Doctors, advocacy groups address proposed law protecting those who object to assisted dying

CBC News

Holly Caruk

Dr. Frank Ewert wants protection from having to help a patient die — but Dying with Dignity Canada doesn’t want that to happen at the cost of patients receiving full access to end-of-life options.

“When I started back a number of years ago and vowed to follow the Hippocratic oath, I meant it. It was very profound to me, it resonated with my core beliefs, that I would always respect life, that I would do nothing to harm a patient,” Ewert told a legislative committee on Monday evening. . . [Full text]

 

Is there any difference between euthanasia and palliated starvation?

BioEdge

Xavier Symons

While euthanasia and assisted suicide are currently illegal in most countries, the practice of voluntarily stopping eating and drinking (VSED) is seen by some as an ethically and legally permissible alternative. VSED refers to seriously-ill patients refusing to eat and drink for a sustained period of time with the intention of bringing about their own death.

Yet a new paper published in BMC Medicine argues that VSED is ethically indistinguishable from assisted suicide, and should be subject to the same legal regulations as more salient cases of assistance in dying.

The paper, lead-authored by Ralf J. Jox of the Institute for Ethics, History and Theory of Medicine at the University of Munich, argues that “supporting patients who embark on VSED amounts to assistance in suicide, at least in some instances, depending on the kind of support and its relation to the patient’s intention”.

While VSED does not involve an invasive or aggressive act like many other means of suicide, the authors write that “VSED should [nevertheless] be considered as a form of suicide, as there is both an intention to bring about death and an omission that directly causes this effect”. Doctors who assist patients in VSED — by encouraging them, or promising pain-relief if VSED is undertaken — are potentially instrumental in the deaths of the patients, as the suicide would not occur without them, and they share the patient’s intention of inducing death.

The authors of the paper conclude that the same legal prescriptions or regulations that apply to physician assisted suicide should also apply to VSED.

“[We] maintain… that future ethical discussions on assisted suicide require consideration of medically supported VSED, and vice versa…Thus, the widely held position by palliative care societies, professional bodies of physicians, legal scholars, and ethicists to disapprove of assisted suicide but approve of and even promote medically supported VSED appears inconsistent”.


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Accessed 2017-08-11

 

Critics call bill aimed to protect health workers unwilling to offer assisted death ‘one-sided’

CBC: The Current

Interviewer/host: Piya Chattopadhyay

SOUNDCLIP

VOICE 1: Bill 34 is being introduced by the Manitoba government to protect conscience rights for health care professionals, so that health care providers would not be required to participate in assisted suicide.

VOICE 2: While I cannot participate in assisted suicide for a couple of reasons. The first is I made a vow as a medical student 40 years ago that I wouldn’t kill patients, okay? And I’m not willing to cross that line.

PC: It has been less than 18 months now since medically assisted dying became legal in Canada. And health care workers are still adapting to that paradigm change. We just heard part of a video produced by the Coalition for Health Care and Conscience. It’s a national umbrella organization of religious groups, and as you heard it is lobbying for Bill 34 a proposed piece of legislation in Manitoba that was drafted to help health care workers with conscientious objections to helping end patients’ lives. Here’s Manitoba’s health minister Kelvin Goertzen. . . [Full episode transcript]

 

 

Policy on medically assisted dying in works

Brantford Expositor

Michael-Allan Marion

A policy on handling requests for medically assisted dying is being prepared for the John Noble Home.

The home’s committee of management this week got a staff report on the drafting of a formal policy on managing medical assistance in dying, or MAID, requests, which is now required in long-term care homes by federal law.

The draft could be presented to the committee for review as early as next month and will be referred to the city’s legal department for comment.

Jennifer Miller, administrator for the home for the aged on Mount Pleasant Street, said that, so far, there have been no MAID requests from residents. . . [Full text]

 

Christian nurse sues hospital for requiring her to assist abortions

Lifesite News

Claire Chretien

DURHAM, North Carolina, November 3, 2017 (LifeSiteNews) – A Catholic nurse is suing Duke University Hospital, claiming that the university discriminated against her religious and pro-life beliefs by requiring her to assist in abortions.

