Selfadvocatenet.com coverage of the new law on Dr assisted death all be right here below
c14 bill details what in the bill click here
update to c14 bill were at
Physician-assisted dying bill is enacted by parliament was on Fri June 17
This press release june 22nd from Canadian Association for Community Living on Medical Aid in Dying
Press Release: Essential Next Steps in Medical Aid in Dying – Vigilance, Safeguards & Obligation
TORONTO — On Friday June 17, the federal Medical Aid in Dying law was enacted by Parliament.
That the new law commits to not perpetuating disadvantage or social vulnerability, and that it incorporates both substantial and procedural safeguards consistent with that commitment, reflects a balanced approach on the part of Parliament.
Many have contributed to the law reform process, including thousands of Canadians represented by local-to-national disability and other organizations who expressed their concerns and voices through support of the ‘Vulnerable Persons Standard’ at www.vps-npv.ca.
Joy Bacon, President of the Canadian Association for Community Living (CACL) said, “As a founding member of the Vulnerable Persons Standard, CACL is grateful for the leadership of the Prime Minister and his key Ministers on this file including Minister Wilson-Raybould, Minister Philpott and Minister Qualtrough.
We feel some security that equal respect and value for the lives of Canadians with disabilities is recognized and affirmed in the new law.
We hope this government’s solid leadership on this matter will continue and that essential protections – like ensuring that eligibility is only for those who are at the end of life – will be maintained in the face of pressure to expand access.”
With anticipated studies on potential access by mature minors, through advance directives and on the sole basis of mental health conditions, CACL and many other organizations will continue to be involved in this issue.
Drawing on recent international evidence, we will continue to point to the risk of permissive regimes, and will draw on experts in constitutional law who find the new law Charter compliant.
There is important work ahead. Canada has an opportunity to address the failures of systems in the U.S. and in European countries to protect vulnerable persons.
We urge the federal and provincial/territorial governments, medical and health care professional associations and health care regulators to ensure that practitioners have the tools and the guidance they require to identify vulnerabilities and risks of inducement among those requesting access.
The new criminal law sets a high bar for voluntary, informed consent for assisted death, higher than current health care legislation in Canada. We trust that health care providers will fulfill their obligation to meet that bar.
For more information please contact Tara Brinston at 613-884-1048.
Advocacy shapes assisted death law
On June 15th the Senate amended the Bill to substantially expand access to this practice with few restrictions. This amendment completely disregarded the need for safeguards for vulnerable Canadians.
The Canadian Association for Community Living (CACL) accomplished the almost insurmountable job over the last 6 months, partnering with 50 organizations and bringing together 40 leading physicians, health professionals, lawyers, ethicists and public policy experts to develop the Vulnerable Persons Standard (VPS).
Yesterday the House of Commons voted to reject the amendment and today, Senate approved the law. The VPS has influenced what that will now become law in Canada.
Medical Assistance in dying is the one issue that impacts all Canadians. We are all vulnerable. People with disabilities are especially vulnerable. While we have come a long way, most people with disabilities still experience prejudice and discrimination on a daily basis including in the healthcare system.
Without the VPS, people with disabilities would be subject to decisions that others might make about the value of their life. Simply put, people with disabilities would be at risk of being coerced into accepting medical assistance in dying or having others make this decision for them.
To ensure the rights, interests, and perspectives of vulnerable Canadians are respected join me and donate now to Vulnerable Persons Standards
Faith Bodnar | Executive Director of Inclusion BC
Also link to what People First of Canada take on Bill C14 assisted in dying law CLICK HERE
Here what Prime Minister Justin Trudeau had say on assisted in dying bill the star paper from Ontario reporting
Prime Minister Justin Trudeau seems to argue the new law on assisted dying could evolve through real-world application and court rulings. He told the Star’s Paul Wells, above, that Bill C-14 is “a big first step that is going to be followed by a lot of discussions and evolution over the coming decade … .” (Dave Chan for the Toronto Star)
As the Supreme Court’s deadline for assisted-dying legislation passed with no new law in place, Prime Minister Justin Trudeau yesterday rejected claims his proposed law doesn’t go nearly far enough.
