Dr. Robert\u2019s editorial, which appeared in Le Coll\u00e8ge <\/i> (November 2015), concerning the objection of conscience of physicians under the Loi concernant les soins de fin de vie<\/i> [“Law Respecting End-of-life Care”],<\/i> which came into force on December 10, 2015.<\/p>\n

Debated in the Quebec Superior Court following an injunction sought by a coalition of physicians, the decision rendered was based on the doctrine of federal preponderance over provincial law, preventing the articles concerning physician-assisted dying from taking effect as planned due to their incompatibility with the Criminal Code<\/i>.<\/p>\n

The present [French language<\/a>]\u00a0letter was written in light of the conclusions of the ruling given by the Quebec Superior Court on December 2, 2015, and is supported by 84 co-signed physicians.<\/p>\n

The English version<\/a>, released on January 20, 2016, is supported by a total of 344 physicians.<\/p>\n

Scientific Objection to Dr. Yves Robert\u2019s Editorial<\/h2>\n
[“Referring the patient\u2019s request to a health care professional who would follow through with it would then seem the ultimate compromise, respecting patient\u2019s and physician\u2019s rights.” \\\u00a0“La transmission de la demande d\u2019un patient \u00e0 une autorit\u00e9 du r\u00e9seau de la sant\u00e9 qui pourra y donner suite appara\u00eet donc comme l\u2019ultime compromis pour respecter les droits du patient et ceux du m\u00e9decin.”<\/i> Dr Yves Robert, LE COLL\u00c8GE, 10 novembre 2015]<\/h5>\n

The above statement that you made as Secretary of the Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec is absolutely false.<\/p>\n

First, let\u2019s recall this excerpt, from of the Superior Court ruling (par. 97): “The lawyer of the Attorney General of Canada also expressed her concern about article 31 of an Act respecting end-of-life care, obliging physicians who do not want to grant a request for physician-assisted dying, to participate, despite their objection, in the process of finding a willing physician. She sees in this fact itself an indication that even a physician, conscientious objector, would inevitably become involved in a process leading to the commission of a criminal act under the current state of the law”.<\/p>\n

This summarizes without ambiguity the thoughts of the Attorney General of Canada and the Quebec Superior Court concerning your “ultimate compromise” on the subject of conscientious objection, also shared by the Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec.<\/p>\n

This form of collaboration in killing a patient, with all due respect, is not the ultimate compromise. It is an obligation to collaborate \u2014 which can be experienced by a physician as complicity in an act he considers to be harmful to his patient, irrelevant whether the act is criminal or not (the crime evoked here only compounds the insult of the obligation).<\/p>\n

As for me, I want to continue to offer care to my patient; not sever the relationship. I simply refuse to cause his death. What will you do against my medical judgment?<\/p>\n

If you suspend me, you are the one severing the care relationship by depriving a patient of his physician, whereas I am willing to continue caring for him. I do not consider sending my patient to be killed as providing care because\u2026 to be killed is not a treatment, neither for me, nor for the overwhelming majority of physicians and medical associations all over the world. This then is a question of medical obligation, because I apply the international norm, while the Coll\u00e8ge has decided unilaterally to disagree.<\/p>\n

The issue here is much more a question of scientific objection than an objection of conscience because the purpose is to apply the international norms and standards the Coll\u00e8ge decided to disagree with.<\/p>\n

Given that most physicians will never agree to stop preventing suicide among their patients, we cannot compel them to stop this prevention because their medical judgement and expertise\u2014that they have applied for years\u2014tells them not to do it. Simply put, preventing suicide remains good medicine.<\/p>\n

Likewise, a hospital director cannot force me to perform surgery on my patient if my medical opinion tells me the surgery would be harmful. It does not mean that I sever the professional relationship with my patient, only that I exercise my profession with my judgement and my competence, which means to say that I am not a simple technician who will only serve to be “someone else\u2019s hands.”<\/p>\n

In the same way, no patient can force me to perform surgery that I consider bad or harmful, and it is understood that the minimum degree of professional consistency would prevent me from referring him to someone who would perform it in my place. I would simply tell him that it is not recommended, and he would be free to go elsewhere. If however, I were to transfer him to a colleague or health care professional knowing that the procedure I consider harmful will be conducted, it would be as though I performed it through the hands of another.<\/p>\n

The Coll\u00e8ge needs to recognize this logical response from physicians (palliative and other) who do not want to collaborate in paving the way toward the medically assisted death of their patients. These physicians, who are neither fanatical nor arrogant, see this intention of the state (and of the Coll\u00e8ge) to impose on them a forced collaboration like an abuse of authority. The use of the term “ultimate compromise,” in this context, sounds a lot like “this is my final offer.” That, would sooner be called an ultimatum\u2014and the Attorney General of Canada did well to note the real intention behind the words.<\/p>\n

In conclusion, if the Coll\u00e8ge hopes to avoid unjust and unnecessary confrontation with qualified and attentive physicians of integrity, it should find a way not to compel them to assist in the death of their patients against their medical judgement and their professional conscience.<\/p>\n

Even if the new exception measures (not to read “rule”) that will soon be established in the Canadian Criminal Code <\/i>allows for euthanasia or assisted suicide under certain conditions, you must remember that forcing physicians to refer\u2014moreover to threaten them\u2014is a sure-fire way to cause unnecessary and damaging battles for all, to cause division and spoil the collegial environment in our hospitals.<\/p>\n

