The discussion surrounding Medical Assistance in Dying (MAID) in Canada is intensifying, with indications that access to euthanasia may continue to expand. Recent developments suggest that courts may further broaden the scope of MAID, which is often referred to as euthanasia in other countries. Public opinion, particularly in Quebec, plays a significant role in shaping this debate.

Currently, advanced directives that would allow individuals to authorize MAID in the event they lose the capacity to consent are illegal. However, Quebec has permitted these directives, and the federal government has not intervened. A recent Ipsos poll commissioned by Dying With Dignity Canada revealed that 84% of Canadians support advanced directives, with support reaching as high as 77% in Alberta.

Perry MacDonald, who advocates for the legalization of advanced directives, shared a personal story about his brother's death from dementia. He described a painful eight-day experience where his brother suffered before passing away. "Eight days him thrashing around on a bed, drying before he dehydrated to death," MacDonald recounted. He emphasized that MAID offers a more peaceful and dignified option for those facing terminal conditions.

Many potential MAID recipients and their families, especially those with a history of neurocognitive disorders, find the argument for advanced directives compelling. The current law requires that individuals must be given the opportunity to withdraw consent and must confirm their consent immediately before receiving MAID. However, the emotional complexities surrounding consent can complicate this process.

Dr. Trudo Lemmens, a health law and policy professor at the University of Toronto, highlighted ethical concerns regarding consent. He referenced a case in the Netherlands where a woman who had requested euthanasia changed her mind at the last moment but was restrained by family members as the procedure was carried out. The doctor involved was acquitted of any wrongdoing.

Critics of the current MAID framework express concerns about the potential for abuse and the adequacy of palliative care in Canada. Reports have surfaced about military veterans being offered euthanasia and individuals seeking it due to inadequate housing. These stories raise questions about the ethical implications of expanding MAID access.

As the debate continues, many Canadians are left wondering how to best support individuals like Perry MacDonald and others facing similar situations. The complexities of MAID, consent, and palliative care remain at the forefront of discussions about end-of-life options in Canada.