Thank you for asking that very important question.
When we talk about obstruction, we are talking about people who have signed a perfectly legitimate request for medical assistance in dying, but then someone just puts it in the garbage or on a shelf and waits for the patient to die. As I mentioned, some patients are under pressure to not make, or to withdraw, that request.
Not all of those cases are reviewed. When this happens, there is no accountability on the part of physicians and institutions. The only accountability is in the administration of medical assistance in dying. So we can say that this has been done in an extremely rigorous manner for five years now in Quebec.
Those are the vulnerable patients who are not protected. As I mentioned, in Quebec, one out of every three requests for medical assistance in dying, formulated in a completely legal and legitimate manner, is not addressed and we have no explanation. The blunders that we have observed over the past five years are not in the administration, but in the systematic obstruction by certain opponents for their own personal reasons, or by certain institutions. So it is important to examine that.