{"id":31100,"date":"2021-02-12T20:13:45","date_gmt":"2021-02-13T01:13:45","guid":{"rendered":"https:\/\/www.cccc.org\/news_blogs\/?p=31100"},"modified":"2021-02-18T16:10:20","modified_gmt":"2021-02-18T21:10:20","slug":"bill-c-7-an-act-to-amend-the-criminal-code-medical-assistance-in-dying","status":"publish","type":"post","link":"https:\/\/cccc.org\/news_blogs\/legal\/2021\/02\/12\/bill-c-7-an-act-to-amend-the-criminal-code-medical-assistance-in-dying\/","title":{"rendered":"Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)"},"content":{"rendered":"\n<p>UPDATE: On February 17 the Senate <a href=\"https:\/\/sencanada.ca\/en\/content\/sen\/chamber\/432\/debates\/029db_2021-02-17-e#47\" target=\"_blank\" rel=\"noreferrer noopener\">passed Bill C-7<\/a> and <a href=\"https:\/\/www.ourcommons.ca\/DocumentViewer\/en\/43-2\/house\/sitting-60\/journals\" target=\"_blank\" rel=\"noreferrer noopener\">sent a message to the House of Commons<\/a> with the amendments it adopted, as summarized below.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Senate amendments expand MAID<\/h2>\n\n\n\n<p>As our regular readers will know, <a href=\"https:\/\/parl.ca\/DocumentViewer\/en\/43-2\/bill\/C-7\/third-reading\">Bill C-7<\/a> proposes to significantly expand euthanasia. By euthanasia we mean the purposeful act of causing someone\u2019s death. In Canada, euthanasia is known as \u201cmedical assistance in dying,\u201d or MAID.<\/p>\n\n\n\n<p>For a full summary of how we got here, you can see Horizons, How Legislative Developments Impact Your Ministry: A Case Study of MAID and Charity Bylaws in <a href=\"https:\/\/www.cccc.org\/current_bulletin\"><em>CCCC Bulletin<\/em> 2021:1 (February)<\/a>.<\/p>\n\n\n\n<p>Right now, the Bill is being debated in the Senate. This week, a number of amendments were proposed, some of which expand MAID even <em>more<\/em> than the original Bill contemplated. Below is a summary of the amendments, whether they passed, and the record of votes for and against.<\/p>\n\n\n\n<p>In brief, the Senate has<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rejected conscience protection<\/li><li>rejected a default of patient-initiated conversations about MAID<\/li><li>rejected a two-witnesses requirement for MAID requests<\/li><li>rejected an amendment to make it possible for involuntary words, sounds or gestures to be understood as demonstrating refusal or resistance to MAID, requiring a final opportunity to withdraw MAID request<\/li><li>adopted extending MAID to people without diagnoses<\/li><li>adopted waiving final consent requirements in some circumstances<\/li><li>adopted extending MAID where mental illness is the sole underlying medical condition (in effect 18 months after Royal Assent)<\/li><li>adopted collecting information about patients\u2019 race<\/li><li>adopted requiring a comprehensive review committee be formed.<\/li><\/ul>\n\n\n\n<p>The Bill has not yet been passed by the Senate. Debate on Bill C-7 is ongoing and will resume <a href=\"https:\/\/sencanada.ca\/en\/content\/sen\/chamber\/432\/orderpaper\/028op_2021-02-16-e\">Tuesday, February 16<\/a> so there may yet be more changes. When the Senate is done proposing changes, the revised Bill will be <a href=\"https:\/\/www.ourcommons.ca\/About\/OurProcedure\/LegislativeProcess\/c_g_legislativeprocess-e.htm\">sent back to the House of Commons<\/a>. An exchange will follow to determine whether the amendments will be accepted, or whether further changes will be made. Both the House of Commons and Senate have to pass the Bill in identical form before it can become law.<\/p>\n\n\n\n<p>In its <a href=\"https:\/\/www.pbo-dpb.gc.ca\/web\/default\/files\/Documents\/Reports\/RP-2021-025-M\/RP-2021-025-M_en.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">costing note<\/a>, the Office of the Parliamentary Budget Officer (PBO) points out that under the current MAID regime, the net reduction in health care costs is $86.9 million. The PBO estimates that the net reduction from Bill C-7 will be $62 million. It notes the challenge in estimating the financial impact for a number of reasons:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Only Quebec records the expected time remaining before natural death would occur<\/li><li>It does not account for private, out-of-pocket costs for (i.e.) palliative care at home<\/li><li>it does not take into account the impact of COVID-19, including<ul><li>the likelihood of increased cancer deaths as a result (relying on UK study showing 70-89% reduction in urgent referrals for early cancer diagnosis)<\/li><li>the use of Stats Can projected deaths in 2021 that were calculated prior to the pandemic<\/li><li>the COVID-19 deaths of patients with underlying medical conditions who may have requested MAID<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>The PBO estimates that MAID will represent 2.2% of all deaths in 2021. In <a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/medical-assistance-dying-annual-report-2019.html#a3.2\" target=\"_blank\" rel=\"noreferrer noopener\">2019, MAID represented 2.0%<\/a> of all deaths. For comparison, <a href=\"https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/201126\/t001b-eng.htm\" target=\"_blank\" rel=\"noreferrer noopener\">Stats Can reports that in 2019<\/a> Alzheimer&#8217;s disease accounted for 2.2% of deaths, and Influenza and Pneumonia accounted for 2.4% of deaths across Canada.