If, one day, euthanasia or assisted suicide are decriminalized, a true compromise\u2014one that would respect everyone\u2019s autonomy\u2014would be something like this: let patients carry out their own wishes by putting a voluntary system in place, forcing no participants to act against their will\u2014neither their doctors nor anyone else involved.<\/p>\n

Marc Beauchamp, MD, FRCSC, orthopedic surgeon, Montreal<\/strong><\/p>\n

With the support of the 344 undersigned:<\/strong><\/p>\n

1. Renata Sava, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

2. Louis Morissette, MD, FRCPC., sursp\u00e9cialiste en psychiatrie l\u00e9gale, Montr\u00e9al<\/p>\n

3. Yousri Hanna, MD, chef de l’Unit\u00e9 des Soins Palliatifs de Santa Cabrini, Montr\u00e9al<\/p>\n

4. Yvan Roy, MD, m\u00e9decin de famille, L\u2019Assomption<\/p>\n

5. Bernard H. Doray, MD, p\u00e9diatre, Montr\u00e9al<\/p>\n

6. Antonio Tongu\u00e9, MD, radiologiste, Gatineau<\/p>\n

7. Stephen Martin, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

8. Fran\u00e7ois Belzile, M.D, FRCPC, radiologiste, Sherbrooke<\/p>\n

9. Roy Eappen, MD, endocrinologue, Montr\u00e9al<\/p>\n

10. Annik Dupras, MD, FRCPC, interniste-g\u00e9riatre, Terrebonne<\/p>\n

11. Ren\u00e9 Pouliot, MD, n\u00e9phrologue, Qu\u00e9bec<\/p>\n

12. Francine Gaba, MD, g\u00e9riatre, Montr\u00e9al<\/p>\n

13. Jacques R. Rouleau, MD, CSPQ, FRCPC, FACC (Institut universitaire de cardiologie et de pneumologie de Qu\u00e9bec, Professeur titulaire de m\u00e9decine, Universit\u00e9 Laval)<\/p>\n

