dslreports logo
site
 
    All Forums Hot Topics Gallery
spc

spacer




how-to block ads


Search Topic:
uniqs
1113
share rss forum feed


corster
Premium
join:2002-02-23
Gatineau, QC

3 edits
reply to IamGimli

Re: Dying in a 'free and informed manner'

said by IamGimli:

said by corster:

Rodriguez v. BC, 1993. Look it up.

I did, and it has absolutely nothing whatsoever to do with the law being proposed.

Rodriguez v. BC was about suicide. This ISN'T. Even IF it had been about the same topic, the proposed law DIDN'T EXIST BACK THEN, which means the procedures it SPECIFICALLY ALLOWS couldn't be argued.

You're playing with semantics here. The definition of Suicide is "the act of killing oneself intentionally". If someone decides that they want to die, but needs assistance from an outside party to do so, Section 241(b) of the Criminal Code then comes into play.

Rodriguez v. BC was about having Section 241(b) of the Criminal Code struck down, so that her doctor could legally provide her with the lethal medication to commit suicide herself.

Even if I accept the argument that it's not Assisted Suicide when the Physician administers the lethal medication rather than the patient themsleves (rendering Section 241(b) null), section 245 of the Criminal Code would apply:

245. Every one who administers or causes to be administered to any person or causes any person to take poison or any other destructive or noxious thing is guilty of an indictable offence and liable

(a) to imprisonment for a term not exceeding fourteen years, if he intends thereby to endanger the life of or to cause bodily harm to that person; or

(b) to imprisonment for a term not exceeding two years, if he intends thereby to aggrieve or annoy that person.

Furthermore, Section 14 of the Criminal Code prevents an individual from consenting to death, and ensures that criminal responsibility remains even if there is consent:

Consent to death

14. No person is entitled to consent to have death inflicted on him, and such consent does not affect the criminal responsibility of any person by whom death may be inflicted on the person by whom consent is given.

Until such time that Section 241(b) and/or Section 245 is amended or repealed, it remains illegal for a physician to provide and/or administer lethal medication or other assistance the process. Until such time that Section 14 is repealed, it remains illegal for an individual to consent to death. The proposed bill in Quebec cannot override this.

And we haven't even gotten into the possibility of a murder conviction, as in the Latimer case.


Hey Now

@videotron.ca
reply to IamGimli

said by IamGimli:

Yes. And the very reason YOU don't hear about it is because it's murder. That doesn't change the reality where is DOES happen. I know of at least two instances myself. And the families involved were very thankful for it.

I have to admit... Each time I saw it I was fucked up for a few days (s'cuse the language). So many questions... thoughts... I seen a few like this and it was choice (except for one, she was in a comma, but all pre-arranged). Conscious choice.


Guspaz
Guspaz
Premium,MVM
join:2001-11-05
Montreal, QC
kudos:20
reply to jaberi

Provincial healthcare laws cannot override federal criminal law, but just as equally federal criminal law can't override provincial healthcare law. It's an impasse the courts would have to sort out.
--
Latest version of CapSavvy systray usage checker: »CapSavvy v4.2 released!



zirG

join:2012-12-18
Ridgeway, ON

1 recommendation

reply to jaberi

^corster

Good analysis of the CCC sections that apply and that may require to be amended or repealed through Parliament. Those in favour of the "right to die" must articulate precisely how our legal framework should be amended to allow for this. "IF" we decide as a nation that this would be a good thing.

I can certainly end my own life if I choose, but the minute a I require assistance in doing so I involve other people and our laws come into play. Protection of the vulnerable is one of the major responsibilities of the State and it is our legal framework that attempts to accomplish this. Getting the balance on this issue is fraught with problems.



DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to IamGimli

said by IamGimli:

said by DKS:

Lemme see. Been at dozens, if not hundreds of bedsides of people dying over the years. Never heard of it. You've heard of two. Therefore it happens all the time. Right.

