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Ethical Considerations Around Medical Assistance in Dying Ethical Considerations Around Medical Assistance in Dying

Ethical Considerations Around Medical Assistance in Dying - PowerPoint Presentation

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Ethical Considerations Around Medical Assistance in Dying - PPT Presentation

Gary Lepine DTh Clinical Ethicist Alberta Health Services Rockyview General Hospital South Health Campus The Changing Canadian Landscape Carter v Canada 2015 Struck down the prohibition against assisted dying for ID: 616390

medical health patient dying health medical dying patient care assistance potential physician assisted persons eligibility including ethics suffering vulnerable

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Slide1

Ethical Considerations Around Medical Assistance in Dying

Gary Lepine, DThClinical EthicistAlberta Health ServicesRockyview General Hospital South Health Campus

Slide2

The Changing

Canadian LandscapeSlide3

Carter v. Canada (2015)

Struck down the prohibition against assisted dying for:A competent adult person who clearly consents and who has a

grievous and irremediable medical condition (including an illness, disease or disability) that causes them enduring and

intolerable suffering.

Protects care providers’ rights to conscientious objection.

Requires health systems to protect members of vulnerable populations.Slide4

Basically follows the Carter decision.

It notably adds the requirement that eligible patients must be at a point where their death is reasonably foreseeable.Articulates several procedural safeguards.Explicitly provides legal protection to non-physician health care providers and others operating within their normal scope of practice.

Bill C-14 (June 17, 2016)Slide5

Definitions

Assisted Suicide

Patient self-administers a lethal dose prescribed by a physician

Voluntary Euthanasia

Physician prescribes and administers lethal dose to consenting and capable person

Patient expresses sustained, well-informed,

un-coerced decision to end their life. Slide6

A growing significance of individual evaluations of

quality of life.A growing social acceptance of limited instances of intending death as a means of relieving suffering and respecting autonomy.

Two Key ElementsSlide7

Respect for Patient Autonomy.

Benefiting PatientsFairnessPreciousness of LifeLimits of Human AuthorityProtection of Vulnerable Persons.

The Ethics of Medical

Assistance in DyingSlide8

Our Narrative

Slide9
Slide10

Portraying moral perspectives in terms of arguments “for” and “against” can create the false impression there are only two perspectives to be had on this issue.

We may also make false assumptions about others’ underlying values and beliefs based on what we know about their perspective on medical assistance in dying. In reality, people hold much more diverse and nuanced views.In Thinking About the Ethics, We Need to Take Care Slide11

Federal government has stated that it will review and research:

Potential eligibility of mature minors.Potential eligibility of those whose deaths are not reasonably foreseeable (including, for example, persons with mental health conditions).Potential role for advance directives.Issues down the road...Slide12

Respect – treating others kindly and well, whatever their views are. Compassion – recognizing the struggle in others.

Humility – acknowledging that we likely do not know the nuances of each others values and beliefs. Our Behaviour and Responses to Each Other Should be Guided by:Slide13

Questions