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

This bill is from the 43rd Parliament, 2nd session, which ended in August 2021.

Sponsor

David Lametti  Liberal

Status

This bill has received Royal Assent and is now law.

Summary

This is from the published bill. The Library of Parliament has also written a full legislative summary of the bill.

This enactment amends the Criminal Code to, among other things,
(a) repeal the provision that requires a person’s natural death be reasonably foreseeable in order for them to be eligible for medical assistance in dying;
(b) specify that persons whose sole underlying medical condition is a mental illness are not eligible for medical assistance in dying;
(c) create two sets of safeguards that must be respected before medical assistance in dying may be provided to a person, the application of which depends on whether the person’s natural death is reasonably foreseeable;
(d) permit medical assistance in dying to be provided to a person who has been found eligible to receive it, whose natural death is reasonably foreseeable and who has lost the capacity to consent before medical assistance in dying is provided, on the basis of a prior agreement they entered into with the medical practitioner or nurse practitioner; and
(e) permit medical assistance in dying to be provided to a person who has lost the capacity to consent to it as a result of the self-administration of a substance that was provided to them under the provisions governing medical assistance in dying in order to cause their own death.

Similar bills

C-7 (43rd Parliament, 1st session) 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 the Library of 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 (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
C-7 (2013) Law Canadian Museum of History Act
C-7 (2011) Senate Reform Act
C-7 (2010) Law Appropriation Act No. 1, 2010-2011

Votes

March 11, 2021 Passed Motion respecting Senate amendments to Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)
March 11, 2021 Failed Motion respecting Senate amendments to Bill C-7, An Act to amend the Criminal Code (medical assistance in dying) (amendment)
March 11, 2021 Passed Motion for closure
Dec. 10, 2020 Passed 3rd reading and adoption of Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)
Dec. 3, 2020 Passed Concurrence at report stage of Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)
Dec. 3, 2020 Failed Bill C-7, An Act to amend the Criminal Code (medical assistance in dying) (report stage amendment)
Oct. 29, 2020 Passed 2nd reading of Bill C-7, An Act to amend the Criminal Code (medical assistance in dying)

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Madam Speaker, I will respond to the member opposite in two ways.

I would encourage the member to read our constitution, if he has not had a chance, to understand the appeals process in the lower courts, higher courts and the Supreme Court. It has nothing to do with the confidence of that decision, but with the decisions made within what I assume are the hallways or back rooms of how the current government operates. I would encourage the member opposite to look into that process, because I am sure he would find it enlightening.

When it comes to being open and transparent, there is certainly a lot I would say on that. Where are the documents regarding the WE Charity scandal? Where are the documents regarding every aspect of—

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

The hon. member for Winnipeg Centre.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

NDP

Leah Gazan NDP Winnipeg Centre, MB

Madam Speaker, I think we can all agree that there is a history in this country of human rights violations against those in the disability community. It has been mentioned by Conservative colleagues many times today.

My question is this: Because of that, do they support the call-out from the disability community for a guaranteed livable basic income; more investments into affordable, accessible social housing; and more supports to ensure people have what they need so they can live in dignity, yes or no?

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Madam Speaker, when it comes to ensuring that Canadians have the opportunity to live in dignity, absolutely, yes. However, when the member talks about the need for supports and ensuring there are programs to protect the most vulnerable among us, I would simply pose this counter-question: How would that be paid for?

It would be paid for by the prosperity of Canadians, including from natural resources. I have heard from indigenous communities that are troubled by the fact there are political opponents in this place who would try—

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

I must interrupt the hon. member. The hon. member for Laurentides—Labelle on a point of order.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

Bloc

Marie-Hélène Gaudreau Bloc Laurentides—Labelle, QC

Madam Speaker, there is a problem with the interpretation.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

The Assistant Deputy Speaker (Mrs. Alexandra Mendès) Alexandra Mendes

The interpretation does not seem to be working.

It is working now.

The hon. member for Battle River—Crawfoot.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Madam Speaker, when it comes to ensuring Canadians have the opportunity to live their lives in dignity and that we have well-funded social programs and whatnot, we need to ensure our economy grows, so the government has the revenue to pay for that world-class suite. This is as well as a continuous consideration of ways to ensure it continues to serve the best interests of Canadians. I would ask the member to consider supporting some of these resource projects, which are largely supported by indigenous communities from her region and others.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:30 p.m.

