An Act to amend the Criminal Code (medical assistance in dying)

This bill is from the 43rd Parliament, 1st session, which ended in September 2020.

Sponsor

David Lametti  Liberal

Status

Second reading (House), as of Feb. 27, 2020
(This bill did not become law.)

Summary

The Library of Parliament has written a full legislative summary of the bill.

Similar bills

C-7 (43rd Parliament, 2nd session) Law An Act to amend the Criminal Code (medical assistance in dying)

Elsewhere

All sorts of information on this bill is available at LEGISinfo, an excellent resource from Parliament. You can also read the full text of the bill.

Bill numbers are reused for different bills each new session. Perhaps you were looking for one of these other C-7s:

C-7 (2025) Law Appropriation Act No. 2, 2025-26
C-7 (2021) An Act to amend the Parliament of Canada Act and to make consequential and related amendments to other Acts
C-7 (2016) Law An Act to amend the Public Service Labour Relations Act, the Public Service Labour Relations and Employment Board Act and other Acts and to provide for certain other measures

Debate Summary

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This is a computer-generated summary of the speeches below. Usually it’s accurate, but every now and then it’ll contain inaccuracies or total fabrications.

Bill C-7 amends the Criminal Code regarding medical assistance in dying (MAID) by removing the requirement that death be reasonably foreseeable. It excludes mental illness as a sole underlying condition and introduces new safeguards. The bill also permits a waiver of final consent in certain cases.

Liberal

  • Responds to Truchon decision: The bill amends the Criminal Code in response to the Quebec Superior Court's Truchon decision, repealing the 'reasonably foreseeable natural death' criterion and expanding MAID eligibility.
  • Establishes a two-track safeguard system: The bill creates two sets of safeguards based on whether natural death is reasonably foreseeable, easing some existing requirements for those nearing death and adding more robust measures for others.
  • Permits advance consent for some: The bill allows individuals whose death is reasonably foreseeable and approved for MAID to provide prior consent, ensuring access even if they lose capacity before their chosen date.
  • Excludes mental illness as sole condition: The bill excludes eligibility for persons whose sole underlying condition is a mental illness, citing complexities in assessment and prognosis, with a commitment to further parliamentary review.

Conservative

  • Oppose rushed process and weakened safeguards: The party criticizes the government for rushing Bill C-7 before a statutory review of existing MAID legislation, and for not appealing the Truchon decision, which undermines parliamentary process and vital safeguards.
  • Lack of palliative care: The party emphasizes that expanding MAID without ensuring adequate access to quality palliative care is unacceptable, as it can force vulnerable individuals to choose death due to a lack of other options.
  • Concerns about advance directives: The party raises ethical and safety concerns regarding advance directives and the removal of contemporaneous consent, arguing that it creates ambiguity, lacks clarity, and increases the risk of abuse for vulnerable patients.
  • Protect conscience rights: The party calls for explicit legal protections for health care professionals and institutions, ensuring they are not pressured or penalized for refusing to participate in or refer for medical assistance in dying.

NDP

  • Supports bill C-7: The NDP supports Bill C-7 in principle, aiming to reduce unnecessary suffering and uphold Canadians' Charter rights by expanding access to medical assistance in dying.
  • Advance directives crucial: The party strongly supports the advance directive provision, which prevents individuals from prematurely ending their lives due to fear of losing capacity or needing pain medication.
  • Concerns about 90-day wait: The NDP is concerned that the mandatory 90-day assessment period for those whose death is not reasonably foreseeable could prolong suffering and seeks to avoid unreasonable restrictions.
  • Calls for committee review: The party will conduct due diligence at committee to ensure safeguards are adequate, access is not unreasonably restricted, and rural/remote community challenges are addressed.

Bloc

  • Supports bill C-7 in principle: The Bloc Québécois supports Bill C-7 in principle as a necessary step to correct flaws in Bill C-14, which created undue suffering and forced individuals to court for their right to medical assistance in dying.
  • Prioritizes individual autonomy: The party champions the moral autonomy of the dying, emphasizing that dignity derives from freedom of choice and self-determination, which must be respected by legislators.
  • Seeks advance consent provisions: The Bloc urges the inclusion of advance consent, particularly for those with degenerative cognitive diseases like Alzheimer's, so they can make end-of-life decisions before losing capacity.
  • Supports mental illness exclusion: The party agrees with excluding mental illness as the sole condition for MAID from the current bill, recognizing it as a complex issue requiring further study and consultation.

Green

  • Supports Bill C-7 as a significant improvement: The Green Party supports Bill C-7, viewing it as a major improvement over previous legislation and a necessary response to court rulings like the Truchon case.
  • Addresses needs for ALS patients: The party confirms the bill addresses the needs of people with conditions like ALS, allowing assessment and advance consent, which was a critical gap in previous legislation.
  • Bill includes necessary safeguards: The bill incorporates requisite safeguards to protect vulnerable individuals, ensuring strict criteria and patient consent. The party hopes for more time for amendments and expert input on language.
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Criminal CodeGovernment Orders

February 27th, 2020 / 6:20 p.m.

Conservative

Gérard Deltell Conservative Louis-Saint-Laurent, QC

Madam Speaker, obviously everyone is very touched by the testimony of our colleague.

The member talked about his support for the bill. I too support it. However, I have concerns with the timeline.

I was part of the National Assembly of Quebec when it became the first legislator in Canada to adopt a bill about this issue. It took us six full years. I was part of the committee that worked on the bill that the House of Commons adopted four years ago. It took us six full months.

