Dialogue Volume 12 Issue 1 2016 | Page 7

FROM THE REGISTRAR’S DESK After the Supreme Court decision Rocco Gerace, MD Registrar photo: D.W. Dorken We appreciate that this new landscape may look daunting to you E ight days before he died, Dr. Donald Low, a highly respected microbiologist, made an impassioned videotaped plea for the legalization of physician-assisted death. Terminally ill with a malignant brain tumour, Dr. Low looked at the camera and talked about the frustration of “not being able to have control of my own life; not being able to make the decision for myself when enough is enough.” He said he was afraid of paralysis, eventually not being able to swallow food, or have control over his bodily functions. “What the end is going to look like, that’s what is bothering me the most … A lot of clinicians have opposition to dying with dignity. I wish they could live in my body for 24 hours and I think they would change that opinion,” he said. Dr. Low – who was recognized in 2012 with a CPSO Council Award for helping guide Toronto through the SARS crisis – died in 2013. He never lived to see the Supreme Court deliver its decision in Carter v. Canada, that gave competent Canadian adults who are suffering intolerably from grievous and irremediable medical conditions, the right to end their life with a doctor’s help. It is a momentous decision; one that changes the practice of medicine. But it will have a bigger impact on our patients. Simply having this option available to them – whether or not they ever choose to pursue it – provides for a sense of control that I believe is actually life-affirming. It was this kind of autonomy that Donald Low had so desperately wanted. So where do we go from here? Well, the Supreme Court has now given the federal government until June 6th to have a legislative framework in place. In the meantime, those wishing to exercise their right to die with the help of a doctor can apply to a superior court in their home province for “relief in accordance with the criteria” set out in the high court’s ruling. Anticipating such an occurrence, and unwilling to leave physicians Issue 1, 2016 Dialogue 7