Conservative

Warren Steinley Conservative Regina—Lewvan, SK

Madam Speaker, what a privilege it is to listen to the member for Battle River—Crowfoot today. I had the honour of working with this young man when he was in the Saskatchewan legislature. To hear him represent the views of his constituents today on such an important bill is inspiring. It shows what a great parliamentarian he is and will continue to be for a long time to come.

My question is this: Could the member expand on some of the reasonable amendments our Conservative Party has put forth regarding the bill? Maybe he could give an example or two of why he thinks the Liberal government would vote against reasonable amendments that would have put safeguards in place, such as the 10-day reflection period, which was championed by most people with disabilities across this country.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:35 p.m.

Conservative

Damien Kurek Conservative Battle River—Crowfoot, AB

Madam Speaker, it is a little hard to believe that it was only a few years ago that I was a staffer serving this member and others in their work as MLAs. It is certainly an honour to be able to serve in this hallowed institution now with him as colleagues. I look forward to working with him for many years to come. Hopefully there will be a redistribution of seats and a reconfiguration, and I hopefully look forward to that being from the other side.

He mentioned two very important amendments that were brought forward that would have ensured the real crux of what we are talking about here, which is that the most vulnerable among us are to be protected. Two very simple aspects of that were the reflection period and the time limits on reasonably foreseeable death.

To protect those most vulnerable among us should be of the utmost importance for each and every member of the House, so I would encourage all members, with my final few words, to vote the way they feel best represents their constituents, not the way their party leader suggests they should.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:35 p.m.

Conservative

Gérard Deltell Conservative Louis-Saint-Laurent, QC

Madam Speaker, it is with a great deal of emotion that I rise again in the House to speak to this extremely sensitive issue, medical assistance in dying.

In this speech I will highlight the parliamentary and judicial reality. As the House leader of the official opposition, I have a thing or two to say about that. In fact, I have quite a few things to say about that. I will talk about the reasons why we are gathered today to talk about Bill C-7 at third reading stage. I will also address the substance of the issue, that is, my position and that of my colleagues.

Before I begin, I would like to make certain things clear: this is a topic that leaves no room for partisanship. On this file there are no good guys or bad guys, good positions or bad positions, good votes or bad votes. There are just positions that we are comfortable with, that we believe in and are prepared to defend personally as individuals. This topic may be terribly divisive, just as it may be a golden opportunity to have an intelligent conversation that is above all respectful of differing opinions.

As you well know, Madam Speaker, I do really enjoy political battles. I do not hate the arguments and the counter-arguments. On the contrary, it is part of politics. However, there are issues that do not lend themselves to this.

As far as I am concerned, when we talk about assisted dying situations, the issue is not a partisan one. There are no bad guys and good guys. There are no good votes or bad votes. There are only votes and positions in which we are comfortable. Where we stand firm on that is being respectful to our counterparts. This is the issue, and this is why I want to address it. While sometimes, the House knows, I like to be a little aggressive in my comments, in this case I will try to do my best to be modest, because I want to be respectful to each and every position.

Bill C-7 responds to a decision of the Quebec Superior Court. However, this is not the first time that medical assistance in dying has been addressed.

Members will recall that the Province of Quebec was the first to begin working on this issue, which led to the passage of a law on medical assistance in dying. Unfortunately, or fortunately, I know what I am talking about because I was a member of the National Assembly of Quebec. In passing, I was elected for the first time 12 years ago on this day. As a provincial representative, I worked for six years on this sensitive issue under three ministers and three different governments.

I want to be clear. This issue can be dealt with in a non-partisan way, and the proof is that three premiers—Premier Charest, Premier Marois and Premier Couillard—in two different political parties led the parliamentary work that resulted in the adoption of the first provincial law on medical assistance in dying in Canada. I would like to point out that this was done under the leadership of a premier who was a physician, Dr. Philippe Couillard. I was there.

Then came the Supreme Court of Canada's decision in Carter, again, on medical assistance in dying. The federal government had to decide how to define and set the federal criteria for medical assistance in dying. Prime minister Stephen Harper, recognizing that the federal government was on the verge of an election campaign, rightly decided, with the support of the other political parties, not to address this issue. That was the right thing to do.

As I said earlier, this issue is not a partisan one. That is why former prime minister Harper did the right thing and put it aside during the campaign in 2015. Then the new government elected, which could have been Conservative, NDP or Liberal, would table a new bill. I have been part of that discussion. I have been part of that committee.

The government was well advised to create a cross-party and, more importantly, joint parliamentary committee, which had both senators and members of Parliament as members.

