{"id":15150,"date":"2023-08-07T16:03:00","date_gmt":"2023-08-07T20:03:00","guid":{"rendered":"https:\/\/vivredignite.org\/?p=15150"},"modified":"2023-08-08T05:38:32","modified_gmt":"2023-08-08T09:38:32","slug":"pr-memo-to-qc-physicians-maid","status":"publish","type":"post","link":"https:\/\/vivredignite.org\/en\/pr-memo-to-qc-physicians-maid\/","title":{"rendered":"Memo to Quebec physicians practising MAiD &#8211;  The Commission on end-of-life care had to act"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"15150\" class=\"elementor elementor-15150\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-62f9186 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"62f9186\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d8299f5\" data-id=\"d8299f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a918782 elementor-widget elementor-widget-heading\" data-id=\"a918782\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A welcome intervention that unveils some important issues<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5e88db elementor-widget elementor-widget-text-editor\" data-id=\"c5e88db\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>PRESS RELEASE<br><br>Montreal &#8211; Over the past few days, the Commission on end-of-life care has issued a memo to the hundreds of Quebec physicians who provide medical aid in dying. This information comes from the work of journalists Davide Gentile and Daniel Boily&nbsp;<a href=\"https:\/\/ici.radio-canada.ca\/nouvelle\/2001535\/aide-medicale-mourir-medecin-quebec\" target=\"_blank\">in a text published Saturday in French<\/a>&nbsp;by Radio-Canada information,&nbsp;<a href=\"https:\/\/www.cbc.ca\/news\/canada\/montreal\/quebec-maid-memo-doctors-1.6929134\" target=\"_blank\">then adapted to English<\/a>&nbsp;by CBC News\u2019 Rowan Kennedy. <b>Living with Dignity<\/b> citizen network welcomes this intervention by the Commission on end-of-life care and its president, Dr. Michel Bureau. Living with Dignity invites political decision-makers to support the reminders contained in the memo, which highlight important issues that need to be taken very seriously.<\/p>\n<p><br>The memo addresses three themes, as seen in these excerpts (in quotation marks, our translation) from the e-mail sent by the Commission on end-of-life care:<\/p>\n<p><br><b>1) Non-compliance of a growing number of medical aid in dying procedures<\/b><\/p>\n<p>&#8220;&#8230;a growing number of MAiD procedures with very borderline compliance with the conditions contained in the law, and a growing number of non-compliant MAiD procedures administered&#8221;;<\/p>\n<p><b>2) The importance of a second physician&#8217;s opinion and doctor-shopping for a favourable opinion<\/b><\/p>\n<p>&#8220;&#8230;the opinion of a second independent physician confirming the admissibility of MAiD is not just a formality; it must be critical and contemporaneous with the MAiD application&#8221;;<br>&#8220;Doctor-shopping for a favourable second opinion is not an acceptable practice&#8221;;<\/p>\n<p><b>3) Advanced age is not a criterion for MAiD eligibility<\/b><\/p>\n<p>&#8220;&#8230;advanced age and age-related problems do not constitute a serious and incurable disease, and do not justify MAiD&#8221;.<\/p>\n<p><br><\/p>\n<p><span style=\"color: rgb(34, 34, 34); font-family: Rosario, Arial, sans-serif; font-size: 1.7em;\">Comments from Living with Dignity<\/span><br><\/p>\n<p>By Jasmin Lemieux-Lefebvre, coordinator of the Quebec citizen network:<\/p>\n<p>These warnings confirm the information we are receiving on the ground. To avoid refusals, people applying for medical aid in dying may be tempted to turn to MAiD providers who have a broader vision of MAiD access. Doctor-shopping for a favourable second opinion is also a well-known problem in this country. In his essay <i>No other options<\/i>,&nbsp;<a href=\"https:\/\/www.thenewatlantis.com\/publications\/no-other-options\" target=\"_blank\">published in The New Atlantis last winter<\/a>, journalist Alexander Raikin explores the subject in depth in the section <i>Easy to die<\/i>.<\/p>\n<p>At a conference of the Canadian Association of MAiD Assessors and Providers, it was said that \u201cyou can ask as many clinicians as you want or need\u201d and that &#8220;disagreement doesn&#8217;t mean you must stop&#8221;.<\/p>\n<p>It should also be borne in mind that this memo comes at a time when the situation is probably more serious than that described by the Commission on end-of-life care, which refuses to acknowledge any abuses for the time being. The scientific article <i>The realities of Medical Assistance in Dying in Canada<\/i>,&nbsp;<a href=\"https:\/\/www.cambridge.org\/core\/journals\/palliative-and-supportive-care\/article\/realities-of-medical-assistance-in-dying-in-canada\/3105E6A45E04DFA8602D54DF91A2F568\" target=\"_blank\">published by Cambridge Press this summer<\/a>, addresses the issue of inadequate data collection on MAiD in Canada:<\/p>\n<p><br><i>The data are acquired from the MAiD providers via self-reporting. There is no mechanism for objectively, prospectively, or retroactively identifying or uncovering any errors or abuses of the process. Providing assisted suicide and euthanasia outside the parameters of the law remains prohibited. MAiD providers filling out the forms know that any deviation of the key criteria may result in criminal prosecution, making self-declarations of error or deviation unlikely. <\/i>(see the <i>Inadequate data collection<\/i> section of the article by Ramona Coelho, John Maher, K. Sonu Gaind and Trudo Lemmens).<\/p>\n<p><br>On March 7, 2024, medical aid in dying will be available in Quebec to people living with a serious physical impairment (a term adopted by the <i>Act to amend the Act respecting end-of-life care and other legislative provisions<\/i> and suggested by a group of experts on disability). As of December 7, 2023, it will be required in all palliative care hospices. The revelations of the Commission on end-of-life care must lead to concrete action to avoid the abuses that can be expected.<\/p>\n<p><br>&#8211; 30 &#8211;<\/p>\n<p><br>Media contact:<\/p>\n<p>Jasmin Lemieux-Lefebvre<br>Coordinator<br>Living with Dignity citizen network<br>directionVDD@gmail.com<br>438 931-1233<\/p>\n<h3>In other news:<\/h3>\n<p>On another topic, we are pleased to inform you that Jimmy-James Pien-Gr\u00e9goire, a young Innu living with spinal muscular atrophy type 3, has cancelled his request for medical aid in dying, which he had asked to receive on his 22nd birthday, July 24. We hope that he will be able to cherish for a very long time his decision by easily obtaining all the medical aid in living he needs.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>A welcome intervention that unveils some important issues<br \/>\nPRESS RELEASE<br \/>\nMontreal &#8211; Over the past few days, the Commission on end-of-life care has issued a memo to the hundreds of &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[290],"tags":[],"class_list":["post-15150","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/posts\/15150","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/comments?post=15150"}],"version-history":[{"count":3,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/posts\/15150\/revisions"}],"predecessor-version":[{"id":15160,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/posts\/15150\/revisions\/15160"}],"wp:attachment":[{"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/media?parent=15150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/categories?post=15150"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vivredignite.org\/en\/wp-json\/wp\/v2\/tags?post=15150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}