A unique milestone

Ashe, Gerald P.

doi:10.1503/cmaj.202569

CMAJ

2021

DOI: 10.1503/cmaj.202569

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A unique milestone

Gerald P. Ashe

Abstract: This article has been peer reviewed. This is a true story. Next of kin of depicted patients have given consent.

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“…In response to Dr. Ashe’s article on providing his 100th case of medical assistance in dying (MAiD), 1 we wish to counter with our concerns about his romantic view of MAiD and its potential impact, his underestimation of the frequency of MAiD and his assertion that MAiD is an act of mercy and respect.…”

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confidence: 99%

Deromanticizing medical assistance in dying

Gallagher

Passmore

2021

CMAJ

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mentioning

confidence: 99%

Deromanticizing medical assistance in dying

Gallagher

Passmore

2021

CMAJ

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Canada’s Medical Assistance in Dying System can Enable Healthcare Serial Killing

Lyon

2024

HEC Forum

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The Canadian approach to assisted dying, Medical Assistance in Dying (MAiD), as of early 2024, is assessed for its ability to protect patients from criminal healthcare serial killing (HSK) to evaluate the strength of its safeguards. MAiD occurs through euthanasia or self-administered assisted suicide (EAS) and is legal or considered in many countries and jurisdictions. Clinicians involved in HSK typically target patients with the same clinical features as MAiD-eligible patients. They may draw on similar rationales, e.g., to end perceived patient suffering and provide pleasure for the clinician. HSK can remain undetected or unconfirmed for considerable periods owing to a lack of staff background checks, poor surveillance and oversight, and a failure by authorities to act on concerns from colleagues, patients, or witnesses. The Canadian MAiD system, effectively euthanasia-based, has similar features with added opportunities for killing afforded by clinicians’ exemption from criminal culpability for homicide and assisted suicide offences amid broad patient eligibility criteria. An assessment of the Canadian model offers insights for enhancing safeguards and detecting abuses in there and other jurisdictions with or considering legal EAS. Short of an unlikely recriminalization of EAS, better clinical safeguarding measures, standards, vetting and training of those involved in MAiD, and a radical restructuring of its oversight and delivery can help mitigate the possibility of abuses in a system mandated to accommodate homicidal clinicians.

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A unique milestone

Abstract: This article has been peer reviewed. This is a true story. Next of kin of depicted patients have given consent.

Cited by 2 publications

References 0 publications

Deromanticizing medical assistance in dying

Deromanticizing medical assistance in dying

Canada’s Medical Assistance in Dying System can Enable Healthcare Serial Killing

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