14. Roger Roberge, MD, g\u00e9riatre, Montr\u00e9al<\/p>\n

15. Elisabeth Fuvel-Girodias, MD, Kirkland<\/p>\n

16. Louis B\u00e9land, MD, chirurgien, Qu\u00e9bec<\/p>\n

17. Nathalie de Grandpr\u00e9, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

18. Michelle Bergeron, MD retrait\u00e9e, Qu\u00e9bec<\/p>\n

19. Mark Basik MDCM, FRCS(C), chirurgien oncologue, Montr\u00e9al<\/p>\n

20. Guy Bouchard, MD, m\u00e9decin de famille, Qu\u00e9bec<\/p>\n

21. Val\u00e9rie J. Brousseau, BScH, MDCM, FRCSC, oto-rhino-laryngologue, Victoriaville<\/p>\n

22. Claude Morin, MD, m\u00e9decin de famille, Qu\u00e9bec<\/p>\n

23. Nicholas Newman, MD, FRCSC, chirurgien orthop\u00e9diste, Montr\u00e9al<\/p>\n

24. Michel Brouillard, MD, m\u00e9decin de famille, Rouyn-Noranda<\/p>\n

25. Mance Luneau, MD, m\u00e9decin de famille, Blainville<\/p>\n

26. Suzanne Labelle, MD, m\u00e9decin de famille, Laval<\/p>\n

27. Jean-Bernard Girodias, MD, p\u00e9diatre, Montr\u00e9al<\/p>\n

28. Juan Francisco Asenjo, MD, anesth\u00e9siologiste, Montr\u00e9al<\/p>\n

29. Paul Barr\u00e9, MD, nephrologue, Montr\u00e9al<\/p>\n

30. Michel Copti, MD, neurologue, Saint-Lambert<\/p>\n

31. Liette Pilon, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

32. Andr\u00e9 Rochon, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

33. Douglass Dalton, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

34. Marie-Chantal Pich\u00e9, MD, m\u00e9decin de famille, Vaudreuil-Dorion<\/p>\n

35. Odile Michaud, MD, m\u00e9decin de famille, Otterburn Park<\/p>\n

36. Catherine Ferrier, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

37. Michel de Maupeou, MD, m\u00e9decin de famille, La Sarre<\/p>\n

38. Vijayabalan Balasingam, MD, neurochirurgien, Pointe-Claire<\/p>\n

39. Pierrette Girard, MD, chirurgienne orthop\u00e9diste, Pointe-Claire<\/p>\n

40. Jacques Beaudoin, MD, cardiologue, Qu\u00e9bec<\/p>\n

41. Marc Bergeron, MD, h\u00e9mato-oncologue, Qu\u00e9bec<\/p>\n

42. Rosaire Vaillancourt, MD, FRCPC, chirurgien thoracique, Qu\u00e9bec<\/p>\n

43. Louis Dionne, MD, chirurgien g\u00e9n\u00e9ral, Qu\u00e9bec<\/p>\n

44. Juan Rivera, MD, endocrinologue, Montr\u00e9al<\/p>\n

45. Lyette St-Hilaire, MD, m\u00e9decin de famille, Laval<\/p>\n

46. Matthieu Tittley, MD, FRCPC, psychiatre, Sherbrooke<\/p>\n

47. Luc Chauss\u00e9, MD, m\u00e9decin de famille, L\u2019Assomption<\/p>\n

48. Gilles Gaudreau MD, m\u00e9decin de famille, Sorel-Tracy<\/p>\n

49. Evelyne Huglo, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

50. Hong Phuc Tran-Le, MD, FCMF, m\u00e9decin de famille, Val d\u2019Or<\/p>\n

51. Laurence Normand-Rivest, MD, m\u00e9decin de famille, Ch\u00e2teauguay<\/p>\n

52. Daniel Boulet, MD, FRCP(C), physiatre, Qu.bec<\/p>\n

53. Anne-Louise Boucher, MD, responsable m\u00e9dical GMF du Carmel, Trois-Rivi\u00e8res<\/p>\n

54. Mathieu Brouillet, MD, m\u00e9decin de famille, Rimouski<\/p>\n

55. David Bacon, MD, CM, CCFP-EM, m\u00e9decin de famille, Pointe-Claire<\/p>\n

56. Marcel D\u2019Amours, MD, anesth\u00e9siologiste, Qu\u00e9bec<\/p>\n

57. Anne Marie Uhlir, MD, m\u00e9decin de famille, Sainte-Croix<\/p>\n

58. M\u00e9lanie Laberge, MD, omnipraticienne, Qu\u00e9bec<\/p>\n

59. Heather Coombs, MD, urgentologue, Montr\u00e9al<\/p>\n

60. Svetlana Ninkovic, MD, p\u00e9diatre, neurologue, Greenfield Park<\/p>\n

61. Roland Leclerc, MD, p\u00e9diatre, Qu\u00e9bec<\/p>\n

62. Jean-Pierre Beauchef, MD, endocrinologue, Greenfield Park<\/p>\n

63. Serge Daneault, MD, soins palliatifs, Montr\u00e9al<\/p>\n

64. Patricia Marchand, MD, m\u00e9decin de famille, Trois-Rivi\u00e8res<\/p>\n

65. Louis Martel, MD, m\u00e9decin de famille, Trois-Rivi\u00e8res<\/p>\n

66. Daniel Viens, MD, FRCPC, interniste, Drummondville<\/p>\n

67. Roseline LeBel, MD, m\u00e9decin de famille, Laval<\/p>\n

68. Sonia Calouche, MD, psychiatre, Saint-Eustache<\/p>\n

69. Cecile Hendrickx, MD<\/p>\n

70. Marie-France Raynault, MD, sant\u00e9 publique, Montr\u00e9al<\/p>\n

71. Julie Gauthier, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

72. Olivier Yaccarini, MD, m\u00e9decin de famille, Qu\u00e9bec<\/p>\n

73. Caroline Girouard, MD, oncologue m\u00e9dicale, H\u00f4pital Sacr\u00e9-Coeur, Montr\u00e9al<\/p>\n

74. Pierre Duclos, MD, endocrinologue, Qu\u00e9bec<\/p>\n

75. Normand Lussier, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

76. Paola Diadori, MD, neurologue, Montr\u00e9al<\/p>\n

77. Bruno Gagnon MD, MSc, Soins Palliatifs, Universit\u00e9 Laval, Qu\u00e9bec<\/p>\n

78. Judith Trudeau, MD, rhumatologue, H\u00f4tel-Dieu de L\u00e9vis<\/p>\n

79. Yves Bacher, MD, g\u00e9riatre, Montr\u00e9al<\/p>\n

80. Tommy Aumond-Beaupr\u00e9, MD, m\u00e9decin de famille, Montr\u00e9al<\/p>\n

81. Joseph Ayoub, MD, oncologie et soins palliatifs, Montr\u00e9al<\/p>\n

82. Xavier Coll, MD, cardiologue, Lachenaie<\/p>\n

83. L\u00e9onard Langlois, MD, p\u00e9diatre, Sherbrooke<\/p>\n

84. Anne Larkin, MD, g\u00e9n\u00e9raliste depuis plus de 36 ans, Waterloo<\/p>\n

85. David D’Souza, MD, CCFP, Global Health Fellow, University of Calgary<\/p>\n

86. Robert Banner, MD, CCFP, FCFP, FRCP, IFMCP, Dip AAPM, Dip CAPM, ABIHM, COT, CPT, Diploma in Clinical Homeopathy, London, Ontario<\/p>\n

