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Current bereavement policies do not address the reality of employees with family members that have used, or are planning to use, medical assistance in dying (MAID) services. (Shutterstock)

Bereavement policies need to be updated to better support employees affected by MAID

Most workplace bereavement policies were designed prior to MAID and very few employers have adjusted these policies in light of the new reality of living and dying in Canada.
We should be asking legislators and policymakers to build a health-care system that supports better lives for people with mental disorders and their families. (Gus Moretta/Unsplash)

MAID and mental health: Does ending the suffering of mental illness mean supporting death or supporting better lives?

In addition to asking health-care systems to prepare to end suffering of mental illness through Medical Assistance in Dying (MAID), we must ask policymakers to support better lives for families.
People participate in the inaugural Disability Pride Parade in New York on July 12, 2015. (AP Photo/Seth Wenig)

Here are some dos and don’ts to help tackle ableism

People with disabilities contend with daily challenges and ableism. Here are some dos and don'ts to help you be more mindful of those living with a disability.
There is debate about whether a health-care worker can ethically participate in both palliative care and the MAID program. (Shutterstock)

MAID’s evolving ethical tensions: Does it make dying with dignity easier than living with dignity?

Bill C-7 has created ethical tensions between MAID providers and palliative care, between transparency and patient privacy, and between offering a dignified death rather than a dignified life.
Given how quickly MAID eligibility has changed in Canada in the past six years, it is time we take a step back to ask whether current MAID practice is still something we want to support. (Pexels/Karolina Grabowska)

As eligibility for MAID expands, the ethical implications of broad access to medically assisted death need a long, hard look

Since 2016, Canada’s practice of offering MAID has followed a trajectory of ever-expanding eligibility. The ultimate expansion would make MAID available to anyone who wanted it, for any reason.
The planned expansion of Canada’s medical assistance in dying (MAID) law to include people with mental illnesses whose death is not imminent has been delayed, but not cancelled. (Shutterstock)

Canada delays expanding medical assistance in dying to include mental illness, but it’s still a policy built on quicksand

Canada’s planned expansion of MAID to mental illness is based on ignorance — if not outright disregard — of fundamental suicide prevention principles.
Several factors ranging from personal spiritual beliefs to patient relationships to medical legal issues can influence whether a health-care practitioner participates in providing medical assistance in dying (MAID). (Shutterstock)

Health-care providers and MAID: The reasons why some don’t offer medically assisted death

For people to access medical assistance in dying (MAID) requires health-care professionals willing to provide the service. The reasons health-care providers choose not to participate are important.
Bill C-7 seeks to expand access to medical assistance in dying (MAID) to people who are not terminally ill, including those who suffer solely from mental illness. (Pixabay)

Medical assistance in dying for mental illness ignores safeguards for vulnerable people

The fundamental underpinning of all MAID requests is supposed to be the presence of an incurable medical condition, but it’s not possible to predict that a mental illness will not improve.
Minister of Justice David Lametti gives a thumbs up as he rises to vote in favour of a motion on Bill C-7, medical assistance in dying, in the House of Commons on Dec. 10, 2020. THE CANADIAN PRESS/Justin Tang

A dangerous path: Why expanding access to medical assistance in dying keeps us up at night

Expanding access to medical assistance in dying (MAID) to those not terminally ill puts vulnerable people at risk of feeling pressured into MAID, and doctors at risk of being forced to facilitate it.
Jean Truchon, right, looks on as lawyer Jean-Pierre Menard gives their reaction to a Québec judge overturning parts of provincial and federal laws on medically assisted dying on September 12, 2019. THE CANADIAN PRESS/Graham Hughes

The latest medical assistance in dying decision needs to be appealed: Here’s why

One judge must not be allowed to curtail parliament’s power to promote broader societal interests and protect people who are elderly, ill and disabled.
Australian scientist David Goodall photographed in Basel, Switzerland, on May 8, 2018 ended his life in with assisted suicide. (AP Photo/Jamey Keaten)

‘Suicide tourism’ and understanding the Swiss model of the right to die

Recent stories in the media highlight the idea of suicide tourism to Switzerland. But what does that mean? How is the Swiss view of assisted dying different from the Canadian one?
The province of Nova Scotia is leading the way in defining the terms of Canada’s ambiguous law on medically assisted dying. Here Liana Brittain is seen in Halifax in front of a projection of her late husband Paul B. Couvrette, who received a medically assisted death in P.E.I. on Sept. 15, 2017. (THE CANADIAN PRESS/Andrew Vaughan)

Can we die? The seriously ill need clarity

In Nova Scotia, it’s clearer now who qualifies for medical assistance in dying. Will the other provinces and territories follow suit?
In one study of seriously ill older Canadians, 28 per cent of participants wanted “comfort care” (meaning no curative treatments) but this was documented in only four per cent of their charts. (Shutterstock)

Poor communication is compromising care for the dying

Most elderly Canadians do not receive the end-of-life care they desire. A new study hopes to rectify this.
Medical assistance in dying has been legal in Canada since July 2016, but there are no ‘specialists’ responsible for doctor-assisted suicide and many doctors are overwhelmed with requests. (Shutterstock)

Who will be the doctors of death in a time of assisted suicide?

More than 2,000 Canadians have chosen medical assistance in dying (MAID) since legalization in 2016. But palliative care doctors aren’t embracing assisted suicide as part of their job.

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