Yet you weren't family for the great majority of those people and you make it very clear you are opposed to such. Think maybe that's why you never heard of it?

I bet those people never told the cops either, I wonder why...

One can never hide that kind of secret for long. And you would be amazed at what I am privileged to hear.
--
Need-based health care not greed-based health care.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to Hey now

said by Hey now :

said by DKS:

Lemme see. Been at dozens, if not hundreds of bedsides of people dying over the years. Never heard of it.

You were quite surprised when I mentioned how they put my sister down. Never heard of it? Riiiight.

One case in how many? Perhaps if murder is alive and well in Quebec, that is why the legislation was introduced there.
--
Need-based health care not greed-based health care.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to EUS

said by EUS:

said by DKS:

said by EUS:

"Our values" differ. That's the whole point of making the decision up to the individual patient, and doctor.
Besides, we all know that little extra shot of morphine to end the pain of a terminal cancer patient is not coming from a pusher on the street.

Then let's have a conversation about the values. And no, a physician doesn't give an "extra shot of morphine to end the pain". That's murder.

My conversation on values would be pretty short. No one's business but patient and doctor is the crux of it.
I never said the doctors administer, it's usually the family that increases the drip.
Deny all you want, the truth is uncomfortable sometimes.

Not uncomfortable. But that's not how such drugs are administered.
--
Need-based health care not greed-based health care.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to zirG

said by zirG:

^corster

Good analysis of the CCC sections that apply and that may require to be amended or repealed through Parliament. Those in favour of the "right to die" must articulate precisely how our legal framework should be amended to allow for this. "IF" we decide as a nation that this would be a good thing.

I can certainly end my own life if I choose, but the minute a I require assistance in doing so I involve other people and our laws come into play. Protection of the vulnerable is one of the major responsibilities of the State and it is our legal framework that attempts to accomplish this. Getting the balance on this issue is fraught with problems.

Well said.
--
Need-based health care not greed-based health care.
Expand your moderator at work


Hey Now

@videotron.ca
reply to DKS

Re: Dying in a 'free and informed manner'

said by DKS:

said by Hey now :

said by DKS:

Lemme see. Been at dozens, if not hundreds of bedsides of people dying over the years. Never heard of it.

You were quite surprised when I mentioned how they put my sister down. Never heard of it? Riiiight.

One case in how many? Perhaps if murder is alive and well in Quebec, that is why the legislation was introduced there.

Yeah that's what you said the 3 other times too. As if only Qc does this and the rest of Canada doesn't. Very myopic of you. Makes me question you and all these deaths you take part in as you claim here. 4 times for me alone. So that makes it, "One case in how many"? You do the math.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2

said by Hey Now :

Yeah that's what you said the 3 other times too. As if only Qc does this and the rest of Canada doesn't. Very myopic of you. Makes me question you and all these deaths you take part in as you claim here. 4 times for me alone. So that makes it, "One case in how many"? You do the math.

Hospitals and at home. Your call. So we have half a dozen cases. In how many?
--
Need-based health care not greed-based health care.


zirG

join:2012-12-18
Ridgeway, ON
reply to Hey Now

I've also been close to a few situations where "the decision" is made to hasten an inevitable death rather than to prolong it. It is a decision that is made amongst the physician/patient/family. It happens every day, it works well in most circumstances and we rarely hear about it. But, it happens outside the law. What we discussing here is the potential of creating a situation where the Country attempts to create laws that will apply to 'every' case.

My personal view is that the current laws and medical practices work perfectly well 99.99% of the time and we should just leave it alone.

Creating law based on the 0.01% is an inherently bad idea. Also, when the 0.01% goes wrong we have the Criminal Code of Canada to deal with it.



