Consultations on Physician-Assisted Dying - Summary of Results and Key Findings

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Table of Contents

• Executive Summary
• Panel Member Biographies
• Foreword
• Part 1 - Introduction
  • Chapter 1. The External Panel
    1. Mandate
    2. Consultations with Interveners and Medical Authorities
    3. Expert and Stakeholder Consultations
    4. Consulting the Canadian Population
    5. Learning from other Jurisdictions
    6. Provincial and Territorial Jurisdictions
    7. Reporting
• Part II – Relevant Legal Context
  • Chapter 2. Division of Federal and Provincial/Territorial Powers
    1. The Federal Role in Health
    2. The Provincial Role in Health
    3. Concurrent Jurisdiction
  • Chapter 3. Relevant Sections of the Charter
    1. Section 7: The Right to Life, Liberty and Security of the Person
    2. Section 15: Equality Rights
    3. Section 33: The Notwithstanding Clause
  • Chapter 4. International Law
  • Chapter 5. Carter v. Canada
    1. The Context
    2. The Claimants
    3. The Criminal Code
    4. The Lower Court Decisions
    5. The Supreme Court Decision
    6. The Effect of the Decision
• Part III – A Report on the Panel's Consultations
  • Chapter 6. Forms of Assisted Dying and Terminology
    1. Voluntary Euthanasia and Physician-Assisted Suicide: Terminology
    2. Other Observations on Terminology
    3. Methods of Physician-Assisted Dying
    4. Conclusion
  • Chapter 7. Eligibility Criteria
    1. Age
    2. Residency
    3. Grievous and Irremediable Medical Condition
    4. Enduring Suffering
    5. Capacity to Consent to Medical Treatment
    6. Voluntariness
  • Chapter 8. The Request
    1. The Request Must Emanate from the Patient
    2. Point of Entry for the Request
    3. Form of Request
    4. Witnesses to the Request
    5. Role of Family
  • Chapter 9. Assessing the Request
    1. Medical Assessments
    2. Contributions of Allied Health Professionals
    3. Informed Consent
    4. Timelines
  • Chapter 10. Determination of Requests
    1. Prior Judicial Authorization
    2. Prior Authorization by Administrative Tribunal
    3. Physician-Assisted Dying Panel
    4. A Decision between Individuals and their Physicians
  • Chapter 11. Participation and Compliance
    1. Conscience Protection
    2. Training and Licensing
    3. Violations and Penalties
    4. Good Faith Compliance Protections
    5. Providers' Concerns over Criminal Offences not Addressed in Carter
  • Chapter 12. System Oversight
    1. Oversight Body
    2. Anonymized Data
    3. Which Data Should be Collected and from whom?
    4. Reporting Timelines
    5. Death Certificates
    6. Open Data and Targeted Funding
    7. Periodic Review of Legislation
    8. Enforcing the Obligation to Report to an Oversight Body
• Part IV – End-of-life Care in Canada
  • Chapter 13. A Critical Issue: Palliative and End-of-Life Care
    1. Defining Palliative Care
    2. The State of Palliative Care in Canada
    3. Other End-of-life Care Options
  • Chapter 14. Moving Forward
    1. Federal role in Support of Improved Palliative and End-of-life Care
    2. Ensuring Access to Extended Health Care Benefits, including Pharmacare, Home Care and Disability Supports
• Part V–Conclusion
  • Closing Reflections
  • Acknowledgments
• Annexes
  1. Report on Issue Book Results
  2. Independent Review of the Issue Book Online Consultation
  3. List of Stakeholder Consultations
  4. List of Expert Consultations
  5. Abstracts of Meeting Transcripts from Stakeholder and Expert Consultations
  6. Summary of Document Submissions Received
  7. Abstracts of Document Submissions Received
  8. Chronology of Key External Panel Activities
  9. Media Analysis: September 2014 – November 2015

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