“Around the cabinet table, some of the most compelling conversations we had was around the disability community and the concerns around protecting vulnerable Canadians,” Trudeau told the Star during a lengthy interview in his Centre Block office. “Because, yes, defending people’s choices and rights is part of being a Liberal — but protecting the vulnerable is, too.”
Last year the Supreme Court of Canada struck down Criminal Code provisions forbidding physician-assisted suicide and gave Parliament a year to rewrite the law.
The government of former prime minister Stephen Harper did not draft a new law before its defeat in last October’s election.
With the court’s original February deadline looming, Trudeau’s government asked for a six-month extension. The court consented to only four more months.
That deadline passed on Monday. Physician-assisted suicide can now be performed legally starting Tuesday, with no restrictions under the Criminal Code.
Bill C-14 permits physician-assisted suicide only in cases where the patient’s death is “reasonably foreseeable.”
That’s different from the Court’s phrasing: it held unanimously that a patient suffering a “grievous and irremediable medical condition” could seek a physician’s help to end “suffering that is intolerable.”
The distance between the court’s language and the Liberals’ has led some critics to suggest C-14 is too timid to withstand legal challenge.
Constitutional scholar Peter Hogg on Monday joined the ranks of those critics. He told a Senate committee examining C-14 that the new bill fails the test set by the top court.
Trudeau remains unconvinced. “This is a big step in Canadian society and Canadian justice,” he told the Star.
“Getting that balance right means defending Canadians’ rights and freedoms and ability to make choices about themselves — but also protecting the most vulnerable.”
Bill C-14 “respects the challenge the Supreme Court asked us to respond to,” he said.
But he also seemed to argue the new law could evolve through real-world application and court rulings.
He called C-14 “a big first step that is going to be followed by a lot of discussions and evolution over the coming decade as we begin to develop practices and case law.”
Trudeau’s comments came during a wide-ranging interview on several topics. The Star will carry his remarks in separate stories over the next five days.
One of the leading organizations criticizing physician-assisted dying has been the Council of Canadians with Disabilities.
The group has argued that severely disabled Canadians, especially those whose condition is new to them, could be so depressed they give up or could feel pressured by “social and economic circumstances.”
Does Trudeau share the fear that patients could be coerced into physician-assisted dying? “That’s been the slippery-slope argument that’s always brought up when medical assistance in dying is talked about from certain quarters,” he said. “But we’ve seen very clear studies from around the world, from jurisdictions that have that, that have said no, that simply isn’t something that ends up happening.
“But of course you need to make sure that it’s there in the framework,” he said. “Which is why we’re demanding (approval from) two physicians,” as well as a mandatory 15-day “reflection period” so patients have a chance to reconsider their choice.
Trudeau’s lead ministers on this file, Health Minister Jane Philpott and Justice Minister Jody Wilson-Raybould, urged legislators to move fast to pass C-14 before Monday’s deadline. But now that the legal vacuum they warned against is upon us, Trudeau downplayed its seriousness.
Will patients and doctors create facts on the ground by ending patients’ lives before the new law passes? “I’m certainly hopeful that in the coming days, not too much is going to happen,” Trudeau said. “I don’t think Canada is well served by having a void on this issue. And I’m certainly encouraging the Senate to get this done responsibly.”
Earlier prime ministers could have called their government leader in the Senate and urged that Senators on the government side of the upper chamber follow the government line.
Trudeau gave away that power when, as leader of an opposition party, he kicked Liberal Senators out of his party’s caucus. Does he regret that move?
“Oh, I knew that when I made this decision . . . there were going to be days that I grumbled at myself for having done this,” he said.
“But I also deeply believe that Canadian politics — and, mostly, Canadians themselves — will be better served by having a thoughtful, serious group of people look in on what’s best for Canadians in the Senate and express that.”