I had the honour of sitting on that committee, at the request of my then leader, the Hon. Rosa Ambrose. I had the privilege of having very interesting and fascinating conversations with Canadians across the country who had different points of view. We came to a consensus in the form of Bill C-14. I want to be clear about the use of “consensus”, because the way democracy works, and this is a good thing, means that some people are in favour while others are against.

Bill C-14 was passed in the House of Commons five years ago. This bill included a clause that could be considered a sunset clause, since it required that parliamentarians review the legislation.

It was inevitable that this issue would end up before the courts, and it did. A Quebec Superior Court judge issued a decision in Truchon v. Attorney General of Canada on September 11, 2019.

Through the Minister of Justice, the federal government immediately reviewed the decision, decided to hold an online consultation and introduced a bill in the House of Commons in February. As we see it, that was the first major mistake. I have nothing against the judge or the Quebec Superior Court. Every court has its own responsibilities and makes its own decisions. The judge was appointed to that court in 2017, which was a good thing, and she was appointed to the Court of Appeal on November 20, which was a very good thing.

Every aspect of this issue is sensitive. No matter which law we pass, there will be legal challenges. The better approach, the more responsible, respectful, reasonable approach, would have been for the government to appeal the ruling and then take it to the Supreme Court. As my colleague from Alberta quite rightly said earlier, the Constitution says that every province has a superior court and a court of appeal before cases reach the Supreme Court.

For that purpose, we need to have the highest degree of evaluation. In that specific case, the Superior Court of Quebec is good, but it is not enough. We need to be sure of our judgment on that. That is why the government should have appealed the decision and then let the Supreme Court judges decide what is good and right based on the law, based on our Constitution and based on our Canadian history that we are proud of. That is how it works.

However, that is not how it went. The government decided to call the shots right now. I heard my colleague from Winnipeg North. He is always articulate and always passionate, but with all due respect, I do not agree with him. Just because we are appealing this decision to the appeal court and then the Supreme Court, that does not mean we pay no respect to the Superior Court of Quebec.

It is simply a matter of respecting the judicial process as it is set out in our Constitution, particularly when it comes to an issue as sensitive as medical assistance in dying. Regardless of the law that is passed here, we can expect it to be challenged.

It would have been far better to draft legislation based on a Supreme Court decision, as we did five years ago, rather than on a Superior Court decision. I say that with all due respect for Justice Baudouin, who was just recently appointed to the appeal court by the Liberal minister, and for the Quebec Superior Court, which plays an important, essential and extremely serious role in our justice system.

A debate took place in the House of Commons. This was well before COVID-19, before the words “in-person meeting” became part of our everyday vocabulary and at a time when the word “zoom” referred to a camera lens and not to a way of holding meetings. In short, we have adopted a lot of new concepts in 2020.

Getting back to what I was saying, Bill C-7 was introduced in the House of Commons on February 24 following the decision rendered on September 11, 2019, and the subsequent government consultations. On February 26 and 27, we began debate at second reading. We followed the usual regular, rigorous process. Discussions were held. Things were being done in a reasonable manner, even though it would have been preferable if this matter had been brought before the Supreme Court.

Then COVID-19 happened. The government did what it had to do, that is, it postponed the study of this bill and sought an extension from the court because of the delay. The court agreed. Parliament resumed in September, and that is when the government made a serious mistake. I will come back to that later.

Now let's get to the substance of Bill C-7. As I said earlier, there will not be unanimity on this bill because society is not unanimous. That is the very foundation of democracy. That is why we are here in the House of Commons. Some people are for, and some are against. Some people are right-leaning, and some are left-leaning. Some people are sovereignists, and some are federalists. Society is not a monolithic block. The beauty of society lies in all its different textures. That is the democracy that we must preserve. That is why we need to have intelligent debates in the House of Commons.

That is why, during the analysis, our party proposed two amendments that are entirely respectful and reasonable and that seek to protect the most vulnerable people in our society. The amendments essentially call for the 10-day reflection period to be restored when death is reasonably foreseeable, and for the 90-day reflection period to be increased to 120 days when death is not reasonably foreseeable. The purpose of those amendments is to ensure that individuals who choose to act have enough time to look into their hearts and make the decision that feels right.

That is why prestigious organizations have spoken out against Bill C-7. The Canadian Psychiatric Association has expressed very serious reservations. The Canadian Bar Association has said that it has conditional reservations about this bill. The Council of Canadians with Disabilities opposed the bill. Groups like Living with Dignity, a Quebec-based network, and Inclusion Canada have spoken out against the bill. Indigenous spiritual leaders have expressed very serious reservations. In short, society has spoken, and that is what makes for an interesting debate.