Guspaz
Guspaz
Premium,MVM
join:2001-11-05
Montreal, QC
kudos:20
reply to jaberi

How about "taking off life support"? How does this differ from execution of a DNR? Particularly since it's been shown that absence of brain activity does not necessarily mean absence of the possibility of future brain activity, much like looking at a computer that isn't plugged in and saying "this computer is dead" doesn't mean it wouldn't work if plugged in.
--
Latest version of CapSavvy systray usage checker: »CapSavvy v4.2 released!



zirG

join:2012-12-18
Ridgeway, ON

said by Guspaz:

How about "taking off life support"? How does this differ from execution of a DNR? Particularly since it's been shown that absence of brain activity does not necessarily mean absence of the possibility of future brain activity, much like looking at a computer that isn't plugged in and saying "this computer is dead" doesn't mean it wouldn't work if plugged in.

Great point! This is one way that that current system has adapted and works better that it had previously. And another reason not to go messing about with the CCC.

IamGimli

join:2004-02-28
Canada
kudos:1
reply to corster

said by corster:

You're playing with semantics here. The definition of Suicide is "the act of killing oneself intentionally". If someone decides that they want to die, but needs assistance from an outside party to do so, Section 241(b) of the Criminal Code then comes into play.

Law IS all about semantics. We spend hundreds of thousands of dollars arguing semantics in courtrooms across the country every day.

said by corster:

Rodriguez v. BC was about having Section 241(b) of the Criminal Code struck down, so that her doctor could legally provide her with the lethal medication to commit suicide herself.

Precisely, which is NOT what the proposed law is about.

said by corster:

Even if I accept the argument that it's not Assisted Suicide when the Physician administers the lethal medication rather than the patient themsleves (rendering Section 241(b) null), section 245 of the Criminal Code would apply:

Interesting point, although in the case of a terminal patient the case could be made that death is a foregone conclusion therefore the action does not endanger the patients life any more than it already is and the intent of the action is actually to AVOID unnecessary bodily harm, not cause it.

said by corster:

Furthermore, Section 14 of the Criminal Code prevents an individual from consenting to death, and ensures that criminal responsibility remains even if there is consent:

Again, in such cases death has already been ruled inevitable, hence there is no agreement to be made to end the life, it shall end naturally anyway.

said by corster:

Until such time that Section 241(b) and/or Section 245 is amended or repealed, it remains illegal for a physician to provide and/or administer lethal medication or other assistance the process. Until such time that Section 14 is repealed, it remains illegal for an individual to consent to death. The proposed bill in Quebec cannot override this.

Except for the fact your interpretations have not been tested in a court of law and are therefore nothing but conjecture.

said by corster:

And we haven't even gotten into the possibility of a murder conviction, as in the Latimer case.

Again, completely different circumstances but do keep in mind most of the population was against Latimers conviction.


Kalford
Seems To Be An Rtfm Problem.
Premium,MVM
join:2001-03-20
Ontario
kudos:1
reply to corster

said by corster:

And we haven't even gotten into the possibility of a murder conviction, as in the Latimer case.

That case was the rightful conviction (though not long enough sentence) of a selfish murderous prick. . . .it wasn't a case of someone choosing to end their own life.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2
reply to zirG

said by zirG:

I've also been close to a few situations where "the decision" is made to hasten an inevitable death rather than to prolong it. It is a decision that is made amongst the physician/patient/family.

That would be surprising, given that doing so would put any regulated profession (including a physician and a nurse) at serious risk of losing their license. At the same time, administering a dose of medication such as morphine to relieve pain, which has a side effect of depressing respiration, is not a criminal act and a physician is not "hastening death".

It happens every day, it works well in most circumstances and we rarely hear about it.

Never heard of it in 34 years of working in hospitals, long term care homes and community health care.

My personal view is that the current laws and medical practices work perfectly well 99.99% of the time and we should just leave it alone.

Creating law based on the 0.01% is an inherently bad idea. Also, when the 0.01% goes wrong we have the Criminal Code of Canada to deal with it.

