{"id":4444,"date":"2018-10-04T21:43:20","date_gmt":"2018-10-05T01:43:20","guid":{"rendered":"https:\/\/collectif.lesartsmartial.com\/en\/?p=4444"},"modified":"2025-08-12T00:21:19","modified_gmt":"2025-08-12T04:21:19","slug":"physicians-alliance-newsletter-september-2018","status":"publish","type":"post","link":"https:\/\/collectifmedecins.org\/en\/physicians-alliance-newsletter-september-2018\/","title":{"rendered":"Physicians&#8217; Alliance Newsletter, September 2018"},"content":{"rendered":"<p><strong>Advance directives authorizing death. We can do better\u2026<\/strong><\/p>\n<h2><img decoding=\"async\" class=\"CToWUd a6T alignleft\" tabindex=\"0\" src=\"https:\/\/ci3.googleusercontent.com\/proxy\/f9-ek4ItD8nibxSW4M8S999IMrhMha1Hzlu_ZhJOiHj0YpPbtKh3PZTMZJ5E7afQNkEDl3NlQB_m4XFfGLyQ0jRr-ECBeTPVgrL2Gqoxb7zeFPZDwif-so-ggdYOLHUrlyo3VZU=s0-d-e1-ft#http:\/\/www.theater330.com\/wp-content\/uploads\/2012\/09\/Elderly-person-writing.jpg\" alt=\"See the source image\" width=\"168\" height=\"252\" \/><\/h2>\n<p>Even before the adoption of the laws permitting euthanasia in Quebec and Canada, which require that it be requested by a capable adult, the pressure to extend it to incapable persons was looming. This possibility is now being considered by an advisory panel to the Canadian government (<a href=\"http:\/\/www.scienceadvice.ca\/en\/assessments\/in-progress\/medical-assistance-dying.aspx\">Council of Canadian Academies<\/a>), and the recently elected political party in Quebec (<a href=\"https:\/\/coalitionavenirquebec.org\/en\/blog\/2018\/09\/18\/doing-more-and-doing-better-for-people-with-alzheimers\/\">Coalition Avenir Qu\u00e9bec; CAQ<\/a>) made it part of their platform in the recent provincial election. A group of researchers (Bravo, G. et al.) has surveyed <a href=\"https:\/\/www.researchgate.net\/publication\/322088575_Are_Informal_Caregivers_of_Persons_With_Dementia_Open_to_Extending_Medical_Aid_in_Dying_to_Incompetent_Patients_Findings_From_a_Survey_Conducted_in_Quebec_Canada\">family caregivers<\/a>, <a href=\"https:\/\/www.researchgate.net\/publication\/322240972_Nurses'_perspectives_on_whether_medical_aid_in_dying_should_be_accessible_to_incompetent_patients_with_dementia_Findings_from_a_survey_conducted_in_Quebec_Canada\">nurses<\/a> and <a href=\"https:\/\/www.researchgate.net\/publication\/327257678_Quebec_physicians'_perspectives_on_medical_aid_in_dying_for_incompetent_patients_with_dementia\">doctors<\/a> about it and concluded that most favour extending the law to permit MAID by advance request for persons incapable of decision-making. The pressure is on. If administering death is a good, why refuse it to anyone?\u00a0<a href=\"https:\/\/collectifmedecins.org\/en\/advance-directives-authorizing-death-we-can-do-better\/\">Continue reading editorial&#8230;<\/a><\/p>\n<p>Make euthanasia unimaginable.<\/p>\n<p>Sincerely,<\/p>\n<p>Catherine Ferrier<br \/>\nPresident<\/p>\n<div>\n<hr \/>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">Doctor&#8217;s voices\u00a0<\/span><\/b><\/p>\n<\/div>\n<ul>\n<li><a href=\"https:\/\/www.wma.net\/wp-content\/uploads\/2018\/10\/WMJ_3_2018-1.pdf\">Euthanasia in Canada: A Cautionary Tale<\/a>, (World Medical Journal; Vol. 64, Nr. 3, page 17, September 2018)<\/li>\n<li>Commentary by Dr. Roger Roberge on the article: <a href=\"http:\/\/www.cfp.ca\/content\/64\/9\/641\">Time to clarify Canada\u2019s medical assistance in dying law<\/a> (Canadian Family Physician, September 2018).<\/li>\n<li><a href=\"https:\/\/www.convivium.ca\/articles\/suicide-by-media\">Suicide by\u00a0Media<\/a><br \/>\nDr. Fernandes and Dr. Lau identify a grave media \u2018malfeasance\u2019 due to the \u2018romanticized reporting of euthanasia\u2019 propagating the contagion of suicide. The article explores the detrimental effects of media on the rates of suicide and euthanasia\u00a0within our society due to their approach in reporting on these themes.