87. Aletta G. Bell, MD, Family Medicine<\/p>\n

88. Val\u00e9rie Marion, MD<\/p>\n

89. David Dawson MDCM, FRCPC<\/p>\n

90. Rodney A. Crutcher MD MMedEd CCFP(EM) FCFP, Professor Emeritus of Family Medicine, University of Calgary<\/p>\n

91. Robert Kidd MD,CM, Renew, Ontario<\/p>\n

92. George B Miller, MD, Waterloo, Ontario<\/p>\n

93. Bruce Hiller, Burnaby British Columbia<\/p>\n

94. Karen Mason, MD, Langley, BC<\/p>\n

95. Christopher J. Ryan, MD, BSc, Vancouver<\/p>\n

96. Maebh Tynan, MD, Millway Medical, Mississauga, ON<\/p>\n

97. Randall Friesen, MD, Prince Albert, SK<\/p>\n

98. Donato Gugliotta MD, Trenton, Ontario<\/p>\n

99. Cheryl Corkum, BN, MD, CCFP<\/p>\n

100. Bruce Gay MD, FRCSC<\/p>\n

101. George Abraham, MD, Welland, ON<\/p>\n

102. Donna M. Klay, MD<\/p>\n

103. Robert Frazer, MD<\/p>\n

104. Timothy Ehmann, MD FRCPC<\/p>\n

105. Jeff Kornelsen MD CCFP Inc., Abbotsford & Mission, British Columbia BC<\/p>\n

106. Stan George, MD, FRCSC<\/p>\n

107. Gregory S. Raymond, MD, FRCP(C), St. Albert, Alberta<\/p>\n

108. Richard Welsh, MD, FCFP<\/p>\n

109. John D Potts, B. Sc., M. D., D. T. M. & H., Ladysmith BC<\/p>\n

110. Merville O. Vincent, B.A., M.D., FRCPC, DABIM<\/p>\n

111. Warren Terry MD, MEd, FRCSC<\/p>\n

112. Bing Guthrie, Yellowknife, MD, NT<\/p>\n

113. R. Alan Meakes, CD, MD, FRCPC, Anaesthesia, Internal Medicine, Critical Care, Victoria, BC<\/p>\n

114. Warren Molberg MD, CCFP(EM)<\/p>\n

115. Owen Heisler MD, FRCSC<\/p>\n

116. Muriel Henderson, MD<\/p>\n

117. Marjorie D.C.Fish, M.D. (retired)<\/p>\n

118. Regina Becker MD, FCFP<\/p>\n

119. Mark Epp, MD, PGY-2 Pediatrics, University of Saskatchewan<\/p>\n

120. Julia Bright, MD, Chilliwack BC<\/p>\n

121. Peter Daley, MD, MSc FRCPC DTM+H, Assistant Professor, Disciplines of Medicine and Laboratory Medicine, Memorial University, Division Chief, Microbiology, Health Sciences Center, St. John’s, Newfoundland<\/p>\n

122. John W McCormick MD, Toronto<\/p>\n

123. Peter L Munk MDCM, FRCPC, FSIR, Editor in Chief, Canadian Association of Radiologists Journal, Professor of Radiology, University of British Columbia, Skeletal Imaging Section Head, Vancouver General Hospital<\/p>\n

124. John Gordon Murray Robertson B.Sc. MD. CCFP, FRCS(C) OBGYN<\/p>\n

125. Ronald E. Hiller M.D. – retired Family Practioner<\/p>\n

126. John McLeod, MD, Hospitalist, Burnaby, British Columbia<\/p>\n

127. Kimberly Elford, MD – Obs\/Gyne and reproductive medicine<\/p>\n

128. Charis Kolari, MD, Sudbury ON<\/p>\n

129. Diane Haak, MD, CCFP, President of the Christian Medical and Dental Society of Canada<\/p>\n

130. Frank Duerksen, M.D FRCSC, Winnipeg, MB<\/p>\n

131. Catherine McCallum, MD, College registration #s BC- 02197, Ontario -29139<\/p>\n

132. Rebecca Bobby, MD, emergency physician, St. John’s<\/p>\n

133. Helena Ho, MD, CM, FRCPC<\/p>\n

134. Dale Hoffman, MD, Delta, BC<\/p>\n

135. Eleanor Foster, MD CCFP (PC)<\/p>\n

136. Ricardo A. Cartagena, MD, FRCPC<\/p>\n

137. Joyce Choi, MD, CCFP<\/p>\n

138. Kevin Sclater, MD, CCFP (CAC-PM), Port Coquitlam, B.C.<\/p>\n

139. W. Joseph Askin, MD, FCFP, Calgary, AB<\/p>\n

140. James MacMillan, MD, CCFP, Rosthern, SK<\/p>\n

141. Richard R.J. Smyth, MBBS, FRCS, FRCS(C), Adjunct Professor in Faculty of Science, Thompson Rivers University, Clinical Instructor in Otolaryngology, University of British Columbia, Director, Sleep Surgery Centre<\/p>\n

142. Alison Froese, MD, FRCPC<\/p>\n

143. James R. Lewis, MD, FRCSC<\/p>\n

144. Eric Prost, MD, FRCPC, Psychiatrist, Kingston, ON<\/p>\n

145. Thomas Geoffrey Protheroe, MD<\/p>\n

146. Wes Reimer, MD, FCFP, Hospitalist<\/p>\n

147. Dave S. Lounsbury, MSc MD CCFP<\/p>\n

148. Timothy J. Kelton BSc MD CCFP(E.M.) FCFP, Assistant Professor, Department of Family and Community Medicine, University of Toronto<\/p>\n