More on thestar.com:
Here some news today about deadline on dr assisted in dying leg today in effect
Here is some links that in the news headlines of dr assisted in dying law passed headlines
Press Release: A Call to Parliamentarians from the National Disability Rights Community ‘To Pass Bill C-14 to Ensure Constitutional Rights of Vulnerable Persons’
Ottawa – Dear Members of Parliament and Senators,
When the Supreme Court of Canada legalized euthanasia and assisted suicide in February 2015, it also declared that safeguards must be designed to protect vulnerable persons from harm.
Today, Disabled Canadians, speaking through our national organizations and with our supporters, and on the basis of decades of research, policy analysis and debate, call upon our parliamentarians to ensure that the minimal safeguards contained within Bill C-14 are legislated by June 6.
As Canadians we speak with deep conviction about the need for robust safeguards to protect vulnerable persons. That is because far too many Canadians are vulnerable — particularly those with disabilities. Many of us struggle to access basic supports and services, and to participate in decisions that affect our lives. Most perniciously, we are made vulnerable by the quiet and persistent reminders that our needs are costly and burdensome. At root is the insidious idea that our disabilities are too onerous for society, our families and even ourselves to bear. This is why a system of physician-assisted dying without robust safeguards will jeopardize the lives of vulnerable Canadians.
The threat posed by inducement is real. International research shows that vulnerable persons face added pressure (read CACL’s Assessing Vulnerability Report), including:
1) coercion by others who are unable or unwilling to meet caregiving needs;
2) hopelessness arising from self-stigma and negative stereotypes about one’s condition;
3) distorted insight into one’s condition and available options, as a result of mental health issues;
4) psychological pressure resulting from interactions with health professionals; and,
5) lack of access to needed supports and information about alternate options.
While Bill C-14 does not fully address all the risks of error and abuse that arise from these realities, it does recognize that they exist and that safeguards are essential to protect the lives of vulnerable Canadians.
Bill C-14 also commits to study outstanding issues concerning advance directives, mature minors, and persons whose sole underlying condition is related to mental health. Despite this commitment, some argue access on these grounds must be included now, in this very first federal legislative framework. We respectfully disagree. Bill C-14 doesn’t take these issues off the table. It says they merit further study and dialogue. Given the significant risks these issues raise for vulnerable persons, we believe Bill C-14 represents a more prudent approach than a legislative vacuum.
Of course, some have also suggested that there will be no real risk if Parliament fails to act now. We strongly disagree. Canadians seeking assisted death will face different rules and medical professionals will have different guidelines depending on their province or territory.
Currently, only five provinces have legislated standards of informed consent, none of which require assessment of vulnerability to undue influence or inducement to commit suicide.
There is only one way to protect the constitutional rights of Canadians in a system for medically-assisted death, and that is by Parliament fulfilling its obligation to establish a pan-Canadian system of safeguards.
We are calling on Parliament to respect the rights of Canadians to both autonomy and to protection of life. Bill C-14 is not a perfect bill — but it does include at least minimal safeguards that help to strike this balance.
It is important to recall that every Canadian is potentially vulnerable and that every vulnerable Canadian is at risk of inducement in a system without adequate safeguards. We ask for your support in passing this important legislation.
Council of Canadians with Disabilities
Canadian Association for Community Living
Alliance for Equality of Blind Canadians
Canadian Down Syndrome Society
Canadian Hospice Palliative Care Association
Communication Disabilities Access Canada
DisAbled Women’s Network (DAWN) Canada
National Educational Association of Disabled Students (NEADS)
National Network for Mental Health
People First of Canada
Resources Supporting Family and Community Legacies Inc. (Legacies Inc.)