<\/p>\n\n\n\n<p>Thankfully, the report clearly notes that it should &#8220;in no way be interpreted as suggesting that MAID be used to reduce health care costs.&#8221;<\/p>\n\n\n\n<p>If your ministry cares for the elderly or those living with mental illness, supports the disability community or provides hospice\/end of life care, these developments have the potential to significantly impact your organization and mission.<\/p>\n\n\n\n<p>What can or should we do in the face of such proposals? <\/p>\n\n\n\n<p>Since the Senate will almost certainly pass a version of Bill C7 that will be different than what the House of Commons passed, it may still be worthwhile to reach our to your MP to express your concern.<\/p>\n\n\n\n<p>This type of development should exhort us to fervent prayer! <\/p>\n\n\n\n<p>It shows that now, more than ever, our communities need to hear messages of hope and meaning in suffering. And it should encourage Christian ministries to persevere in the significant and important work of affirming the God-given value of all life.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conscience protection \u2013 Rejected<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Would make it an offence to compel another person to provide or facilitate the provision of MAID<\/li><li>A person would still be required to provide information about MAID to a patient who requested that information<\/li><li>Record of votes: Yeas 12, Nays 63, Abstentions 3<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Patient-initiated conversations \u2013 Rejected<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Would require that conversations about MAID between a medical practitioner and patient be patient-initiated<\/li><li>Record of votes: Yeas 18, Nays 66, Abstentions 1<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;Two independent witnesses requirement \u2013 Rejected<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Would restore a requirement that two independent witnesses \u2013 rather than one \u2013 sign and date a request for MAID<\/li><li>If a person\u2019s death is reasonably foreseeable, would restore a mandatory 10-day waiting period between when the request is signed and the day of death\/MAID<\/li><li>Record of votes: Yeas 23, Nays 52, Abstentions 2<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Involuntary words, sounds or gestures can require final opportunity to withdraw request \u2013 Rejected<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Would delete language in the bill that says involuntary words, sounds or gestures made in response to the administration of the [lethal] substance do not constitute a demonstration of refusal or resistance that would require a medical or nurse practitioner to give the patient one final opportunity to withdraw their request for MAID<\/li><li>Record of votes: Yeas 15, Nays 61, Abstentions 1s<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">MAID requests prior to diagnosis; waive requirement for final consent \u2013 Adopted<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Allows a person to request MAID <strong>prior to being diagnosed<\/strong> with a grievous and irremediable medical condition<\/li><li>Under certain conditions, <strong>waives the requirement<\/strong> for a person whose death is not reasonably foreseeable to <strong>give final consent<\/strong> immediately before being euthanized<\/li><li>Record of votes: Yeas 47, Nays 28, Abstentions 8<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">MAID for reasons solely of mental illness \u2013 Adopted<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Removes language in the bill that prohibits MAID for reasons solely of mental illness, if other requirements are met<\/li><li>Takes effect 18 months after bill receives Royal Assent<\/li><li>Record of votes: Yeas 57, Nays 21, Abstentions 6<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Collect information about race of patients \u2013 Adopted<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Requires federal health minister to make regulations for the collection of information about the race of a person who requests or receives MAID, if that person consents<\/li><li>Requires minister to make regulations to permit that information be used to identify race-based inequities and how race intersects with other forms of systemic inequality in MAID<\/li><li>Record of votes: voice vote<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Committee for comprehensive review \u2013 Adopted<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Requires a committee to be formed within 30 days of the bill receiving Royal Assent to undertake a comprehensive review of the MAID provisions in the Criminal Code<\/li><li>Committee will be senators, MPs and must submit its report within 180 days<\/li><li>Record of votes: voice vote<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">&nbsp;<\/h2>\n","protected":false},"excerpt":{"rendered":"<p>UPDATE: On February 17 the Senate passed Bill C-7 and sent a message to the House of Commons with the amendments it adopted, as summarized below. Senate amendments expand MAID As our regular readers will know, Bill C-7 proposes to significantly expand euthanasia. By euthanasia we mean the purposeful act&#8230; <a href=\"https:\/\/cccc.org\/news_blogs\/legal\/2021\/02\/12\/bill-c-7-an-act-to-amend-the-criminal-code-medical-assistance-in-dying\/\" class=\"linkbutton\">More<\/a><\/p>\n","protected":false},"author":10,"featured_media":31101,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ts_fic_featured_image_caption":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[137],"tags":[387],"series":[],"class_list":["post-31100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-maid"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bill C-7, An Act to amend the Criminal Code (medical assistance in dying) - CCCC Blogs<\/title>\n<meta name=\"description\" content=\"Senate amendments to Bill C7 significantly epxand MAID. 