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Health Law and Policy, The Future of End of Life Law and Policy in Canada


This paper reviews the legal status of a number of end-of-life law and policy issues that have, to date, been overshadowed by debates about medical assistance in dying. It suggests that law reform is needed in relation to palliative sedation without artificial hydration and nutrition, advance directives for the withholding and withdrawal of oral hydration and nutrition, unilateral withholding and withdrawal of potentially life-sustaining treatment, and the determination of death. To leave the law in its current uncertain state is to leave patients vulnerable to having no access to interventions that they want or, at the other extreme, being forced to receive interventions that they do not want. This can either inappropriately shorten life or extend suffering. It can also leave individuals at risk of being declared dead earlier than appropriate or much-needed organs not being available for transplantation because individuals are being declared dead later than appropriate.


Selected Works of Jocelyn Downie

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