<\/li>\n<\/ul>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">Call to action<\/span><\/b><\/p>\n<ul>\n<li>The <a href=\"http:\/\/www.cfp.ca\/content\/64\/9\/641\">September 2018 issue of Canadian Family Physician<\/a> contains a few research articles with a strong pro-euthanasia bias. If you or any of your colleagues have publications or ongoing\u00a0 research that demonstrate the harms from euthanasia or physician-assisted suicide, please let us know at <a href=\"mailto:info@collectifmedecins.org\">info@collectifmedecins.org<\/a> so that we may share them with other members of the Physicians\u2019 Alliance.<\/li>\n<li>The <a href=\"https:\/\/www.amom.net\/en\/\">Association des m\u00e9decins omnipraticiens de Montr\u00e9al<\/a> is holding elections for its Board of Directors. Members will have received the information by mail, and candidates must submit their nomination papers by October 9, 2018.\u00a0Please consider running for a position on the Board, in order to defend doctors&#8217; rights to not euthanize our patients.<br \/>\nIf you have not received the information, you can contact us at <a href=\"mailto:info@collectifmedecins.org\">info@collectifmedecins.org<\/a> and we will send it to you.<\/li>\n<\/ul>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">In the news\u00a0<\/span><\/b><\/p>\n<ul>\n<li>Earlier in September, the <a href=\"http:\/\/www.lapresse.ca\/actualites\/elections-quebec-2018\/201809\/17\/01-5196792-alzheimer-la-caq-ouverte-a-elargir-laide-medicale-a-mourir.php\">Coalition Avenir Qu\u00e9bec (ACQ) relaunched their debate on medical aid in dying<\/a> by promising to consult on its eventual extension to individuals with Alzheimer&#8217;s disease or other types of severe dementia. This was deemed to be &#8220;irresponsible and outrageous&#8221; by the organization Vivre dans la Dignit\u00e9, who proposed that instead, efforts should be directed towards addressing the important issue of access to quality palliative care. For more details: <a href=\"https:\/\/www.lesoleil.com\/actualite\/elections-2018\/aide-medicale-a-mourir-lengagement-de-la-caq-decrie-7023f788312d1a9b09d7ed866c6d56e8\">Aide m\u00e9dicale \u00e0 mourir: l\u2019engagement de la CAQ d\u00e9cri\u00e9<\/a>.<br \/>\n<strong><br \/>\n<\/strong><\/li>\n<li>In a follow-up radio interview on September 18, 2018 with Radio X Saguenay, Aubert Martin, the Executive Director of Vivre dans la Dignit\u00e9 explains their opposition to euthanasia and medical aid in dying for individuals with Dementia: <a href=\"https:\/\/kykradiox.com\/recherche?q=aubert\">Alzheimer: opposition \u00e0 l&#8217;aide m\u00e9dicale \u00e0 mourir<\/a>.<\/li>\n<li>In a pre-emptive strike, the Federal government has taken a stance against the extension of euthanasia and medical aid in dying, by warning Quebec political parties that it will thwart any efforts by the National Assembly to broaden access to medical aid to dying. In an exchange with Le Devoir, federal department of Justice spokesman Ian McLeod stated that the criminal law falls within the exclusive legislative jurisdiction of the Parliament of Canada. One wonders why the previous (Conservative) federal government did not do the same when Quebec was first\u00a0debating the\u00a0introduction of\u00a0euthanasia, between 2010 and 2014<strong>: <\/strong><a href=\"https:\/\/www.ledevoir.com\/politique\/quebec\/537747\/une-bataille-a-venir-autour-de-l-aide-medicale-a-mourir\">Une bataille \u00e0 venir autour de l\u2019aide m\u00e9dicale \u00e0 mourir?