As far as I am concerned, there is obviously a rush for some people, but does the member think we should take all the time necessary and do all the consultation necessary to achieve the best bill possible?

Criminal CodeGovernment Orders

February 27th, 2020 / 6:20 p.m.

Liberal

Darren Fisher Liberal Dartmouth—Cole Harbour, NS

Madam Speaker, I want to thank the member, who has spoken passionately about this matter. I heard you in the House in 2014 and now, and I thank you for that.

Someone in the House said that we should proceed with caution. Someone else, a very smart man in this room, said we did that in 2015, and people suffered.

Criminal CodeGovernment Orders

February 27th, 2020 / 6:20 p.m.

Conservative

Garnett Genuis Conservative Sherwood Park—Fort Saskatchewan, AB

Madam Speaker, obviously this debate engages all of our emotions and often from both sides. We have heard the testimony that the member shared. I shared in my speech a story of a woman who had her life taken in very sketchy circumstances. It was at a hospice in Vancouver, where someone took that person's life and said it was based on a demand for euthanasia and that the testimony was based on her own notes, but there had been no consultation with, or awareness by, the local staff.

We struggle with cases that involve major concern, cases that exist on all sides of this issue. I hope that through the amending process we may be able to find some common ground.

The member spoke specifically about the issue of advance consent. I think we should have some mechanism in that advance consent section to ensure that there is contemporaneous consultation with the patient. We know of other cases in which someone gave an advance directive and then had their life taken while they did not want that to happen.

Is there a way to meet in the middle and have a requirement for some kind of contemporaneous consent, even in the context of an advance directive?

Criminal CodeGovernment Orders

February 27th, 2020 / 6:25 p.m.

Liberal

Darren Fisher Liberal Dartmouth—Cole Harbour, NS

Madam Speaker, this is one of those things that is hugely complex and affects everyone differently. We all have different approaches and different beliefs in this room about how we should approach this issue. I do not know whether we can find common ground. I think we found common ground or at least met in the mushy middle in 2015, and we let people down.

I salute the medical practitioners in this country who are assisting Canadians with end of life, whether it be palliative care or MAID. It is important that we see everyone's side to this situation and respect everyone's thoughts and beliefs. I have constituents on both sides of this issue.

I had a very bad joke I used in 2015 when we were talking about this. There is no yes or no. I said there are 50 shades of grey. Only a couple of people chuckled at that joke, and no one got it clearly in this room either.

It is one of those very complex issues on which people do not fall on one side or the other. We could ask 100 people and have 100 different perspectives.

Criminal CodeGovernment Orders

February 27th, 2020 / 6:25 p.m.

The Assistant Deputy Speaker Carol Hughes

Resuming debate, the hon. member for Northumberland—Peterborough South.

Unfortunately, I will have to interrupt the member at some point. He will be able to continue his speech at a later date.

Criminal CodeGovernment Orders

February 27th, 2020 / 6:25 p.m.

Conservative

Philip Lawrence Conservative Northumberland—Peterborough South, ON

Madam Speaker, all of the speeches in the House come from a great place. On my side of the House we value life, and that is meritorious. We have heard other perspectives that talk about ending suffering and that truly has merit, so I appreciate all of the speeches that have taken place on such an important topic.

I know members have gone over this, but just for clarity I want to go over the background for medically assisted suicide in Canada. The 2015 Carter case was a landmark decision for the Supreme Court of Canada. The previous prohibition for assisted suicide was challenged as contrary to the Charter of Rights and Freedoms. In a unanimous decision, the court abolished the provision in the Criminal Code, thereby giving mentally competent Canadians who were suffering intolerably the right to medical assistance in dying when they had provided clear consent.

In June 2016, the first legislation on medical assistance in dying was passed in Canada's Parliament. In the recent 2019 Truchon decision, the Superior Court of Québec considered the constitutionality and Quebec's requirements in accessing MAID. The plaintiffs in the Truchon case were suffering from grave and incurable medical conditions that were causing tremendous suffering and a total loss of autonomy. However, they had each been refused MAID under the legislation in Quebec and federally. Because they were not at the end of life for the Quebec legislation and federally, death was not reasonably foreseeable.

Madam Justice Baudouin held that “reasonably foreseeable natural death” in the federal provisions infringed the plaintiff's fundamental rights under sections 7 and 15 of the charter. The court declared the impugned provisions unconstitutional. In a surprising and, in my mind, incorrect decision, the government chose not to challenge this decision, thereby getting guidance from higher courts such as the Supreme Court. By not challenging this legislation, the Liberal government was admitting that the legislation the House passed was deeply flawed.

The court's decision in Truchon gave the government until March 2020, which is now in the process of being extended, to amend the legislation to remove the reasonable foreseeability of death criteria from the MAID legislation. Prior to the introduction of this bill, the government conducted a narrow consultation process, limiting its consultations to urban centres and online surveys.

The minister noted several times, in his address to the House, that the provisions of Bill C-7 were the result of this process. However, he will not share that consultation with Parliament. This lack of respect is disheartening, and counterproductive to open and meaningful dialogue. I wish the government would stop playing games with such important topics and share the information it has with this minority Parliament.

Given that there is a limited timeline, that we are in a minority Parliament, and that MAID legislation will be subject to a complete review this summer, I would have expected the government to take a limited approach. Rather, the government has chosen to take a very different approach. The legislation makes substantial changes to the MAID eligibility far and beyond what is required to the Truchon decision.