ror.org/042xt5161
Abstracts
Abstract
Canada’s Medical Assistance in Dying (MAID) legislation changed in 2021; persons without a reasonably foreseeable natural death (RFND) could now be eligible for MAID and would have to wait at least 90 days before their intervention. This legislative change caused a new ethically complex question to arise, which we explore in this commentary, namely: Where should individuals without a RFND wait (for 90 days) in a publicly funded health system?
Keywords:
- medical assistance in dying,
- MAID,
- bioethics,
- rehabilitation,
- polyphony
Résumé
La législation canadienne sur l’aide médicale à mourir (AMM) a changé en 2021 ; les personnes n’ayant pas de mort naturelle raisonnablement prévisible (MNPR) peuvent désormais être éligibles à l’AMM et doivent attendre au moins 90 jours avant leur intervention. Ce changement législatif a soulevé une nouvelle question éthiquement complexe, que nous explorons dans ce commentaire, à savoir : Où les personnes qui ne sont pas en état de MNPR doivent-elles attendre (pendant 90 jours) dans un système de santé financé par l’État?
Mots-clés :
- aide médicale à mourir,
- AMM,
- bioéthique,
- réadaptation,
- polyphonie
Appendices
Bibliography
- 1. Kirby J. Should institutional conscientious objection to assisted dying be accommodated? Can J Bioeth / Rev Can Bioeth. 2021;4(1):15-20.
- 2. Brindley PG, Kerrie JP. Conscientious objection and Medical Assistance in Dying (MAID) in Canada: difficult questions - insufficient answers. Can Journ Gen Int Med. 2017;11(4).
- 3. McGee A. Voluntary assisted dying: should conscientious objection be unconditional? J Pharm Pract Res. 2020;50(2):117-19.
- 4. Mellett J, Mack C, Leier B. Advanced requests for MAID: are they compatible with Canadian medical practice? Can J Bioeth / Rev Can Bioeth. 2021;4(2):78-81.
- 5. Oliver J, Petropanagos A, Chidwick P. Final consent, advance consent and alleviating suffering in frail adults requesting MAiD. CMAJ. 2022;194(18):E652.
- 6. Wiebe E, Kelly M, McMorrow T, Tremblay-Huet S, Hennawy M. Assessment of capacity to give informed consent for medical assistance in dying: a qualitative study of clinicians’ experience. CMAJ Open. 2021;9(2):E358-63.
- 7. Nielsen WR. MAiD in Canada: ethical considerations in medical assistance in dying. Can J Bioeth / Rev Can Bioeth. 2021;4(2):93-98.
- 8. Nuhn A, Holmes S, Kelly M, Just A, Shaw J, Wiebe E. Experiences and perspectives of people who pursued medical assistance in dying: Qualitative study in Vancouver, BC. Can Fam Physician. 2018;64(9):e380-86.
- 9. Stoll J, Ryan CJ,Trachsel M. Perceived burdensomeness and the wish for hastened death in persons with severe and persistent mental illness. Front Psychiatry. 2021;12;11:532817.
- 10. Pesut B, Wright DK, Thorne S, et al. What’s suffering got to do with it? A qualitative study of suffering in the context of Medical Assistance in Dying (MAID). BMC Palliat Care. 2021;20(174).
- 11. Belova O, King I, Sliwa M. Introduction: polyphony and organization studies: Mikhail Bakhtin and beyond. Organization Studies. 2008;29(4):493-500.
- 12. Government of Canada. Medical Assistance in Dying. 2017
- 13. Hariss K. Disability advocates say assisted dying bill fails to protect vulnerable Canadians. CBC. 10 Nov 2020.
- 14. Gillmore M. ‘Catastrophic Pandora’s box’: disabled Ontarians speak out against proposed MAID law. TVO today. 3 Mar 2021.
- 15. Canada Mortgage and Housing Corporation. Universal design for new housing units. 15 May 2019.
- 16. Hopper T. Why Canada’s hospital capacity was so easily overwhelmed by the COVID pandemic. National Post. 17 Jan 2022.
- 17. Tchajkova N., Ethans K., Smith SD. Inside the lived perspective of life after spinal cord injury: a qualitative study of the desire to live and not live, including with assisted dying. Spinal Cord. 2021;59(5):485-92.
- 18. Frolic A, Practicing Healthcare Ethicists Exploring Professionalization (PHEEP) Steering Committee. Grassroots origins, national engagement: Exploring the professionalization of practicing healthcare ethicists in Canada. HEC Forum. 2012;24(3):153-64.
10.7202/1084453ar