Sara T. Pedro was told during her employee orientation that Duke University Hospital provides no exceptions to employees in its Emergency Department who don’t want to participate in abortions. The lawsuit, filed by The Thomas More Law Center on Pedro’s behalf, says that Duke’s Emergency Department performs “a large number of abortions.”

The lawsuit claims that Pedro faced retaliation and discrimination after she made a written request to be exempt from the pro-abortion policy. . . [Full text]

 

Canadian doctors face questions over assisted suicide, euthanasia for minors

” . . .conscientious objection in Canada, unfortunately, hangs by a thread . . .”

The Catholic Register

Catholic News Agency

Ottawa – Only one year after assisted suicide and voluntary euthanasia became legal for adults in Canada, a new study is showing that some of the country’s pediatricians are being faced with questions about the practices for minors.

The study, which surveyed 1,050 doctors and was published by the Canadian Paediatric Society, found that more than ten percent of Canadian pediatricians have had conversations with parents or minors about the option of assisted suicide or euthanasia for terminal patients under the age of 18. . . [Full text]

Proposed legislation to protect health professionals who object to assisted dying called ‘one-sided’

Dying with Dignity Canada says Bill 34 doesn’t protect patients’ rights to access assisted dying

CBC news

Holly Caruk

A bill that would protect Manitoba health professionals’ rights to refuse assisted dying services and protect them from reprisals is being called redundant and one-sided.

Bill 34, which was introduced in May and hasn’t yet reached a second reading in the House, would ensure health professionals cannot be compelled to go against their own religious or ethical beliefs when it comes to providing medical assistance in dying (MAID) services.

It would also ban any professional regulatory body from requiring members to participate in medically assisted deaths, which were made legal by the Supreme Court in 2015. . . [Full text]

 

Medically assisted dying: What happens when religious and individual rights conflict?

Lawyer Allison Fenske explains how Canadian law works, and how the courts strive to balance competing rights

CBC News

A Winnipeg man’s struggle to be assessed for a medically assisted death while he lives at a faith-based hospital has some questioning how we balance personal and religious rights in Canada.

“I want to die and nobody should come in the way of my deciding how to go about it,” Cheppudira Gopalkrishna, 88, said on Saturday.

However, because Gopalkrishna lives at a faith-based hospital that objects to medical assistance in dying, he has struggled to be assessed by Manitoba’s MAID team under provincial guidelines regulating such deaths. . . [Full text]

 

Winnipeg man receives assisted-death assessment after concerns faith-based hospital caused delay

‘I want to die and nobody should come in the way of my deciding how to go about it.’

CBC News

An 88-year-old Winnipeg man has received his required assessment for medically assisted death after he says it was delayed by the faith-based hospital where he now lives.

On Friday, Cheppudira Gopalkrishna was able to do an assessment with the province’s Medical Assistance in Dying (MAID) services.

“I want to die and nobody should come in the way of my deciding how to go about it,” Gopalkrishna said on Saturday evening.

The former teacher has been at the Misericordia Health Centre for several months after his health declined significantly. He has a form of Lou Gehrig’s disease, also known as ALS, and has lost almost all of his mobility.

Gopalkrishna started looking into the possibility of a medically assisted death in May but the hospital and the Winnipeg Regional Health Authority’s timelines differ about what happened next. . . [Full text]

 

What could help me to die? Doctors clash over euthanasia

Associated Press

Maria Cheng

GHENT, Belgium (AP) — After struggling with mental illness for years, Cornelia Geerts was so desperate to die that she asked her psychiatrist to kill her.

Her sister worried that her judgment was compromised. The 59-year-old was taking more than 20 pills every day, including antidepressants, an opioid, a tranquilizer, and two medicines often used to treat bipolar disorder and schizophrenia.

About a year later, on October 7, 2014, her doctor administered a lethal dose of drugs. It was all legal procedure in Belgium, which has among the world’s most permissive euthanasia laws.

“I know it was Cornelia’s wish, but I said to the psychiatrist that it was a shame that someone in treatment for years could just be brought to the other side with a simple injection,” said her sister, Adriana Geerts. . . .[Full text]