Doctors have the right and the ethical responsibility to pull patients off life support if they decide treatment is futile – and should not need patient or family consent to do so, lawyers for two doctors at Toronto’s Sunnybrook Hospital will argue in Ontario’s highest court. The Court of Appeal’s decision will not only determine the fate of a man who has been comatose in a Toronto hospital for most of the time since he moved to Canada from Iran, it could have wide-ranging implications for the ability of patients to determine the course of their treatment and the right of medical professionals to make those decisions.
Parichehr Salasel believed that where there was life, there was hope. Two doctors at Toronto’s Sunnybrook Health Sciences Centre disagreed, saying that it is in the best interests of her husband, Hassan Rasouli, who is in a permanent vegetative state, to be taken off life support and provided with palliative care until his death. The seven-month medical conflict over Mr. Rasouli’s fate ended on Wednesday when Ontario’s top court took Ms. Salasel’s side in a ruling that is expected to reignite for Canadians the emotional issue of how to handle end-of-life decisions and whether extraordinary medical interventions save lives or merely prolong dying.