I think it's fundamentally important to have an independent level of oversight. I don't think that the doctors or nurses, the ones carrying out the acts of euthanasia and assisted suicide or otherwise engaged in that system, are able to provide the level of effective, independent, neutral oversight that the importance of these decisions requires.
A lot of resources and costs are to be put into the whole process of having a euthanasia-on-demand system. Clearly, if one's going to go down that road one should want to put in place the most stringent and rigorously monitored and enforced levels of safeguards that are appropriate to ensure effective oversight. Indeed, those were the words used by the Supreme Court of Canada and they were the basis upon which they agreed to strike down the Criminal Code of Canada relating to this issue. It was only based on the premise that Parliament would implement a level of rigorously enforced, monitored, and effective safeguards and oversight that the Supreme Court went that next step, agreed, and overturned its earlier decision in Rodriguez to strike down the Criminal Code prohibition.
In that respect I would suggest that the need for an independent level of oversight, through a judicial body or a tribunal that's independent from the medical profession, is essential. Absent that, I don't think it's possible to have the doctors who are themselves the ones administering the processes to be the ones effectively overseeing the process. It's effectively leaving the fox in charge of the henhouse.