Montreal

Gaétan Barrette 'shocked' at delay in changing MUHC assisted death policy

After coming under fire for a policy that required patients who want an assisted death to be transferred out of its palliative care unit, the McGill University Health Centre announced Monday it will now offer medical aid to die on the unit.

Palliative care patients who want assisted death are currently transferred to different unit

Gaétan Barrette, Quebec's health minister, says he believes the MUHC should have acted faster to amend a policy requiring palliative care patients to be transferred to a different unit to receive medical aid to die. (Radio-Canada)

Health Minister Gaétan Barrette says he is "shocked" the McGill University Health Centre hasn't yet changed its policy on assisted death for patients in its palliative care unit.

The MUHC announced Monday it will change its policy that requires patients in its palliative care unit who want an assisted death to be transferred to a different unit.

But the change still hasn't come into effect, something Barrette told Radio-Canada shouldn't be the case.

"That kind of revision shouldn't take much time," he said.

Barrette, who sent the hospital a letter last week calling the policy "almost childlike," said Monday he wasn't impressed with the MUHC's response to the criticism.

"I heard a news conference about the MUHC. A news conference about doctors, who offer excellent care, but I didn't hear a news conference that mentioned the patients' right to choose, and that their choice will be carried out in the spirit of the law," he said.

The case at the centre of the uproar

The MUHC has received five applications for doctor-assisted death since the law came into effect, but the controversy stems from a case which involved a palliative care patient who requested an assisted death in April. 

The patient received medical aid to die within three days of making his request, said Dr. Manuel Borod, director of the palliative care unit, adding no complaints were made to the unit or hospital officials about the way the request was carried out.

Dr. Manuel Borod, director of the MUHC's palliative care unit, said the decision to transfer patients who wanted medical aid to die to another unit was made with its patients' best interests at heart. (CBC)

At the news conference Monday, Borod's tone was almost defiant when discussing the the "uproar" that ensued when the policy was made public. 

He insisted that accusations the hospital is "trampling" the law, not following the spirit of the law and that prioritized doctors' objections to the new law over its patients' wishes are unfounded.

Policy 'doesn't make sense,' PQ says

Véronique Hivon, the Parti Québécois MNA who drafted Quebec's right-to-die legislation, told Radio-Canada she believes the policy is "unacceptable" despite the fact the hospital didn't receive a complaint from the patient's family.

She said the policy doesn't respect the spirit of the law, which is to put the patient's needs first.

Véronique Hivon, the Parti Québécois MNA who drafted Quebec's right-to-die legislation, said she finds the MUHC's policy on assisted death for palliative care patients "unacceptable." (Radio-Canada)

"It doesn't make sense that the place that receives the most people who are at the end of their lives refuses to offer the care that is directed toward people at the end of their lives," she said.

Hivon said she wants Barrette to make sure other Quebec hospitals don't have similar policies.

Policy review was forthcoming, hospital says

A revision of the policy was always part of the plan, Dr. Olivier Court, president of the MUHC council of physicians, dentists and pharmacists, told the news conference this morning.

Dr. Olivier Court, president of the MUHC council of physicians, dentists and pharmacists, said the hospital always planned to review its assisted death policy. (CBC)

Dr. Ewa Sidorowicz, the director of professional services at the MUHC, explained last week the policy was implemented due to the staff's concerns that assisted death would be confused with other palliative treatments.

Barrette said it's up to the hospital to make sure its patients understand how medical assisted death works and to assuage fears they could be offered medical aid to die against their will.

The change is expected to come into effect in the next few weeks.