Safeguard failures in Canada’s MAiD system

Case 1: A housebound, severely obese woman with comorbidities, including depression, and disengaged from care for years, requested MAiD.When offered, she refused therapy, documented to potentially improve or reverse her conditions.MAiD assessors determined that she met the criteria for Track 1 MAiD due to her decision not to pursue treatment, and she received MAiD.Case 2: A man with cerebral palsy living in long-term care voluntarily stopped eating and drinking, leading to renal failure and dehydration.

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Publication Details

Journal
BMJ Supportive & Palliative Care
Published
2026-01-27
DOI
https://doi.org/10.1136/spcare-2025-006046
Primary Topic
Safety Systems Engineering in Autonomy
Type
article
Field-Weighted Citation Impact
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article

Safeguard failures in Canada’s MAiD system

Trudo Lemmens, Ramona Coelho, David Shannon
BMJ Supportive & Palliative Care
Safety Systems Engineering in Autonomy
article

Safeguard failures in Canada’s MAiD system

Trudo Lemmens, Ramona Coelho, David Shannon
article en

Abstract

Case 1: A housebound, severely obese woman with comorbidities, including depression, and disengaged from care for years, requested MAiD.When offered, she refused therapy, documented to potentially improve or reverse her conditions.MAiD assessors determined that she met the criteria for Track 1 MAiD due to her decision not to pursue treatment, and she received MAiD.Case 2: A man with cerebral palsy living in long-term care voluntarily stopped eating and drinking, leading to renal failure and dehydration.

BMJ Supportive & Palliative CareVol. 16(2)
Western University (CA), University of Toronto (CA), Public Health Ontario (CA), Lakehead University (CA)
Gender equality
Openalex Percentile: Top 81%
Safety Systems Engineering in Autonomy
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