A Manitoba woman received medical assistance in dying on Oct. 3 because she said she was unable to receive adequate medical care at home and did not want to move into a health-care facility as an alternative.
Canada has the most permissive assisted death law in the world, and will be expanding eligibility criteria further next year.
There have been increasing concerns in Canada about the expanding scope of MAiD, rather than helping the vulnerable population improve their lives.
Diverted Resources
Some doctors are concerned that the poor state of Canada’s palliative health care is causing people to apply for assisted suicide, a special parliamentary joint committee heard on Oct. 7.“There were some situations where I saw patients that I thought could benefit from palliative care in that the treatment, the palliation, that they had received was suboptimal and that we could optimize it,” said José Pereira, head of the University of Ottawa’s palliative care division.
“I was made to feel that I was obstructing access to it [palliative care].”
Pereira also said he has observed health-care resources in his region being diverted from palliative care to MAiD assignments.
“There have been nurses and nurse practitioners assigned to MAiD assessments and therefore not enough health-care professionals to assess patients for their palliative care needs and address palliative care,” he said.
“To paraphrase,” said Conservative MP Michael Barrett, “you would say that end-of-life resources that are going to MAiD are, in some cases, being done so at the expense of palliative care offerings?”
Expanding Eligibility
The federal government legalized MAiD in 2016 and revised the legislation in March 2021 to eliminate the requirement that an applicant’s death be “reasonably foreseeable” in order to be approved.Starting in March 2023, Canadians whose only medical condition is a mental illness will also be eligible to receive MAiD.