We needed to have a proper debate, with people on both sides of the issue. That is why we would have liked the debate to run its course, without the very heavy influence of the deadline imposed by the Quebec Superior Court.

I will now talk about our work in Parliament, which is essential. I mentioned that Bill C-7 was introduced in February, before COVID-19 and the return of the House. However, the government decided to prorogue Parliament. We know that the Prime Minister made this decision because he was not pleased with the work being done by our MPs on the parliamentary committees studying ethics and WE Charity. The more the work progressed, the more things were heating up for the Prime Minister. He therefore decided to prorogue Parliament.

This prorogation put an end to all committee and House work, and the study of Bill C-7 had to start all over again. As a result, we lost 24 days of parliamentary time. Had we not had this prorogation, we would have resumed on September 21, not on September 23 with the throne speech. Furthermore, had we started on September 21, we would not have lost all the work that had already been done so far on the bill, which adds up to 24 additional sitting days.

The government has the power to prorogue Parliament. Even if I accept the prorogation, why did the government wait so long to introduce Bill C-7? Today we are being told that the Superior Court's December 18 deadline is fast approaching and that we need to hurry up so the Senate can pass the bill in time.

The government presented its throne speech on September 23. When was Bill C-7 introduced? It could have been introduced on September 24, like Bill C-2 was. It could have been introduced on September 25, like Bill C-3, the bill on judges, was. However, this bill was introduced on October 5, costing us seven parliamentary sitting days.

Now, the government is lecturing us, claiming that the Conservatives will not stop talking for talking's sake and that we are wasting time. No. The government has full control over the agenda, and it is the one that decided to prorogue Parliament, wasting 24 days of parliamentary time. On top of the prorogation, this government wasted seven sitting days before introducing this bill, even though it knew full well that everything had to be finished by the Superior Court's December 18 deadline.

Consequently, I will never accept responsibility for the fact that we are still not done, a week and a half out from the December 18 deadline set by the Quebec Superior Court. The government is entirely responsible for this situation, and I will never allow it to accuse us of causing delays.

Not once have Conservative members acted petty, not at second reading, not in committee, not at report stage and not at third reading. Some members support this issue and others oppose it, but we have always expressed our opinions in an appropriate, respectful way.

We never used filibusters or any other rule to be sure that we would let it go, without any decision made. We were respectful, because this issue calls for being respectful. We did it correctly. I am very proud to be the House Leader of the Official Opposition, because members on this side of the House, the official opposition, did a tremendous job at each and every stage. Conservative members were very serious; they were very parliamentary; they did it correctly.

That is the opposite of what the Liberals did at the Standing Committee on Finance, where they engaged in systematic obstruction for over 16 hours to prevent the committee from studying ethics scandals, and at the Standing Committee on Access to Information, Privacy and Ethics, where the Liberals engaged in almost 40 hours of obstruction over the course of 10 meetings. That is what I call wasting time. We have done serious, diligent work here, and we are very proud of that.

As I said, the government that is being held hostage by that date, December 18. If ever this bill were not passed by Canada's Parliament, including the Senate, by December 18, what would happen? Bill C-14 will continue to apply, and the Truchon ruling will apply in Quebec.

Basically, the regime proposed in Bill C-7 would not apply, but life would go on, no pun intended. People will keep doing what needs to be done, as they have done from the start, except that the Truchon decision will apply in Quebec and Bill C-14 will apply in the rest of Canada.

I would like to talk about one final, but critical, issue.

With regard to freedom of speech and freedom of vote, I am very proud to be the House Leader of the Conservative Party. On this issue, each and every Conservative member has the right to vote on his or own belief. The best proof of that is that my leader, the future prime minister of Canada, the member of Parliament for Durham, voted against and I did for. This is what democracy is all about.

In our party, we have people who are against, like my leader, and there is me, the official opposition House leader, who voted for. That is what democracy is all about. We should fight for that. Even if I disagree with some of my colleagues and even if all my colleagues behind are not pleased to see that I will vote in favour, so what?

We are the only party to preserve that tool that is so important, that tool that can fight cynicism in politics. I am proud to be part of that team.

During the vote on the amendment, there were even Conservative members who voted against the entirely reasonable amendments that we proposed. When it came time to vote on the report, 13 Conservative members voted with the government on this bill. I was one of those members. There were six Quebeckers, seven members from outside Quebec, anglophones, francophones, people from the east and west and even neighbours. I voted in favour, but my neighbour from Portneuf—Jacques-Cartier, who is right next to me, voted against.

