{"id":5318,"date":"2014-05-13T21:45:06","date_gmt":"2014-05-14T04:45:06","guid":{"rendered":"https:\/\/news.consciencelaws.org\/?p=5318"},"modified":"2023-01-28T15:44:17","modified_gmt":"2023-01-28T23:44:17","slug":"canadian-physicians-warned-to-get-ready-for-euthanasia-and-assisted-suicide","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=5318","title":{"rendered":"Canadian physicians warned to get ready for euthanasia and assisted suicide"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Sean Murphy<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"178\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/Project-Annual.jpg\" alt=\"Protection of Conscience Project\" class=\"wp-image-11488\"\/><figcaption class=\"wp-element-caption\">Protection of Conscience Project<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Three physicians and a lawyer have written an article published in the May issue of the <i>Canadian Medical Association Journal<\/i>.[<a href=\"#001.\">1<\/a>] The lead author, Dr. James Downar, is co-chair of a euthanasia\/assisted suicide advocacy group.<\/p>\n\n\n\n<p>Anticipating a change in the law, the authors warn that &#8220;well-rehearsed debates&#8221; about sanctity of life and personal autonomy &#8220;may become obsolete.&#8221;<\/p>\n\n\n\n<p>&#8220;We need to start to answer some challenging questions in preparation for the possibility that physician-assisted death will be available in Canada soon,&#8221; they write.<\/p>\n\n\n\n<p>Among the questions they pose, one raises two particularly sensitive issues:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Will physicians who are conscientious objectors be obliged to present physician-assisted death as an option to patients and facilitate transfers of patients to other physicians or facilities?<\/p>\n<\/blockquote>\n\n\n\n<p>As a matter of law and ethics, physicians are expected to&nbsp;advise patients of&nbsp;all reasonable legal options for treatment so that patients can&nbsp;provide informed consent to it.&nbsp; However, many physicians who are strongly opposed to euthanasia and assisted suicide may view&nbsp;the &#8220;presentation of&nbsp;an option&#8221; for either procedure as inherently abusive of vulnerable patients.&nbsp; This problem does not usually arise with respect to other morally contested procedures, like abortion or contraception.<\/p>\n\n\n\n<p>A&nbsp;requirement to &#8220;facilitate transfers&#8221; of patients would probably be acceptable if it involved only the kind of&nbsp; cooperation normally involved in the transfer of records when a patient is taken on by a different physician; this is all that is required in <a href=\"https:\/\/www.consciencelaws.org\/law\/laws\/belgium.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Belgium<\/a>, <a href=\"https:\/\/www.consciencelaws.org\/law\/laws\/usa-oregon.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon<\/a>&nbsp;and <a href=\"https:\/\/www.consciencelaws.org\/law\/laws\/usa-washington.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Washington State<\/a>.&nbsp; However, a demand that objecting physicians refer patients or actively initiate transfers would be resisted by those who would consider such actions to involve unacceptable complicity in killing.&nbsp; The Supreme Court of the Philippines recognized this issue when it <a href=\"https:\/\/www.consciencelaws.org\/law\/commentary\/legal055-003-001.aspx\">struck down<\/a> a mandatory referral requirement in the country&#8217;s <em>Reproductive Health Law<\/em> as an unconstitutional&nbsp;violation of freedom of conscience.<\/p>\n\n\n\n<p>Murphy S. <a href=\"https:\/\/www.consciencelaws.org\/archive\/pdf\/2014-05-13 canadian-physicians.pdf\">Canadian physicians warned to get ready for euthanasia and assisted suicide<\/a> [Internet].  Powell River, BC: Protection of Conscience Project; 2014 May 13 [Updated 2021 Mar 09].<\/p>\n\n\n\n<p><strong>Notes<\/strong><\/p>\n\n\n\n<p id=\"001.\">1. Downar J, Bailey TM, Kagan J, Librach SL.&nbsp; <a href=\"http:\/\/www.cmaj.ca\/content\/186\/8\/567.full\" target=\"_blank\" rel=\"noopener noreferrer\">Physician-assisted death: time to move beyond Yes or No<\/a>.&nbsp; CMAJ 2014 May 13;186(8):567-8. doi: 10.1503\/cmaj.140204. Epub 2014 Apr 7.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sean Murphy Three physicians and a lawyer have written an article published in the May issue of the Canadian Medical Association Journal.[1] The lead author, Dr. James Downar, is co-chair of a euthanasia\/assisted suicide advocacy group. Anticipating a change in the law, the authors warn that &#8220;well-rehearsed debates&#8221; about sanctity of life and personal autonomy &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=5318\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Canadian physicians warned to get ready for euthanasia and assisted suicide&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,14,515,1646],"tags":[58,44],"post_folder":[],"class_list":["post-5318","post","type-post","status-publish","format-standard","hentry","category-assisted-suicide","category-euthanasia","category-papers","category-referral","tag-james-downar","tag-sean-murphy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Canadian physicians 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