Developments to Watch
Julia Lamb and British Columbia Civil Liberties Association v. Canada (Attorney General)
On June 27, 2016, Julia Lamb and the British Columbia Civil Liberties Association filed a Notice of Civil Claim launching a Charter challenge to the federal medical assistance in dying legislation:
This claim challenges the constitutional validity of the following underlined portions of s. 241.2 of the Criminal Code, R.S.C. 1985, c. C-46, as amended by Bill C-14, assented to on June 27, 2016 (the “impugned laws”):
241.2 (1) A person may receive medical assistance m dying only if they meet all of the following criteria:
(a) they are eligible or, but for any applicable minimum period of residence or waiting period, would be eligible for health services funded by a government in Canada;
(b) they are at least 18 years of age and capable of making decisions with respect to their health;
(c) they have a grievous and irremediable medical condition;
(d) they have made a voluntary request for medical assistance in dying that, in particular, was not made as a result of external pressure; and
(e) they give informed consent to receive medical assistance in dying after having been informed of the means that are available to relieve their suffering including palliative care.
(2) A person has a grievous and irremediable medical condition only if they meet all of the following criteria:
(a) they have a serious and incurable illness, disease or disability;
(b) they are in an advanced state of irreversible decline in capability;
(c) that illness, disease or disability or that state of decline causes them enduring physical or psychological suffering that is intolerable to them and that cannot be relieved under conditions that they consider acceptable;
and
(d) their natural death has become reasonably foreseeable, taking into account all of their medical circumstances. without a prognosis necessarily having been made as to the specific length of time that they have remaining.
On July 27, 2016, the Attorney General filed its response to the civil claim.
Truchon and Gladu v. Canada (Attorney General) and Quebec (Attorney General)
On June 13, 2017, two plaintiffs filed an application for declaratory relief in Quebec. The application is aimed at both Quebec’s and Canada’s assisted-dying legislation. Jean Truchon and Nicole Gladu argue the laws violate their Charter rights because they are too restrictive. Jean Truchon has cerebral palsy; Nicole Gladu has post-polio syndrome.
College of Physicians and Surgeons of British Columbia Complaint against Dr. Ellen Wiebe
On February 13, 2018, the CPSBC Inquiry Committee issued a “Final Disposition Report” on a complaint submitted by the Chief Medical Officer and Coroner, BC Coroners Service against Dr. Ellen Wiebe asking the College to “review this matter [medical assistance in dying for Ms. S] to ensure that the eligibility criteria for medical assistance in dying were met.” The Inquiry Committee concluded that “a patient cannot be forced to take treatment they do not consider acceptable, i.e., patients seeking medical assistance in dying retain, as do all competent patients, right of refusal. It was determined that Ms. S met the requisite criteria and was indeed eligible for medical assistance in dying, despite the fact that her refusal of medical treatment, food, and water, undoubtedly hastened her death and contributed to its ‘reasonable foreseeability’. Given the above, the Committee agreed that Dr. Wiebe acted in compliance with the College’s standard in all respects.”
There is a Charter challenge to the Ontario College of Physicians and Surgeons Policy requiring effective referral by objecting providers. The lower court’s decision (which found no Charter breach) is on appeal to the Ontario Court of Appeal.
See: The Christian Medical and Dental Society of Canada v. College of Physicians and Surgeons of Ontario, 2018 ONSC 579.
See also: The College of Physicians and Surgeons of Ontario Policy Statement #4-16: Medical Assistance in Dying.