149. Dr. Jillian Lusina, MD, Family Physician, Vancouver, BC<\/p>\n

150. James Yeung, MD, Rheumatologist, Richmond, BC<\/p>\n

151. Mark B Hildebrand, MD, CPSO<\/p>\n

152. James C. Kennedy, MD, PhD, Professor Emeritus, Department of Oncology, Queen’s University, Kingston Ontario<\/p>\n

153. Gisela Macphail, MD, MPH, FRCPC, Specialist, Infectious Diseases<\/p>\n

154. Richard Haber, MD, paediatrician<\/p>\n

155. Bruce Snyder, MD, CPSO, Cambridge, Ontario<\/p>\n

156. Tiffaney Kittmer, MD, FRCSC, General Surgeon<\/p>\n

157. Ray Miksa, MD, CCFP, Family Medicine, Calgary, AB<\/p>\n

158. Harwood L. Reimer, MD, Duncan, BC<\/p>\n

159. Donald G. Street, , MD Family Physician, One Hundred Mile House, BC<\/p>\n

160. Bryan Dias, MD, Cardiologist, University Hospital, London Ontario<\/p>\n

161. Paul Yong, MD, FRCSC, Vancouver<\/p>\n

162. Ray Butler, MD, Sussex, NB<\/p>\n

163. George K. Dresser, MD, PhD, FRCP(C), Associate Professor, Clinical Pharmacology & Internal Medicine, University of Western Ontario<\/p>\n

164. Dr. Chris Newcombe, MD, CCFP (EM)<\/p>\n

165. Garnet Leslie Eggert Ullyot, MD, retired family doctor<\/p>\n

166. Donald Stephens, MD<\/p>\n

167. Thomas Choy, M.D. F.R.C.P.C.<\/p>\n

168. Geoffrey Purdell-Lewis, MB BS, FRCPC. Dundas, Ontario.<\/p>\n

169. Karma Murphy, MD, family physician, Yarmouth, NS<\/p>\n

170. Mark I. Boulos, BSc MD FRCP(C) CSCN(EEG) MSc, Staff Neurologist (Stroke & Sleep), Sunnybrook Health Sciences Centre, Assistant Professor, University of Toronto<\/p>\n