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Whichever term you choose, we are talking about the intentional killing of human beings, a matter of serious concern for the Christian. Why now? What has\u2026","rel":"","context":"In &quot;Law and Religion&quot;","block_context":{"text":"Law and Religion","link":"https:\/\/cccc.org\/news_blogs\/category\/law-and-religion-2\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":36322,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2023\/04\/12\/parliamentary-committee-recommends-maid-expansion-expert-witnesses-respond-with-concern-criticism\/","url_meta":{"origin":31100,"position":2},"title":"Parliamentary Committee Recommends MAID Expansion; Expert Witnesses Respond with Concern &#038; Criticism","author":"Deina Warren","date":"April 12, 2023","format":false,"excerpt":"In February, the Special Joint Committee on Medical Assistance in Dying (AMAD) issued its final report, Medical Assistance in Dying in Canada: Choices for Canadians. The report recommends significant and unprecedented expansion of medical assistance in dying (euthanasia and assisted suicide; \u201cMAID\u201d), including for children, by advance directive, and in\u2026","rel":"","context":"In \"charities\"","block_context":{"text":"charities","link":"https:\/\/cccc.org\/news_blogs\/tag\/charities\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2023\/04\/MAID-02.png?fit=600%2C600&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2023\/04\/MAID-02.png?fit=600%2C600&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2023\/04\/MAID-02.png?fit=600%2C600&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":29142,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2020\/06\/02\/a-call-to-prayer-for-life\/","url_meta":{"origin":31100,"position":3},"title":"A Call to Prayer for Life","author":"Deina Warren","date":"June 2, 2020","format":false,"excerpt":"In many parts of our nation, COVID-19 has uncovered a tragic neglect of our elderly within long-term care homes. It reminds us of the need for a Christian affirmation of the value and dignity of life, from beginning to end, and the important role of ministries and organizations in sharing\u2026","rel":"","context":"In \"Church &amp; Culture\"","block_context":{"text":"Church &amp; Culture","link":"https:\/\/cccc.org\/news_blogs\/tag\/church-culture\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2020\/06\/20200601-Delta-Hospice-Call-to-Prayer.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2020\/06\/20200601-Delta-Hospice-Call-to-Prayer.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2020\/06\/20200601-Delta-Hospice-Call-to-Prayer.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2020\/06\/20200601-Delta-Hospice-Call-to-Prayer.jpg?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":38913,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2026\/03\/30\/albertas-bill-18-proposes-important-safeguards-to-maid-regime\/","url_meta":{"origin":31100,"position":4},"title":"Alberta&#8217;s Bill -18 Proposes Important Safeguards to MAID Regime","author":"Deina Warren","date":"March 30, 2026","format":false,"excerpt":"On March 18, 2026, the Alberta government introduced Bill 18, Safeguards for Last Resort Termination of Life Act, 2nd Sess, 31st Leg, 2026 (Bill 18). 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In February 2024 Parliament passed Bill C-62, which would amend the Criminal Code to allow physicians to perform MAID on those whose\u2026","rel":"","context":"In \"charities\"","block_context":{"text":"charities","link":"https:\/\/cccc.org\/news_blogs\/tag\/charities\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2026\/03\/Blog-2026.09.05.png?fit=600%2C600&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2026\/03\/Blog-2026.09.05.png?fit=600%2C600&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2026\/03\/Blog-2026.09.05.png?fit=600%2C600&ssl=1&resize=525%2C300 1.5x"},"classes":[]}],"jetpack_shortlink":"https:\/\/wp.me\/p30X8p-85C","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/posts\/31100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/comments?post=31100"}],"version-history":[{"count":0,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/posts\/31100\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/media\/31101"}],"wp:attachment":[{"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/media?parent=31100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/categories?post=31100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/tags?post=31100"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/cccc.org\/news_blogs\/wp-json\/wp\/v2\/series?post=31100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}