Canada Adds Advance Planning for End-of-Life Care

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At second reading in the Senate

S-231
June 12, 2025 (18 days ago)
Canadian Federal
First reading
0 Votes
Full Title: An Act to amend the Criminal Code (medical assistance in dying)
Healthcare
Social Issues

Summary

This bill changes Canada’s laws about medical assistance in dying (MAID). It allows people whose death isn’t expected soon to plan in advance for MAID on a certain day. It also allows people with serious, incurable illnesses to make a written declaration saying they want MAID if they lose the ability to give final consent later. This could help some people end their lives peacefully and according to their wishes, even if they can’t currently give consent. The bill updates rules to match similar laws in Quebec.

What it means for you

If you or someone you know has a serious illness, this bill might make it easier to plan for end-of-life care. People can now set a specific day for MAID or make a declaration ahead of time, which could help avoid confusion or delays if they lose the ability to decide later. It also offers more options for people who are not close to death but still want control over how they pass away. However, requiring written agreements and declarations means that these choices need to be clear, voluntary, and witnessed by others.

Expenses

The bill does not include a detailed financial estimate or fiscal note. As a result, data on how much implementing these changes might cost the government or healthcare system is unavailable. It’s possible there could be some costs related to training, oversight, and record-keeping, but specific figures are not provided.

Proponents' View

Supporters argue that the bill offers greater control and dignity for individuals facing difficult health conditions. They say allowing advance planning for MAID can reduce suffering and respect personal autonomy. These changes bring the law in line with Quebec’s practices and reflect a more compassionate approach to end-of-life choices. Proponents believe that safe safeguards, such as witnesses and medical certifications, will prevent misuse.

Opponents’ View

Opponents express concern that enabling advance requests might risk misuse or pressure on vulnerable people. They worry it could lead to decisions made out of fear or external influence rather than free choice. Critics also argue that changing the law might send the message that life can be ended based on medical or personal judgments that could be flawed or subjective. They stress the importance of strict oversight to protect at-risk individuals.

Original Bill