In the Canadian context, the jurisdictional difficulties will be a big challenge. In all the other places, one level of government makes all the decisions and really administers the regime. In Canada, because the regulation of the health practice, the health delivery, is under provincial and territorial jurisdiction but the criminal law is under federal jurisdiction, I think a very big challenge will be deciding which aspects of a physician-assisted dying regime are best dealt with at the federal criminal level and which elements are best dealt with at the provincial level.
I think another major challenge, more from a policy perspective, will be achieving some consensus on the question of under what conditions a person should be eligible to receive physician-assisted dying.