{"id":36986,"date":"2023-08-03T09:46:41","date_gmt":"2023-08-03T13:46:41","guid":{"rendered":"https:\/\/www.cccc.org\/news_blogs\/?p=36986"},"modified":"2023-08-03T09:46:44","modified_gmt":"2023-08-03T13:46:44","slug":"hot-off-the-press-a-brand-new-book-on-maid-in-canada","status":"publish","type":"post","link":"https:\/\/cccc.org\/news_blogs\/legal\/2023\/08\/03\/hot-off-the-press-a-brand-new-book-on-maid-in-canada\/","title":{"rendered":"Hot off the Press! A Brand New Book on MAID in Canada"},"content":{"rendered":"\n

We have exciting news to share with you!<\/p>\n\n\n\n

A new peer-reviewed book, Medical Assistance in Dying (MAID) in Canada: Key Multidisciplinary Perspectives<\/em><\/a> has just been released. The book, published by Springer Academic and edited by Jaro Kotalik and David W. Shannon, features 31 chapters by experts from multiple disciplines, to offer a \u201ccomprehensive discussion of the Canadian Medical Assistance in Dying (MAID) program.\u201d<\/p>\n\n\n\n

Deina Warren, Director of Legal Affairs at CCCC and Derek Ross<\/a>, Executive Director and General Counsel for Christian Legal Fellowship<\/a>, contributed a chapter on \u201cThe Importance of Conscience as an Independent Protection.\u201d<\/p>\n\n\n\n

Their article emphasizes how freedom of conscience needs greater attention, particularly in the context of MAID expansion and the debate about whether and to what extent physicians should participate in MAID.<\/p>\n\n\n\n

\"\"<\/a>
Image of book cover; light green header with editors names in white font (Jaro Kotalik and David W. Shannon); blue cover with title and publisher in white font (Medical Assistance in Dying (MAID) in Canada: Key Multidisciplinary Perspectives<\/em>; Springer)<\/sup><\/figcaption><\/figure>\n\n\n\n
<\/div>\n\n\n\n

Freedom of Conscience is Distinct from Freedom of Religion<\/h2>\n\n\n\n

To date, courts have primarily focused on the role of freedom of religion<\/strong> in resolving such questions, but the Canadian Charter of Rights and Freedoms<\/em> also guarantees freedom of conscience<\/strong>. This is important because, as Deina and Derek explain:<\/p>\n\n\n\n

\n

MAID\u2014the act of intentionally ending another person\u2019s life via the administration or provision of a lethal substance\u2014engages human rights considerations, as well as health, medical, clinical, social, and cultural factors. All of these considerations are relevant for professional ethics (and, therefore, professional conscience), yet they are largely absent from the current [freedom of religion] framework, which focuses on religious<\/em> matters, such as one\u2019s \u201csystem of faith and worship\u201d and practices \u201cwhich allow individuals to foster a connection with the divine or with the subject or object of that spiritual faith\u201d. Thus, a more specific, extensive, and discrete analysis of conscience<\/em> is merited\u2026 [references omitted]<\/p>\n<\/blockquote>\n\n\n\n

Deina and Derek make the case that freedom of conscience should be interpreted generously and as \u201can independent right with independent content\u201d – principles of Charter<\/em> interpretation require no less. Their article proposes \u201csome ideas on how freedom of conscience can be more robustly understood, calling for (1) a clearer articulation of the purpose for and necessity of protecting conscience; and (2) an analytical framework that recognizes the complexity of conscientious convictions, and the severe social, public, and individual harms of violating conscience.\u201d<\/p>\n\n\n\n

You can read more about their chapter here<\/a>.<\/p>\n\n\n\n

Euthanasia Expansion<\/h2>\n\n\n\n

Euthanasia in Canada has undergone a massive shift since the Carter<\/em> decision in 2015. What was once a criminal act for \u201cinflicting death\u201d on another person became a legalized process: first to hasten a \u201creasonably foreseeable\u201d death, then to purposefully end the life of a person who was not dying but who determined their suffering was intolerable, and, as of next year, to include those whose sole underlying condition is a mental illness. In addition, a Parliamentary committee has proposed expanding MAID eligibility to children. In the meantime, health care facilities are facing growing pressure to either provide MAID on-site or risk being shut down (see discussion in Brian Bird and Derek Ross, Faith-based health care offers vital access to medical assistance in living<\/em><\/a>).<\/p>\n\n\n\n

In this landslide of change, it is important to ensure that conscience protection is not washed away. As Deina and Derek note in their article:<\/p>\n\n\n\n

\n

[L]egal, medical, and ethical views vary widely on these subjects. Therefore, not only will conscientious concerns about participating in these procedures become more complex, the diversity of viewpoints and positions will also likely increase. Perhaps a place where theses varied views can meet is in the concept of conscience, the basis for our shared \u201cessential humanity\u201d. \u2026 In the case of the most basic of human instincts\u2014to not end another person\u2019s life\u2014 it is essential to guard against eliminating cognitive dissonance on the ethics of these matters. These are, after all, questions of life and death. If freedom of conscience has no role to play here, where does it? [references omitted]<\/p>\n<\/blockquote>\n\n\n\n

Enriching the Discussion<\/h2>\n\n\n\n

The collection also features articles on the Supreme Court of Canada’s decision in Carter v Canada<\/em><\/a>, the expansion of assisted death in Canada, and its implications for palliative care, suicide prevention, mental illness, disability rights, and freedom of conscience, among other topics. You can read more about these chapters here<\/a>.<\/p>\n\n\n\n

