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Health committee  Thank you for your question. I'll answer it simply by saying that it isn't the system that administers medical assistance in dying; it's the clinicians. All the clinicians who belong to the Canadian Association of MAiD Assessors and Providers, or CAMAP, have worked very hard in

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  No, thank you. Since I'm not a psychiatrist, I can't discuss clinical psychiatric issues. I'm simply relying on the data provided by the experts, particularly in their report and in a document published in 2019, if my memory serves me, on the situation regarding mental health an

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  As far as I know, relying once again on the data provided by the experts, I see that some data indicates that psychiatrists and physician providers of medical assistance in dying can assess the patients. It's also very important to understand that some of the patients who reques

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  You have to understand that mental health is one issue and advance requests quite another. It's true there's no medical or societal consensus on mental health. We're told the psychiatrists are split 50-50. That being said, there's a very broad consensus across Canada on advance

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  I do not understand why there is no mention now of advance requests, when the report of the Special Joint Committee on Physician-Assisted Dying specifically made mention of it. On the other hand, it is surprising that advance requests...

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  Actually, we have no experience in Quebec in terms of approving MAID in cases where a mental disorder is the sole underlying condition, because we are subject to the Criminal Code, like the rest of Canada. The Quebec committee that studied the expansion of medical assistance in

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Health committee  Thank you, Mr. Chair and members of the Standing Committee on Health. The Association québécoise pour le droit de mourir dans la dignité is grateful for the invitation. I'm a retired neurosurgeon, an active MAID provider and president of the association. With respect to Bill C

February 14th, 2024Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  Thank you, Madam Chair and Mr. Chair. Senators and members of Parliament, the Quebec Association for the Right to Die with Dignity thanks you for holding this meeting. I am a neurosurgeon retired from surgical practice and now an active provider of medical assistance in dying.

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  Yes, a diagnosis has to be established. Otherwise anyone 20 years old or more could request medical assistance in dying regardless of what has happened in their lives, such as a head injury or stroke. These aspects are already covered in large part by the advance directives, if t

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  For advanced directives, you might find me somewhat chauvinistic, but Quebec's proposals seem very reasonable to me. What's involved is designating a trusted relative, friend or substitute, to be responsible for alerting the care team of the patient's condition when it has reache

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  The problem is setting this frequency. If it has been agreed that the request is to be reiterated every three years, and after the first three years, the person is already incapacitated, it's a problem.

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  That's why one of the safeguards could be an assessment of patient decision-making capacity when they are asked to review their position.

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

Medical Assistance in Dying committee  No, absolutely not. At least none of the figures I'm aware of have demonstrated that there have been any in Quebec. When there are somewhat more sensitive issues, we in Quebec have established a private forum of doctors, one that is closed and confidential. The same thing happens

May 5th, 2022Committee meeting

Dr. Georges L'Espérance

May 5th, 2022Committee meeting

Dr. Georges L'Espérance