The Chief Coroner for Ontario recently released two new reports of its interdisciplinary MAID Death Review Committee: on Same or Next Day Provision of MAID and on Waiver of Final Consent.
The MAID Death Review Committee — of which I am a member — reviews cases of Medical Assistance in Dying (MAID) that are selected by the coroner’s MAID team for the common issues they raise. The review helps inform policy recommendations.
Committee reports contain case summaries and summaries of committee discussions, and the Chief Coroner’s recommendations. The newly released reports appear to confirm what is argued in several chapters in our recently co-edited volume, Unravelling MAiD in Canada: Euthanasia and Assisted Suicide as Medical Care, and in other publications: Canada’s MAID law, policy and practice focuses excessively on promoting access to death, not on protection.
Some of the cases suggest a troubling prioritizing of ending patients’ lives with MAID rather than a precautionary approach. In my opinion, they reveal an urgent need for more rigorous legal and professional standards. Committee members’ starkly contrasting views on the ethics of some of the practices, which can be gleaned from the anonymous summaries of the committee’s discussions, are striking.