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Medical Assistance in Dying committee  Let me think. I had some in mind, but now I've forgotten what they are. Perhaps, rather than take your time, I will see if I can recall them and come back to you in a moment. I can't think of them right now. I'm sorry.

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  That's an excellent point, and this is something that we struggle with a fair bit, recognizing that the number of people available to do assessments would be restricted certainly in small locations. We thought about the possibility, which expanded during COVID, of virtual and tel

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  Yes, I think so, as long as the various safeguards that we recommended are put in place at the level at which they can be put in place.

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  We have done some looking at what's done in the other jurisdictions. It's taken me back to the days of the CCA report in 2018 where we looked at this in a fair amount of detail. We looked at this in this report as well. I think some of the concepts that we have here were borrowe

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  Yes, I think there are going to be cases where it would not be appropriate to go into a person's prior history. It may be risky. There might be difficult relationships with family members where a person might be put at risk. I think there are certainly going to be cases where the

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  My expectation is that there will be a relatively small group of people in this practice area who will be speaking with each other, comparing notes and developing best practices. These are the kinds of things we've recommended be done, certainly, to ensure the professional develo

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  It is coming quite quickly; it's true. I come back to what I've heard from people practising in this area. They are already doing assessments in the context of track two, and the many kinds of considerations we're discussing here are shared with all track two assessments. They

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  Sorry, data sharing among....

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  I think a person's history of requests for MAID could be relevant to a subsequent request. The reasoning for a refusal could be relevant to a subsequent assessment. There's always a bit of a trick. Someone could have applied the criteria too stringently and turned down someone wh

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  I think the way medical records are kept and shared depends on the jurisdiction and the legislation in place for the privacy of personal health information, which is at the provincial level. It might define circles of care in specific ways, so I don't think I could speak for all

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  This is a difficult question, but a critical one.

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  I think this is sufficiently new to Canada and excites sufficient concern amongst the public that it would be important to try to harmonize to the greatest extent possible the process and the safeguards across the country. In a federal state, that's difficult. I was rereading aga

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  Yes. I don't have a copy of it myself, but if you go to the website of Health Canada, you can see that the regulation that was passed in 2018 for the reporting requirements sets out the fields of what must be reported. It says that there's a new one coming to respond to the chang

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  I would distinguish between access to treatment and access to social supports—housing support, income support and things like that—because, if a person has not already undergone extensive treatment, so has necessarily had access to a lot of treatment already, it won't be possible

September 27th, 2022Committee meeting

Prof. Jennifer Chandler

Medical Assistance in Dying committee  I'll take your second question first, and say I think that's entirely correct that a cancer patient is allowed to decide they are done with treatment. Someone on dialysis is entitled to say they are done with treatment, including if they have mental disorder. Listening to my col

September 27th, 2022Committee meeting

Prof. Jennifer Chandler