Text Size


Missed the Festival? View a selection of the films on the NFB Playlist!

A year long celebration including marches, parties, workshops, grants and film making. Join the conversation at disabilitypride.ca

Watch our 60th Anniversary video that honours and remembers the civil rights history of people with developmental disabilities in BC. Read more about our history here.

Recommendations in Physician-Assisted Dying Report Pose Significant Risk to Vulnerable Canadians

The Council for Canadians with Disabilities and the Canadian Association for Community Living are dismayed that recommendations contained in report released by Parliament's Special Joint Committee on Physician-Assisted Dying will jeopardize the lives of vulnerable Canadians.

Inclusion BC is a member of the Canadian Association for Community Living


Thursday, February 25th, 2016
Toronto, ON

Recommendations Contained in Report of Joint Committee on Physician-Assisted Dying Pose Significant Risk to Vulnerable Canadians


The Council for Canadians with Disabilities (CCD) and the Canadian Association for Community Living (CACL) are extremely dismayed that the recommendations contained in the report released today by Parliament's Special Joint Committee on Physician-Assisted Dying will jeopardize the lives of vulnerable Canadians.  They do not follow the Supreme Court's call for "stringent limits that are scrupulously monitored and enforced."

"We are concerned that the Committee's permissive approach would put vulnerable people at risk. Their recommendations exceed guidance from the Supreme Court, as well as UN Conventions to which Canada is a signatory" states Tony Dolan, CCD Chair.

"We appreciate that members of the Joint Committee were alert to concerns about vulnerable persons," says Michael Bach, Executive Vice-President of the Canadian Association of Community Living. "Nevertheless, we are alarmed by the committee's conclusions. We believe the recommendations contained in the Committee Report fall well short of the minimum safeguards we believe are essential to protecting vulnerable Canadians. Clearly there is a lot of work still to be done."

Together CACL and CCD represent the concerns of Canadians with disabilities. Both organizations believe that their members will be harmed if the government adopts the committee's recommendations. They have four principle concerns.

First, both organizations believe the committee has erred by not accepting the trial judge's definition of "grievous and irremediable medical conditions" to exclude psychosocial suffering as an eligible condition, and meaning an advanced state of weakening capacities with no chance of improvement.

Second, the Committee suggests that concerns about vulnerability can be addressed within the context of physician assessments of decision making capacity.  The evidence does not support this claim. Physicians are not generally trained or have expertise in the kinds of vulnerabilities that are known to motivate requests for assisted death. For example, a survey of U.S. physicians found that only 2% had training, experience or expertise in identifying signs of elder abuse in their patients, despite this growing demographic. "The Committee's recommendation, which instructs decision makers to pay attention to vulnerability does nothing to assuage our concerns," states Rhonda Wiebe, Co-Chairperson of CCD's Ending of Life Ethics Committee.

Third, the Committee recommends allowing for advance directives. This is not consistent with the Supreme Court decision which clearly stated that a person has to be capable in the actual circumstances of taking the intervention intended to cause death. Advance directives would empower substitute decision makers to determine when someone should die. This should be explicitly prohibited in federal legislation.  The risks to the most vulnerable in society are obvious.

Fourth, the Committee rejected proposals that requests be authorized through an independent prior review, instead relying on two physicians to make the assessment and authorize the intervention to terminate a person's life. These are fundamentally irreconcilable roles, and combining them exposes physicians and patients to conflicts of interest and increases risk of abuse. A check and balance of prior review is essential. 

CCD and CACL will be urging the government to adopt a stronger system of safeguards, and to adopt a clear standard for protecting vulnerable persons.  Canadians requesting assistance from physicians to end their life should be able to do so without jeopardizing the lives of vulnerable persons who may be subject to coercion, inducement and abuse.


Media Contacts: 

Michael Bach, CACL Executive Vice President, Tel: 416-209-7942
Tony Dolan, CCD Chairperson, Tel: 902-569-2817
Dean Richert, Co-chair CCD Ending of Life Ethics Committee, Tel: 204-951-6273.
Rhonda Wiebe, Co-chair CCD Ending of Life Ethics Committee, Tel: 204-779-4493

Canadian Association for Community Living
Kinsmen Building, York University
4700 Keele Street Toronto, Ontario
M3J 1P3

What's New

Press Room
November 27, 2017
Join us December 3 for the 2017 UN International Day of Persons with Disabilities Film Festival at New Westminster's Anvil Centre #IDPD2017...
  + More
October 2, 2017
BC government announces that an extra $52/month will be added to monthly PWD (Persons with Disabilities) payments starting in December 2017 to pay for a bus pass or other transportation options...
  + More
September 29, 2017
Inclusion BC joins communities across BC to declare October Community Inclusion Month....
  + More