Association pour l’intégration sociale (Région de Québec)
Community Living Ontario
New Brunswick Association for Community Living
Newfoundland and Labrador Association for Community Living
Nova Scotia Association for Community Living
Prince Edward Island Association for Community Living
Saskatchewan Association for Community
Alberta Committee of Citizens with Disabilities
ARCH Disability Law Centre
Autistic Self Advocacy Network (Winnipeg)
Brockville & District Association for Community Involvement
Centre for Inclusion and Citizenship, UBC
Centre for Independent Living in Toronto
Citizens With Disabilities Ontario
Coalition of Persons with Disabilities Newfoundland and Labrador
Community Living Selkirk
Durham Association for Family Respite Services
Fredericton Association for Community Living
Manitoba League of Persons with Disabilities Ethics Committee
Nova Scotia League for Equal Opportunities
PEI Council of People with Disabilities
Toronto Board of Rabbis
Catherine Frazee –
Michael Bach, Canadian Association for Community Living –
Dean Richert, Council of Canadians with Disabilities –
James Hicks, Council of Canadians with Disabilities –
Protecting Choice & Safeguarding Inclusion
It is time to get past the polarizing views on the morality, ethics and laws around physician-assisted death and work together.
CACL believes we can find common ground and address legitimate concerns that face all Canadians.
We need your support in calling on all levels of government to develop a system that respects the values of dignity, autonomy and inclusion.
Health care in Canada is about to undergo a major transformation with the introduction of a system for physician-assisted death.
As we proceed down this path, CACL is profoundly concerned about how to safeguard the rights of persons with intellectual and other disabilities who may requestphysician-assisted death, but who are in fact vulnerable to committing suicide.
CACL shares with all Canadians the value of a health care system that promotes patient autonomy and dignity in end-of-life care.
We also share the value of respect for vulnerable persons in the health care system.
Balancing these values in a system for physician-assisted death will become more critically important and more challenging than ever before.
Our Community Living Position
Safeguards are needed in Canada to protect vulnerable persons from potential abuses including unintended consequences, coercion and bias.
Safeguards should include at minimum:
- Mandatory vulnerable assessments for persons who do not have a terminal condition
- Prior review and authorization by an independent panel or body, to determine: that the decision is voluntary; eligibility criteria are met; a person is not vulnerable to abuse or coercion; and, whether a waiting period is needed.
Who is the Safeguard System for?
CACL believes that it is of critical importance to begin from an understanding of vulnerability. Who is vulnerable? People with disabilities whose request is motivated by one of two sets of factors:
- Lack of access to needed disability supports and health care
- Negative self-perceptions about their own disability and reliance on others
- Caregiver coercion
- Physician bias
Our Research on Physician-Assisted Death
Proposal to Regulate Physician-Assisted Death in Canada
Explore the research conducted by CACL on this topic by downloading our proposal below. Elements of the proposed plan include Core Values; Principles and Guidelines; Vulnerability Assessment in Informed Consent; Advance Independent Review and Authorization; Monitoring and Public Reporting; Investment in Palliative Care and Community Supports; and, Federal-Provincial/Territorial Jurisdiction, Investment, Coordination and Engagement.
Assessing Vulnerability in a system for physician-assisted death in Canada
CACL’s report on vulnerability reviews research and recommendations on vulnerability assessment, suicide prevention protocols as recommended by health care agencies in Canada, and practice guidelines by the US National Cancer Institute. Read and download the full report.
Proposed Policy Framework for Access to Physician-Assisted Death
Adults may gain access to physician-assisted suicide or voluntary euthanasia only on the basis of real and informed choice. They must be free from abuse and vulnerability to lack of support, disrespect, discrimination and devaluation. The new system for physician-assisted suicide and voluntary euthanasia must respect, promote and safeguard inclusion of all persons in society, regardless of their disability or other differences. Read and download the full framework.
Read more on this issue in our related Press Releases:
Watch our video series on physician-assisted suicide:
– See more at: http://www.cacl.ca/action/campaigns/protecting-choice-safeguarding-inclusion#sthash.008nwGMQ.dpuf