Thoughtful consideration and protection of conscience, among other things in the MAID debates, is more important than ever. This collection of articles is an important contribution to that conversation.<\/p>\n\n\n\n

Related CCCC Blogs<\/h2>\n\n\n\n

Parliamentary Committee Recommends MAID Expansion; Expert Witnesses Respond with Concern and Criticism<\/a> (12 April 2023)<\/p>\n\n\n\n

Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)<\/a> (12 February 2021)<\/p>\n\n\n\n

Related CLF Blogs\/Resources<\/h2>\n\n\n\n

Parliamentary Committee recommends expanding assisted death<\/a> (22 Feb 2023)<\/p>\n\n\n\n

World Medical Association updates ethical code upholding conscience + reaffirms opposition to euthanasia<\/a> (2 Dec 2022)<\/p>\n\n\n\n

Advocating for palliative care<\/a> (1 Nov 2022)<\/p>\n\n\n\n

CLF brief to the Special Joint Committee on Medical Assistance in Dying<\/a> (31 May 2022)<\/p>\n\n\n\n

Ontario Court of Appeal upholds \u2018effective referral\u2019 requirement for euthanasia<\/a> (15 May 2019)<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

We have exciting news to share with you! A new peer-reviewed book, Medical Assistance in Dying (MAID) in Canada: Key Multidisciplinary Perspectives has just been released. The book, published by Springer Academic and edited by Jaro Kotalik and David W. 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Every organization\u2019s circumstances are unique. Before acting on the basis of information contained in this blog, readers should consult with a qualified lawyer for advice specific to their situation.","sameAs":["https:\/\/www.cccc.org","simone.waller@cccc.org"],"url":"https:\/\/cccc.org\/news_blogs\/author\/legal\/"}]}},"jetpack_featured_media_url":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2023\/08\/sincerely-media-vcF5y2Edm6A-unsplash-scaled.jpg?fit=2560%2C1920&ssl=1","jetpack-related-posts":[{"id":28720,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2020\/01\/21\/euthanasia-tell-the-government-what-you-think\/","url_meta":{"origin":36986,"position":0},"title":"Euthanasia: Tell the Government what You Think","author":"Deina Warren","date":"January 21, 2020","format":false,"excerpt":"The federal government is asking for your feedback about expanding access to \"medical assistance in dying\" (MAID), a euphemism for euthanasia or assisted suicide. 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 "Law and Religion"","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":38913,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2026\/03\/30\/albertas-bill-18-proposes-important-safeguards-to-maid-regime\/","url_meta":{"origin":36986,"position":1},"title":"Alberta’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). Key Elements of Bill 18 Bill 18 would address many deep concerns about the rapid expansion and lack of oversight of Canada\u2019s medical assistance 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\/2026\/03\/Image-for-Bill-18-Blog-from-LB-dated-March-30-2026-.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\/Image-for-Bill-18-Blog-from-LB-dated-March-30-2026-.png?fit=600%2C600&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2026\/03\/Image-for-Bill-18-Blog-from-LB-dated-March-30-2026-.png?fit=600%2C600&ssl=1&resize=525%2C300 1.5x"},"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":36986,"position":2},"title":"Parliamentary Committee Recommends MAID Expansion; Expert Witnesses Respond with Concern & 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":31100,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2021\/02\/12\/bill-c-7-an-act-to-amend-the-criminal-code-medical-assistance-in-dying\/","url_meta":{"origin":36986,"position":3},"title":"Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)","author":"Deina Warren","date":"February 12, 2021","format":false,"excerpt":"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\u2026","rel":"","context":"In \"MAiD\"","block_context":{"text":"MAiD","link":"https:\/\/cccc.org\/news_blogs\/tag\/maid\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2021\/02\/MAID-04.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\/2021\/02\/MAID-04.png?fit=600%2C600&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/cccc.org\/news_blogs\/wp-content\/uploads\/2021\/02\/MAID-04.png?fit=600%2C600&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":38827,"url":"https:\/\/cccc.org\/news_blogs\/legal\/2026\/03\/05\/one-year-until-maid-expands-for-mental-illness-what-you-need-to-know\/","url_meta":{"origin":36986,"position":4},"title":"One Year Until MAID Expands for Mental Illness: What You Need to Know","author":"Deina Warren","date":"March 5, 2026","format":false,"excerpt":"March 17, 2026 will mark one year until the expansion of medical assistance in dying (\u201cMAID\u201d) to people whose sole underlying medical condition is mental illness (\u201cMAID MD-SUMC\u201d). 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":[]},{"id":27648,"url":"https:\/\/cccc.org\/news_blogs\/intersection\/2018\/05\/24\/the-right-of-religious-hospitals-to-refuse-physician-assisted-suicide\/","url_meta":{"origin":36986,"position":5},"title":"The Right of Religious Hospitals to Refuse Physician-assisted Suicide","author":"cccc","date":"May 24, 2018","format":false,"excerpt":"Here is the summary of my most recent article being published in the upcoming Supreme Court Law Review: The Supreme Court of Canada\u2019s decision to allow medical assistance in dying (MAiD) has created a crisis of conscience for religious hospitals that refuse MAiD based on religious beliefs and conscience. 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