Subsequent to an intensive three-year period of reflection, the CMQ is revealing its perspective and conclusions today regarding end-of-life care and euthanasia. The CMQ embraces the point of view of the patient who is confronting imminent and inevitable death. In such a situation, the patient looks to their physician and generally requests that they be able to die without undue suffering and with dignity. Neither surveys, nor attorneys, nor politicians can properly advise the physician and the patient facing this situation. In the majority of cases, the patient and their doctor find the appropriate analgesia that respects the ethical obligation of physicians not to preserve life at any cost, but rather, when the death of a patient appears to be inevitable, to act so that it occurs with dignity and to ensure that the patient obtains the appropriate support and relief.
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.
The Supreme Court of Canada will go ahead later this year and set a legal framework for when patients in a vegetative state can be withdrawn from life support. The court rejected a request this morning from the family of a severely ill Toronto man, Hassan Rasouli, to withdraw the case from its docket on the grounds that Mr. Rasouli recently passed into a higher degree of consciousness.
Two Sunnybrook doctors have lost their bid to unilaterally remove a severely brain damaged patient from life support, but they still have the option of going to a provincial tribunal to try to overrule his family’s wishes, the Supreme Court has decided.