I agree. And we can do a whole lot better in our palliative care and support of physicians doing palliative care.
--
Need-based health care not greed-based health care.


zirG

join:2012-12-18
Ridgeway, ON

DKS,

" administering a dose of medication such as morphine to relieve pain, which has a side effect of depressing respiration" is precisely the situation I was speaking of. I called it "hastening death" but perhaps we only disagree on the definition. It was certainly the right thing to do under the circumstances and this is also the sort of situation that I said was common. Again, I don't think we disagree on that either.

I do think that most people who speak of "the right to die" have exactly the same sort of misconception that I expressed above. I think understand where you are coming from.

Coming to an agreement on definitions is important before a reasoned discussion can begin. This seems to be a missed point on many who want to skip this step and move directly to their arguments.

This is why I liked corster's post that dealt with the actual legislation. This is a highly charged and emotional issue and although it may seem counterintuitive, I think we need to take the emotion out of the discussion.



DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2

said by zirG:

DKS,

" administering a dose of medication such as morphine to relieve pain, which has a side effect of depressing respiration" is precisely the situation I was speaking of. I called it "hastening death" but perhaps we only disagree on the definition. It was certainly the right thing to do under the circumstances and this is also the sort of situation that I said was common. Again, I don't think we disagree on that either.

It is absolutely not hastening death. It is good medical practice and excellent palliative care. I've heard more ethics experts on this issue than anything else over the years. It is often misunderstood by physicians, however. I have heard of physicians refuse the use of morphine for palliative care patients "because it would make them addicted". If the choice in palliative care is between death or comfort, addiction is not a risk.

Coming to an agreement on definitions is important before a reasoned discussion can begin. This seems to be a missed point on many who want to skip this step and move directly to their arguments.

Yes, a common language is a good start.

This is why I liked corster's post that dealt with the actual legislation. This is a highly charged and emotional issue and although it may seem counterintuitive, I think we need to take the emotion out of the discussion.

And why Dr. Balfour Mount's page, which I posted above, is equally excellent. He would not disagree with what I have said regarding administration of medication to give comfort in palliation.

In our community we are fortunate to have a palliative care specialist who is consulted regularly by local physicians. I know from personal experience that she does excellent work, providing care and comfort.
--
Need-based health care not greed-based health care.

jaberi

join:2010-08-13
reply to jaberi

SARS doctor Donald Low's posthumous plea for assisted suicide

In the video, he says there's a need for 'dying with dignity'

In an impassioned YouTube video shot eight days before he died of a brain tumour, Dr. Donald Low, the microbiologist credited with guiding Toronto through the 2003 SARS crisis, makes a final plea for Canada to change the law to allow assisted suicide.

»www.cbc.ca/news/canada/toronto/s···.1866332

...................................................................

i thought this video was courageous and thought-provoking...unfortunately in canada it is illegal, and it might be a long time before we mature to the simple concept of dying with dignity.

RIP Dr. Low


Guspaz
Guspaz
Premium,MVM
join:2001-11-05
Montreal, QC
kudos:20

Re: SARS doctor Donald Low's posthumous plea for assisted suicid

said by jaberi:

unfortunately in canada it is illegal, and it might be a long time before we mature to the simple concept of dying with dignity.

A long time? Bill 52 legalizes and mandates euthenasia in Quebec, and since it has broad support from all the major parties (the basics were worked out by a bipartisan committee started under the liberals, and the PQ introduced the bill based on the recommendations) and 80% popular support among Quebecers, I'm not seeing any reason why it won't pass.
--
Latest version of CapSavvy systray usage checker: »CapSavvy v4.2 released!

jaberi

join:2010-08-13

that's quebec, do you think they will allow anglophones to come and die with dignity in their province..(sarcasm on)



Guspaz
Guspaz
Premium,MVM
join:2001-11-05
Montreal, QC
kudos:20
reply to jaberi

Re: Dying in a 'free and informed manner'