<\/a><\/li>\n<li><a href=\"https:\/\/globalnews.ca\/news\/4466707\/palliative-care-study-canada\/\">A new study from the Canadian Institute for Health Information says only 15 per cent of Canadians have early access to palliative care at home.<\/a><strong><br \/>\n<\/strong>While survey results show that most Canadians prefer to die at home, a report by the Canadian Institute for Health Information (CIHI) shows that few Canadians (15%) receive palliative home care in their last month of life (based on available data). <strong>This is the case even though more than 80 per cent would benefit from the service.\u00a0<\/strong>September 19, 2018. <a href=\"https:\/\/www.cihi.ca\/sites\/default\/files\/document\/access-palliative-care-2018-en-web.pdf\">CIHI\u2019s report Access to Palliative Care in Canada<\/a> has confirmed that two of the major limitations in producing this report are: Information gaps on access to palliative care (since little comparable information currently exists on how this type of care is delivered across the country) and the lack of a single shared definition of palliative care in Canada and common standards for delivering it in practice.<\/li>\n<\/ul>\n<p><em>If you have an article, letter or interview relevant to our work published in any media, please let us know at\u00a0<\/em><a href=\"mailto:info@collectifmedecins.org\" data-cke-saved-href=\"mailto:info@collectifmedecins.org\"><em>info@collectifmedecins.org<\/em><\/a>.<\/p>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">Resources<\/span><\/b><\/p>\n<ul>\n<li><a href=\"https:\/\/lifecollective.io\/mtfl\/events\">Dying Healed Program<\/a> offered this Fall by <a href=\"https:\/\/lifecollective.io\/mtfl\/about\/who-we-are\">Life Canada<\/a>, in communities all across Canada.<br \/>\nThis comprehensive training program provides\u00a0<em>formation\u00a0<\/em>to those who want to understand the issues and participate in healing our society of the ills of legalized euthanasia.<\/li>\n<\/ul>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">E<\/span><\/b><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">vents<\/span><\/b><\/p>\n<ul>\n<li>The\u00a0World Medical Association <a href=\"https:\/\/www.wma.net\/members-area\/services-events\/event-related-information\/wma-general-assembly-reykjavik-2018\/\">General Assembly<\/a> which began yesterday in Reykjavik, Iceland will end on October 6th, 2018.<\/li>\n<li><a href=\"https:\/\/collectifmedecins.org\/wp-content\/uploads\/2018\/09\/Ne-gaspillez-pas-votre-mort-2.png\">Ne Gaspillez votre mort<\/a>: Soins palliatifs ou euthanasie <em>(Don&#8217;t waste your death: Palliative care or euthanasia)<\/em>. The Conference will be held on October 17th, 2018 (at 7:30p.m.) at Mary Queen of the World Cathedral, Montreal, Quebec.<\/li>\n<\/ul>\n<p><b><span style=\"color: #a60808; font-size: 22px; font-family: georgia;\">In the literature\u00a0<\/span><\/b><\/p>\n<ul>\n<li><strong>New England Journal of Medicine<\/strong> (September 2018): <u><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMp1804276\">Voluntary Euthanasia \u2014 Implications for Organ Donation<\/a><br \/>\n<\/u>By this practice, the donation would kill the patient. Currently in Canada, death by euthanasia must be caused by the administration of a &#8216; substance &#8216; and not by the recovery of an organ&#8221;. It is likely that most patients asking for euthanasia would accept death by a donation. Here is another attack on the freedom of patient consent for euthanasia.