A second year marked again by abuse
Montreal, October 30, 2017 – Covering the period between July 1, 2016 and June 30, 2017, the government of Quebec published the second activity report of the Commission sur les soins de fin de vie (CSFV) on October 26.
The report reveals that the number of cases of euthanasia continues to rise dramatically in Quebec: in total, 638 euthanasia cases were reported between July 1, 2016 and June 30, 2017, out of a total of 992 requests. This corresponds to roughly 1% of deaths in Quebec in 2016 and is almost double the number of deaths on our roads in the same year.
What’s more, while the first year of euthanasia in Quebec saw 21 cases of transgressions of the law remaining without consequence, the most recent report from the CSFV shows 31 new cases where the Act Respecting End-of-Life Care was not observed before a euthanasia (referred to as “medical aid in dying” in the Act):
In addition, the number of cases transgressing the Act could be much greater because 55 cases are still under review, and the Commission was “unable to conclude on the compliance with the act in 19 [other] cases.” (CSFV Report 3.1.1). Note that “in four cases, the Commission did not receive the additional information, or the details requested, and in three other cases the physician (…)notified the Commission of his/her decision not to respond to the request made [by the Commission]” (CSFV Report 3.1.1), in defiance of the legal Act framing the practice of euthanasia in Quebec.
It should be noted that the physician who performs the euthanasia must declare it to the Commission within 10 days of the euthanasia. However, “the Commission found that about 38% of the forms were received past this deadline – sometimes by several weeks or even months after the euthanasia.” (CSFV Report 4.1.1). In addition, there is no way of knowing whether all cases of euthanasia were reported by the physicians to the Commission, let alone whether all unreported cases were performed in accordance with the Act.
According to article 47 of the Act, every failure to respect article 29 of the Act – noted by at least 2/3 of the members of the Commission – must be reported by the Commission to the Collège des médecins du Québec or the establishment so that they “take the appropriate measures.” However, neither the Collège des médecins nor any healthcare establishment has reported any action whatsoever in response to cases of transgression of the Act. On the contrary, this year again, Dr. Yves Robert, secretary of the Collège des médecins, mentioned that “there was no case that justified a punitive measure” since, in his opinion, it is a question of “administrative errors.”
In the same vein, Living with Dignity learned with consternation that that, since February 2017, “the Commission has adapted its assessment of the criterion concerning the independence of the second doctor from the patient (…), and that these cases are now considered compliant, so long as the other criteria are met (CSFV Report 3.1.2).” This decision to change the evaluation criteria was made in disregard of a fundamental requirement of article 29 of the Act, without the law being amended!
Faced with the facts reported by the Commission, Living with Dignity deplores the lax attitude of the Government of Quebec, which, from one year to another, loses more and more control of the situation: the statistics increase at a tremendous rate, the transgressions of the Act multiply without any consequences for the offending physicians, and the Commission is unable to process all the euthanasia forms sent to it.
Living with Dignity continues to affirm that the population of Quebec has the right to access to other solutions than death on demand in the case of suffering.
Living with Dignity’s requests to the Government of Quebec
About Living with Dignity
Living with Dignity is an autonomous, non-profit organization in Quebec with no religious or political affiliation. Its mission is to promote the protection of the life and inherent dignity of people made vulnerable by sickness, old age or disability, by ensuring an end to their lives that is natural and respectful of the person and their dignity, through compassionate accompaniment.
For more information, please contact:
Aubert Martin, Executive Director
Living with Dignity