171. John Galbraith MD FRCP(C), Medical Microbiologist and Infectious Diseases Specialist, Victoria, BC<\/p>\n

172. Robert Hauptman BMSc, MD, MCFP, Assistant Clinical Professor U of A, Pain Consultant, Family Physician<\/p>\n

173. Dr Jack Bromley MD, CCFP<\/p>\n

174. Ormond Uptigrove, MD, ret.<\/p>\n

175. C. Rachelle Zimmer, MD, FRCPC<\/p>\n

176. Joy Wong-Ting, MD, MBBS, FAAP<\/p>\n

177. Robert Porter MD, MSc, CCFP (EM)<\/p>\n

178. Dr Michael Bentley-Taylor, MD, Cardiologist<\/p>\n

179. Peter Kopplin MD, Toronto<\/p>\n

180. James Wheeler, MD, Chatham, Ontario<\/p>\n

181. Paul R Forrest MD FRCP, Abbotsford BC<\/p>\n

182. Sheila Rutledge Harding, MD, FRCPC, Hematologist, Saskatoon, SK<\/p>\n

183. Jennifer Y. Tong, MD, CCFP, Family Medicine, Vancouver, BC<\/p>\n

184. Nancy Craig MD CM CCFP Edmonton, Alberta<\/p>\n

185. Bao Dang, MD, FRCPC Internal Medicine & Respirology<\/p>\n

186. Wolfgang E.Schneider MD, FCFP, FCBOM<\/p>\n

187. Nicole Allard, MD, omnipraticienne Amos<\/p>\n

188. Lynn Kealey, MD, psychiatrist, Ottawa<\/p>\n

189. Kami Kandola, MD, m\u00e9decin de famille, T.N.O<\/p>\n

190. Janina Zaremba, MD, m\u00e9decin de famille, Ottawa<\/p>\n

191. Andr\u00e9 Corriveau, MD, FRCPC, Yellowknife<\/p>\n

192. Elizabeth M. Phillips MD, Family Medicine Sussex NB<\/p>\n

193. Brian C.M. Phillips, MD FRCP Surg. Sussex NB<\/p>\n

194. Dr Darrel Eliason, MD, General Practice, Calgary<\/p>\n

195. Philip Fitzpatrick, MD, Emergency Physician, Saskatoon, Saskatchewan<\/p>\n

196. Luke Savage, MD, CCFP, Three Hills, Alberta<\/p>\n

197. Joseph Phillips, MD, PGY2, Family Medicine, Dalhousie University, Halifax<\/p>\n

198. Anthony Kerigan, MD Hamilton ON<\/p>\n

199. Raymond Viola, MD, MSc, CCFP, FCFP,Palliative Care, Kingston, Ontario<\/p>\n

200. Leah V. Seaman, MD, BSR, MD, CCFP, Full-service rural physician in the NWT<\/p>\n

201. M. Jane Pritchard MD, Toronto<\/p>\n

202. Cameron W. Pierce, MD, FRCPC, Internal Medicine, Respirology, Vancouver<\/p>\n

203. Maria L Zorzitto, MD, FRCP(C) Ontario<\/p>\n

204. Lawrence F. Jardine, MD, Pediatric Hematologist, Western University, London , Ontario<\/p>\n

205. Fran\u00e7ois Primeau, MD, membre fondateur, surspecialit\u00e9 de g\u00e9rontopsychiatrie, L\u00e9vis<\/p>\n

206. Paul J. Ranalli, MD FRCPC Neurology, Toronto<\/p>\n

207. Margaret Foote, MD, FAAFP, family medicine, Ontario<\/p>\n

208. Matthew J. McQueen, MD, MB ChB, PhD., FRCPC, hon FRCPath., Professor Emeritus, McMaster University,<\/p>\n

209. Rory Fisher, MD, O. Ont, MB, FRCP(Ed)( C)<\/p>\n

210. Mary O’Connor, MD, General Practice, Ottawa Ontario<\/p>\n

211. Keith Meloff, MD, FRCPC Neurologist<\/p>\n

212. Thomas Bouchard, MD, Family Medicine Physician, Calgary, Alberta<\/p>\n

213. Robert M. Boyko, MD, CCFP(EM), FCFP, Family Physician, MISSISSAUGA, ON<\/p>\n

214. Michael Fielden, MD, Ophthalmologist, Calgary<\/p>\n

215. Sephora Tang, MD, FRCPC, Psychiatrist, Ottawa<\/p>\n

216. Howard Bright MD, Chilliwack, B.C.<\/p>\n

217. Chantal Barry, MD Family Medicine Calgary AB<\/p>\n

218. Natalia Pastuszewska, MD, internist Brantford Ont<\/p>\n

219. Elizabeth Tham, MD, CCFP, FCFP, Lecturer, Department of Family and Community Medicine, University of Toronto<\/p>\n

220. Ralph Scandiffio, MD, CCFP (Retired)<\/p>\n

221. Sherry Chan, MD, CCFP, GP Oncologist and Family Physician, Vancouver<\/p>\n

222. Andrew S. Johnson MD, FRCPC, Adult Infectious Diseases, Program Director, Adult Infectious Disease Residency Training Program, Clinical Assistant Professor, University of Calgary, Department of Medicine, Division of Infectious Diseases, Foothillls Medical Centre<\/p>\n

223. William L. Orovan, MD, MBA, FRCSC, FACS, Associate Dean, Clinical Services, Faculty of Health Sciences, McMaster University<\/p>\n

224. Andrea Loewen, MD, FRCPC, Diplomate ABIM Respiratory and Sleep Medicine, University of Calgary<\/p>\n

225. Jacqueline Chow, MD, Family medicine, Toronto<\/p>\n

226. Margaret Cottle, MD, CCFP (CAC-palliative care); Palliative Care, Vancouver, BC<\/p>\n

227. Linda Baker M.D., Family Physician(retired), Rosthern, SK<\/p>\n

228. M. Pavlovsky, MD, Regina, SK<\/p>\n

229. Peter J. Block, MD, FRCSC<\/p>\n

230. Daniel Cekan, MD, CCFP, ABFM<\/p>\n

231. Jeffrey Betcher MD FRCPC MA (Bioethics), Anesthesiology and Critical Care<\/p>\n

232. David Kopriva MDCM, FRCS(C), Vascular Surgeon, Regina, Saskatchewan<\/p>\n

233. G. V. Walker, MD, Saskatoon (palliative care)<\/p>\n

234. Ferretti Emanuela MD, FRCPC, neonatologist, Ottawa<\/p>\n

235. Jonathan S. Ponesse MD FRCPC, Developmental Pediatric Neurologist, Division of Developmental Pediatrics, Ottawa Children\u2019s Treatment Centre, Children\u2019s Hospital of Eastern Ontario, University of Ottawa<\/p>\n

236. Douglas Maynes MD FRCPC, Psychiatrist Halifax NS<\/p>\n

237. Ray Deobald MD FRCSC, Surgical Oncology, Assistant Clinical Professor, Department of Surgery, College of Medicine, University of Saskatchewan<\/p>\n

238. C. Stuart Houston, OC, SOM, DLitt, MD, FRCPC family practitioner 8 years, then radiologist 32 years, now retired 20 years at the end of January 2016, Five years editor-in-chief of the Journal of the Canadian Association of Radiologists, Five years head of Medical Imaging, University of Saskatchewan, Six years served on Council of the Royal College of Physicians and Surgeons of Canada<\/p>\n

239. Lisa McFarlane, MD, CCFP<\/p>\n

240. Rudy W Hamm, MD, Kelowna, B.C.<\/p>\n

241. Ivan Jagas, MD, Kitchener Ontario<\/p>\n

242. Edward Rzadki, M.D., FRCP(C), Etobicoke Psychiatric Consultants, Toronto<\/p>\n

243. Martin Owen MD CCFP, President Calgary Catholic medical association, Family physician<\/p>\n

244. Rebecca Epp, MD, Family Practice, Meadow Lake, SK<\/p>\n

245. Ken Kontio, MD, Orthopaedic Surgeon, Ottawa, Canada<\/p>\n

246. Mark J. Jany, Respiratory Medicine, St. Catharines, ON<\/p>\n

247. John McWhae MD, FRCSC<\/p>\n

248. Jean Chamberlain CM MD MEd FRCSC , Member\u2014Order of Canada Executive Director \u2014 Save the Mothers, Associate Professor \u2014McMaster University (Ob\/Gyn)<\/p>\n

249. John Renouf, MD Emergency Melfort Sk<\/p>\n

250. Timothy S Darnell, MD, Lacombe, AB<\/p>\n

251. Ewan C. Goligher MD FRCPC, Critical Care Medicine, Mount Sinai Hospital, PhD student, Department of Physiology, University of Toronto<\/p>\n

252. Wayne Weston MD, CCFP, FCFP, Emeritus Professor of Family Medicine, Schulich School of Medicine and Dentistry, Western University<\/p>\n