Anyone can, providing they're a resident of Quebec. The restrictions on who qualifies are set out in chapter 4 division 2 paragraph 26 of the bill. It does not directly include any restrictions based on place of residence, but it does require that you fall under the RAMQ system (you need a Quebec medicare card). Let me copy and paste the applicable paragraph of the bill:

said by Bill 52 :

26. Only a patient who meets the following criteria may obtain medical aid in dying:

(1) be of full age, be capable of giving consent to care and be an insured person within the meaning of the Health Insurance Act (chapter A-29);

(2) suffer from an incurable serious illness;

(3) suffer from an advanced state of irreversible decline in capability; and

(4) suffer from constant and unbearable physical or psychological pain which cannot be relieved in a manner the person deems tolerable.

The patient must request medical aid in dying themselves, in a free and informed manner, by means of the form prescribed by the Minister. The form must be dated and signed by the patient or, if the patient is physically incapable of doing so, by a third person. The third person may not be a minor or an incapable person of full age or a member of the team responsible for caring for the patient.

The form must be signed in the presence of a health or social services professional who countersigns it; if the professional countersigning is not the attending physician, the signed form is given to the attending physician.


--
Latest version of CapSavvy systray usage checker: »CapSavvy v4.2 released!


Thane_Bitter

join:2005-01-20
London
reply to jaberi

Re: SARS doctor Donald Low's posthumous plea for assisted suicid

said by jaberi:

that's quebec, do you think they will allow anglophones to come and die with dignity in their province..(sarcasm on)

Oh sure, I can just see the new PQ slogan: "Merci d'être mort en français!"


Gone
Premium
join:2011-01-24
Fort Erie, ON
kudos:4
Reviews:
·Start Communicat..

1 recommendation

reply to corster

Re: Dying in a 'free and informed manner'

said by corster:

All Criminal Law in Canada is under Federal Jurisdiction. This doesn't change anything. It's still illegal under the Criminal Code, even in Quebec, and this proposed PQ law cannot change that.

Administration of justice, however, is provincial.

In other words, it's sure to be a mess.


DKS
Damn Kidney Stones
Premium,ExMod 2002
join:2001-03-22
Owen Sound, ON
kudos:2

1 recommendation

reply to jaberi

Re: SARS doctor Donald Low's posthumous plea for assisted suicid

said by jaberi:

i thought this video was courageous and thought-provoking...unfortunately in canada it is illegal, and it might be a long time before we mature to the simple concept of dying with dignity.

I find the video unhelpful for any number of reasons. We have "dying with dignity". It's called "palliative care". But we have no national policy for that, so we will have to suffer through these videos for years to come.
--
Need-based health care not greed-based health care.


hmm

@videotron.ca
reply to Gone

Re: Dying in a 'free and informed manner'

Medicine is also provincial.

Also, QC already does this "off the books" anyhow. Been going on since 20 years (and that what I know since I first saw it). So likely longer.

It's just done. I saw a few family members go this way, as I detailed in a few topics here over the years as it happened (one person refused to believe it till i detailed how they did my sister, posted it same day as it happened). Fucked me up good for a few days. Each one did. Raises lots of questions when you see it happen. But i'm all for it.

It's also the persons wishes, and they explain to the person how it will happen. If they are concious (only two were out of 4 or 5 that I saw) they know exactly how, and they call the shot as to when. Can't say I saw them suffer. But it was hard to watch. Like I said it just F's you right up to see it happen. Maybe each is different but it deeply affected me.

Expand your moderator at work

jaberi

join:2010-08-13
reply to DKS

Re: SARS doctor Donald Low's posthumous plea for assisted suicid

i agree to disagree....although, i value palliative care being of great comfort to those who want dignity, however many people have a different concept of what dignity means to them.

i have no doubt that dr. low could have found himself a cocktail if he wanted out via euthanasia, so what held him back?...... he made a video and shared his views hoping the politicos would take note and give the dying an assisted "dying with dignity option"