Let us celebrate this democracy. Let us celebrate this parliamentary system. Let us celebrate full freedom of conscience when it comes time to vote on these issues. Most of all, let us rightly stand up for the work of parliamentarians and vigorously condemn the fact that this government has been dragging its feet, which is why we ended up here with little time to spare.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:55 p.m.

Madawaska—Restigouche New Brunswick

Liberal

René Arseneault LiberalParliamentary Secretary to the Minister of Economic Development and Official Languages (Atlantic Canada Opportunities Agency and Official Languages)

Madam Speaker, when I hear my colleague from Louis-Saint-Laurent, whom I hold in high regard, say that the government is dragging its feet, everyone will remember the Carter case.

Everyone will recall that the Supreme Court of Canada had at the time unanimously ordered the Harper government to introduce the legislation that would become Bill C-14. For 10 months, the Conservative government dragged its feet to such an extent that when our Liberal government came to power in 2015, we had only two months to introduce that bill. We had to ask for an extension, which was unprecedented.

My colleague says that we are going too fast. It is always the same doublespeak: we are either dragging our feet or we are going too fast.

In fact, Bill C-7 is a logical continuation of Bill C-14. My colleague sat with me at the Special Joint Committee on Physician-Assisted Dying that was behind Bill C-14. Does he agree that we failed to hold all the consultations necessary to comply with the Carter decision from the outset?

Criminal CodeGovernment Orders

December 8th, 2020 / 12:55 p.m.

Conservative

Gérard Deltell Conservative Louis-Saint-Laurent, QC

Madam Speaker, it is always nice to hear from my colleague from New Brunswick.

I will just refer to his province because the riding names are very long and I have to admit that I can never remember them. I commend him for the very serious work he does. He is a serious lawyer, and I have a lot of respect and regard for him.

First, with regard to the question about 2015, as I said in my speech, we were on the verge of an election campaign. Medical assistance in dying is an issue that must be above partisanship, while an election campaign is the pinnacle of partisanship. That is normal because we are fighting for our ridings and our seats and some debates may become acrimonious because we are being guided by partisanship.

Partisanship is not at all what is needed in the debate on medical assistance in dying. That is why I think the Harper government did the right thing by saying that the next government should be the one to address that situation and by asking for an extension from the court. That is what was done and rightly so.

With regard to the relationship between Bill C-7 and Bill C-14, I would like to remind my esteemed colleague, who, unlike me, is fortunate enough to be a lawyer, that the Canadian Bar Association expressed some very serious concerns about the constitutionality of Bill C-7 and some of its provisions.

I therefore encourage my colleague to be cautious, while reminding him that, personally, I am going to do like him and vote in favour of this bill.

Criminal CodeGovernment Orders

December 8th, 2020 / 12:55 p.m.

Conservative

Peter Kent Conservative Thornhill, ON

Madam Speaker, I would like to commend my hon. colleague for the powerful logic of his remarks today.

While we know the Liberals have blocked reasonable amendments to protect the most vulnerable in committee and here in the House, we also know that the Minister for Disability Inclusion testified before the Senate committee pre-studying Bill C-7 that she has grave concerns and that she regularly hears from people who are appalled to discover that a family member with a disability has been offered what she calls “unprovoked” medical assistance in dying. We also know that the Liberal House leader has questioned the acceptability of amendments to be made potentially in the Senate.

I wonder if my colleague could address the legitimacy of possible amendments, when Bill C-7 does arrive in the Senate, for better protection of the most vulnerable.

Criminal CodeGovernment Orders

December 8th, 2020 / 1 p.m.

Conservative

Gérard Deltell Conservative Louis-Saint-Laurent, QC

Madam Speaker, I have a lot of respect for my hon. colleague, and if I remember correctly, he voted in favour of the amendment and also in favour of the bill.

The point is that we have to always think of the most vulnerable. This is the job we have to do, but we also have to respect the process. This is why my colleague from St. Albert—Edmonton tabled two amendments, which were very reasonable, to protect the most vulnerable of us. The House decided and voted against those amendments. It is sad, but this is the reality. We should respect the will of the House of Commons.

However, as we have to respect the will of the House of Commons, we must also respect the will of the Senate. Most of the senators there have been appointed by the Prime Minister. Therefore, let the Senate do its work. This is why, when we finish third reading and have the final vote here in the House of Commons, the job will continue at the Senate. As the member for Thornhill said, during the Senate consultations, the Minister of Disability Inclusion said that she had some concerns.

Why does the Prime Minister push so hard, especially with a senior cabinet minister who is there to protect the most vulnerable?