253. Amy Hendricks, MD, M\u00e9decine interne, Yellowknife<\/p>\n

254. John Reesor, MD<\/p>\n

255. Thomas Barry MD<\/p>\n

256. Robert Ting, MD<\/p>\n

257. Lizabeth Brydon, MD<\/p>\n

258. Tanya Rodgerson, MD<\/p>\n

259. Mark Chandra, MD<\/p>\n

260. Kathryn Sullivan, MD<\/p>\n

261. Shannon Rabuka, MD<\/p>\n

262. James Lane Coquitlam ,BC<\/p>\n

263. Michelle Korvemaker, Woodstock, Ontario, Canada<\/p>\n

264. Chaim Goldberg, MD<\/p>\n

265. Donald Greve, MD, SK<\/p>\n

266. Will Johnston, MD, Vancouver<\/p>\n

267. John Gay, MD<\/p>\n

268. Deborah Dudgeon, MD<\/p>\n

269. Edmond Kyrillos, MD<\/p>\n

270. Mark Leakos, MD<\/p>\n

271. Rene Leiva, MD<\/p>\n

272. Tim Cuddy, MD, Burlington ON<\/p>\n

273. Carlos Miura, MD<\/p>\n

274. Lauren Mai, MD<\/p>\n

275. Donna Shaddick, MD<\/p>\n

276. Terence Da Silva, MD<\/p>\n

277. Barbara Powell, MD<\/p>\n

278. Alice Westlake, MD<\/p>\n

279. Jake Raguz, MD<\/p>\n

280. Nisha Fernandes, MD<\/p>\n

281. Ellis Scott, MD<\/p>\n

282. Sze Wan Sit, MD<\/p>\n

283. Andrew Taylor, MD<\/p>\n

284. Timothy Heerema, MD<\/p>\n

285. Garvin Pierce, MD<\/p>\n

286. Lester Liao, MD<\/p>\n

287. Chris Ekong, MD<\/p>\n

288. Dr Paul Galassiere, MD<\/p>\n

289. Valerie Hindle, MD<\/p>\n

290. Karen Macdonald, MD<\/p>\n

291. Joel Emery, MD<\/p>\n

292. Muriel Beatty, MD<\/p>\n

293. David Hook, MD<\/p>\n

294. James Holmlund, MD<\/p>\n

295. Eileen Cochien, MD<\/p>\n

296. Garnet Leslie Eggert Ullyot, MD, retired family doctor<\/p>\n

297. Juliette Eberhard, MD<\/p>\n

298. Christy Reich, MD<\/p>\n

299. Steve Russell , MD<\/p>\n

300. Lew Valliant, MD<\/p>\n

301. Sherri Renwick, MD<\/p>\n

302. G. Ivan Stewart, MD<\/p>\n

303. Ilo De Porres, MD<\/p>\n

304. Lydia Cheung, MD<\/p>\n

305. John Kraulis, MD<\/p>\n

306. Myra Butler, MD<\/p>\n

307. Shawn Verity, MD<\/p>\n

308. Venetia S.J. Mah, MD<\/p>\n

309. Althea Burrell, MD, Respirology, Markham Ontario<\/p>\n

310. Cornelia Mielke, MD<\/p>\n

311. Benjamin Love, MD<\/p>\n

312. Betty-Anne Story, MD<\/p>\n

313. Helen Montgomery, MD<\/p>\n

314. John Alexander Watt, MD, Psychiatry<\/p>\n

315. Don Munnings<\/p>\n

316. Len Prins, MD<\/p>\n

317. Steven Bredenoord, MD<\/p>\n

318. Raymond Penner, MD<\/p>\n

319. Andrea Milne-Epp, MD<\/p>\n

320. Paul McArthur, MD, Walkerton, ON<\/p>\n

321. Susan McArthur, MD, Walkerton, ON<\/p>\n

322. Duncan Etches, MD<\/p>\n

323. David Neima, MD<\/p>\n

324. Philip Hui, MD<\/p>\n

325. Piotr Koziarz, MD<\/p>\n

326. Catherine Elizabeth McNally, MD<\/p>\n

327. Larry Taranger, MD<\/p>\n

328. Paul Galessiere, MD, FRCSC, General, laparoscopic, and gynecological surgeon<\/p>\n

329. Alana Cormier, MD<\/p>\n

330. Cindy Lou, MD<\/p>\n

331. Larry Ness, MD<\/p>\n

332. Brent Lanting, MD<\/p>\n

333. Isabel Sarides, MD<\/p>\n

334. Costa Sarides, MD<\/p>\n

335. RJ Buhr, MD<\/p>\n

336. Emily Pranger<\/p>\n

337. Dauna Cutforth, MD<\/p>\n

338. Peter Hong, MD<\/p>\n

339. Marie Dale, MD<\/p>\n

340. Kristy Green, MD<\/p>\n

341. Maria MacDonald, MD, FRCPC, Neurologist in Oncology, London, Ontario<\/p>\n

342. AJ Donauer, MD, candidate, class of 2018<\/p>\n

343. Caleb De Putter, MD, candidate, May 2016<\/p>\n

344. Naomi Kasteel, third year medical student, UBC<\/p>\n","protected":false},"excerpt":{"rendered":"

Physicians reject claim that referral for euthanasia is “ultimate compromise” Force no participants to act against their will, neither\u00a0doctors nor anyone else. Introduction (by Project Administrator) In June, 2014, Quebec passed a law authorizing euthanasia in the province, despite the standing criminal prohibition of the procedure.\u00a0 The province argued that physician-administered euthanasia\u00a0is a form of … Continue reading “Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise”<\/span><\/a><\/p>\n","protected":false},"author":5432,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[77,32,33,4,2055,162],"tags":[1825,964,1183,410,293,2247],"post_folder":[],"class_list":["post-6456","post","type-post","status-publish","format-standard","hentry","category-assisted-suicide","category-canada","category-codes-of-ethics","category-commentary","category-countries","category-euthanasia","tag-act-respecting-end-of-life-care","tag-dr-charles-bernard","tag-college-des-medecins-du-quebec","tag-quebec","tag-referral","tag-yves-robert"],"yoast_head":"\r\nPhysicians: Quebec "solution" is collaboration in killing, not an "elegant" compromise - Protection of Conscience Project News<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/news.consciencelaws.org\/?p=6456\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Physicians: Quebec "solution" is collaboration in killing, not an "elegant" compromise - Protection of Conscience Project News\" \/>\r\n<meta property=\"og:description\" content=\"Physicians reject claim that referral for euthanasia is “ultimate compromise” Force no participants to act against their will, neither\u00a0doctors nor anyone else. Introduction (by Project Administrator) In June, 2014, Quebec passed a law authorizing euthanasia in the province, despite the standing criminal prohibition of the procedure.