<\/li>\n<li><strong>JAMA<\/strong> (September 2018): <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2697203?resultClick=1\">Use of Palliative\u00a0Care\u00a0Earlier in the Disease Course in the Context of the Opioid Epidemic: Educational, Research, and Policy Issues<\/a><br \/>\nThis\u00a0article discusses the trend in some settings, towards implementing palliative care for patients with serious chronic illness, earlier in the disease course. It highlights challenges around the use of opioids for pain control in this broader population of patients due to longer periods of use and greater likelihood of mood and substance-use disorders.<\/li>\n<li><strong>Age and Ageing<\/strong> (September 2018)<strong>, <\/strong><a href=\"https:\/\/academic.oup.com\/ageing\/article\/47\/suppl_5\/v13\/5099203\">\u201cWhat Matters to You\u201d: Setting the Compass of Care in the Right Direction for Older People in Ireland\u00a0<\/a><br \/>\nWhat Matters To You (WMTY) is an approach that supports caring conversations and compassionate relational care.<\/li>\n<li><strong>JAMA Internal Medicine<\/strong>\u00a0(September 2018): <a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2698147?resultClick=1\">Ambiguity in End-of-Life\u00a0Care\u00a0Terminology\u2014What Do We Mean by \u201cComfort\u00a0Care?\u201d<\/a><br \/>\nThis Perspective uses an end-of-life care vignette to illustrate the need to clarify the meaning of the term\u00a0comfort care.<\/li>\n<li><strong>AMA Journal of Ethics<\/strong> (2018) <a href=\"https:\/\/journalofethics.ama-assn.org\/article\/how-do-medicalization-and-rescue-fantasy-prevent-healthy-dying\/2018-08\">How Do Medicalization and Rescue Fantasy Prevent Healthy Dying?<\/a><br \/>\n\u201cIt is far easier for physicians to help patients \u201cjump\u201d to their deaths than it is to sit with them, listen, and coordinate the help of ancillary staff like social workers and chaplains to address patients\u2019 concerns\u2014existential, spiritual, familial, personal\u2014at the end of life.\u201d<\/li>\n<li><strong>Canadian Journal of Public Health<\/strong>(2018)<strong>: <\/strong><a href=\"https:\/\/www.bioedge.org\/bioethics\/most-quebec-doctors-in-survey-favour-euthanasia-for-demented-patients\/12813\">Quebec physicians\u2019 perspectives on medical aid in dying for incompetent patients with dementia.<\/a><br \/>\nThe study concluded that \u2018Many Quebec physicians support extending medical aid in dying to incompetent patients with dementia to relieve suffering at the terminal stage. This finding will inform current deliberations as to whether medical aid in dying should be extended to these patients.\u2019However, given that the results indicate that only \u2018A total of 136 physicians out of 653 returned the questionnaire\u2019, we need to question the \u2018representative-ness\u2019 of the sample with respect to the population of interest. In this study, there is a 79% non-responsiveness bias, which is known to have significant implications on both the reliability and validity of survey study findings.The Canadian Medical Association journal&#8217;s editorial policy requires a survey response rate of at least 60% for a study to be published (Huston, 1996).\u00a0Fowler, a well-known authority on survey research methods states that, \u201c\u2026one occasionally will see reports of mail surveys in which 5% to 20% of the selected sample responded&#8230;It is very unlikely that such procedures will provide any credible statistics about the characteristics of the population, as a whole (Fowler, 2002).\u201d<\/p>\n<ul>\n<li>Huston P. Reporting on surveys: information for authors and peer reviewers.\u00a0Can Med Assoc J.\u00a01996;154:1695\u20138.<\/li>\n<li>Fowler FJ.\u00a0Survey Research Methods.\u00a03rd ed. Thousand Oaks, CA: Sage Publications; 2002.<\/li>\n<\/ul>\n<p><em>If you come across articles that could be of interest to colleagues in the Alliance please send the reference to <a href=\"mailto:info@collectifmedecins.org\" data-cke-saved-href=\"mailto:info@collectifmedecins.org\">info@collectifmedecins.org<\/a>.