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A Sceptics Report: Canada’s Five Years Experience with Medical Termination (MAiD)


This article seeks to assess the results of legislation legalizing medical termination, known in Canada as "medical aide in dying" in 2016. Its focus, like that of previous authors, is to ask if the concerns of skeptics opposed to legalization have been realized or were they unfounded. These include the likelihood of a “slippery slope” with an expanding definition of eligibility and of MAiD deaths. Of similar concern at least since 1995 was the likelihood that, in the absence of the provision of palliative, rehabilitative, psychological and social services that medical termination would be a substitute for good medical care. These and other concerns are the basis for the review of MAiD in Canada clinically, legally and as an ethical construct.

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The author gratefully acknowledges the suggestions of peer reviewers whose careful review of the original manuscript significantly contributed to this paper.



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Correspondence to Tom Koch.

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Koch, T. A Sceptics Report: Canada’s Five Years Experience with Medical Termination (MAiD). HEC Forum (2022).

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  • Carter v. Canada
  • Chronic care
  • MAiD
  • Canadian charter of rights and freedoms
  • Medical ethics
  • Medical termination