\u00a0 The province argued that physician-administered euthanasia\u00a0is a form of … Continue reading "Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise"\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/news.consciencelaws.org\/?p=6456\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project News\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ConscienceProject\" \/>\r\n<meta property=\"article:published_time\" content=\"2016-02-15T09:14:16+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2018-03-07T00:03:33+00:00\" \/>\r\n<meta property=\"og:image\" content=\"http:\/\/consciencelaws.org\/blog\/wp-content\/uploads\/2014\/07\/quebec-0011-215x300.jpg\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencepro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencepro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"20 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise\",\"datePublished\":\"2016-02-15T09:14:16+00:00\",\"dateModified\":\"2018-03-07T00:03:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456\"},\"wordCount\":4056,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/consciencelaws.org\\\/blog\\\/wp-content\\\/uploads\\\/2014\\\/07\\\/quebec-0011-215x300.jpg\",\"keywords\":[\"Act Respecting End-of-Life Care (Quebec, Canada)\",\"Charles Bernard\",\"Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec\",\"Quebec\",\"referral\",\"Yves Robert\"],\"articleSection\":[\"Assisted suicide\",\"Canada\",\"Codes of Ethics\",\"Commentary\",\"Countries\",\"Euthanasia\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456\",\"url\":\"https:\\\/\\\/news.consciencelaws.org\\\/?p=6456\",\"name\":\"Physicians: Quebec \\\"solution\\\" is collaboration in killing, not an \\\"elegant\\\" compromise - 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Introduction (by Project Administrator) In June, 2014, Quebec passed a law authorizing euthanasia in the province, despite the standing criminal prohibition of the procedure.\u00a0 The province argued that physician-administered euthanasia\u00a0is a form of … Continue reading \"Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise\"","og_url":"https:\/\/news.consciencelaws.org\/?p=6456","og_site_name":"Protection of Conscience Project News","article_publisher":"https:\/\/www.facebook.com\/ConscienceProject","article_published_time":"2016-02-15T09:14:16+00:00","article_modified_time":"2018-03-07T00:03:33+00:00","og_image":[{"url":"http:\/\/consciencelaws.org\/blog\/wp-content\/uploads\/2014\/07\/quebec-0011-215x300.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_creator":"@consciencepro","twitter_site":"@consciencepro","twitter_misc":{"Written by":"","Est. reading time":"20 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/news.consciencelaws.org\/?p=6456#article","isPartOf":{"@id":"https:\/\/news.consciencelaws.org\/?p=6456"},"author":{"name":"","@id":""},"headline":"Physicians: Quebec “solution” is collaboration in killing, not an “elegant” compromise","datePublished":"2016-02-15T09:14:16+00:00","dateModified":"2018-03-07T00:03:33+00:00","mainEntityOfPage":{"@id":"https:\/\/news.consciencelaws.org\/?p=6456"},"wordCount":4056,"commentCount":2,"publisher":{"@id":"https:\/\/news.consciencelaws.org\/#organization"},"image":{"@id":"https:\/\/news.consciencelaws.org\/?p=6456#primaryimage"},"thumbnailUrl":"http:\/\/consciencelaws.org\/blog\/wp-content\/uploads\/2014\/07\/quebec-0011-215x300.jpg","keywords":["Act Respecting End-of-Life Care (Quebec, Canada)","Charles Bernard","Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec","Quebec","referral","Yves Robert"],"articleSection":["Assisted suicide","Canada","Codes of Ethics","Commentary","Countries","Euthanasia"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/news.consciencelaws.org\/?p=6456#respond"]}]},{"@type":"WebPage","@id":"https:\/\/news.consciencelaws.org\/?p=6456","url":"https:\/\/news.consciencelaws.org\/?p=6456","name":"Physicians: Quebec \"solution\" is collaboration in killing, not an \"elegant\" compromise - 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