<\/em><\/li>\n<\/ul>\n<hr \/>\n<p><!--{cke_protected}{C}%3C!%2D%2D%20Closing%20promotional%20section%20%2D%2D%3E--><\/p>\n<p><strong>SUPPORT OUR EFFORTS<\/strong>\u00a0so that we can continue to speak on your behalf:<\/p>\n<form action=\"https:\/\/www.paypal.com\/cgi-bin\/webscr\" method=\"post\" target=\"_top\"><input contenteditable=\"false\" name=\"cmd\" type=\"hidden\" value=\"_s-xclick\" data-cke-saved-name=\"cmd\" data-cke-editable=\"1\" \/> <input contenteditable=\"false\" name=\"hosted_button_id\" type=\"hidden\" value=\"PMSKFWV5BW9BC\" data-cke-saved-name=\"hosted_button_id\" data-cke-editable=\"1\" \/> <input contenteditable=\"false\" alt=\"PayPal - The safer, easier way to pay online!\" name=\"submit\" src=\"https:\/\/www.paypalobjects.com\/en_US\/i\/btn\/btn_donateCC_LG.gif\" type=\"image\" data-cke-saved-name=\"submit\" data-cke-saved-src=\"https:\/\/www.paypalobjects.com\/en_US\/i\/btn\/btn_donateCC_LG.gif\" data-cke-editable=\"1\" \/> <img decoding=\"async\" src=\"https:\/\/www.paypalobjects.com\/en_US\/i\/scr\/pixel.gif\" alt=\"\" width=\"1\" height=\"1\" border=\"0\" data-cke-saved-src=\"https:\/\/www.paypalobjects.com\/en_US\/i\/scr\/pixel.gif\" \/><\/form>\n<p><strong>Increase our media impact:<\/strong><\/p>\n<ul>\n<li>Invite your entourage to <a href=\"http:\/\/collectifmedecins.org\/en\/declaration\/\" target=\"_blank\" rel=\"noopener\" data-cke-saved-href=\"http:\/\/collectifmedecins.org\/en\/declaration\/\">become a supporter of the <em>Physicians&#8217; Alliance<\/em> &gt;&gt;<\/a><\/li>\n<li>Invite your entourage to <a href=\"http:\/\/twitter.com\/collectifmed\" target=\"_blank\" rel=\"noopener\" data-cke-saved-href=\"http:\/\/twitter.com\/collectifmed\">follow us on Twitter &gt;&gt;<\/a><\/li>\n<li>Invite your entourage to <a href=\"https:\/\/www.facebook.com\/collectifmed\" target=\"_blank\" rel=\"noopener\" data-cke-saved-href=\"https:\/\/www.facebook.com\/collectifmed\">like our Facebook page &gt;&gt;<\/a><\/li>\n<li>Invite your entourage to <a href=\"http:\/\/www.youtube.com\/channel\/UCkkxS2RNnJeT4r5-i0DXB7Q\" target=\"_blank\" rel=\"noopener\" data-cke-saved-href=\"http:\/\/www.youtube.com\/channel\/UCkkxS2RNnJeT4r5-i0DXB7Q\">subscribe to our Youtube channel &gt;&gt;<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Advance directives authorizing death. We can do better\u2026 Even before the adoption of the laws permitting euthanasia in Quebec and Canada, which require that it be requested by a capable adult, the pressure to extend it to incapable persons was looming. This possibility is now being considered by an advisory panel to the Canadian government [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_oasis_is_in_workflow":0,"_oasis_original":0,"footnotes":""},"categories":[211,185],"tags":[],"class_list":["post-4444","post","type-post","status-publish","format-standard","hentry","category-alliance-communication","category-newsletters"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Physicians&#039; Alliance Newsletter, September 2018 - Physicians\u2019 Alliance against Euthanasia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/collectifmedecins.org\/en\/physicians-alliance-newsletter-september-2018\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Physicians&#039; Alliance Newsletter, September 2018 - Physicians\u2019 Alliance against Euthanasia\" \/>\n<meta property=\"og:description\" content=\"Advance directives authorizing death. We can do better\u2026 Even before the adoption of the laws permitting euthanasia in Quebec and Canada, which require that it be requested by a capable adult, the pressure to extend it to incapable persons was looming. 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