Health Systems and Policy Monitor (HSPM)

An innovative platform that provides a detailed description of health systems and provides up-to-date information on reforms and changes that are particularly policy relevant. In parallel, the Health Reform Tracker (see the Tracker tab) provides an overview of health reforms in over 30 countries across the WHO European Region and North America. For detailed information on country policy responses to the COVID-19 pandemic during 2020-2021, see our separate COVID-19 Health Systems Response Monitor (HSRM).

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Updates

Canada’s first legal euthanasia case confirmed in Quebec

26 January 2016 | Country Update

In early January 2016, the first legal case of physician-assisted death was reported to have taken place in the province of Quebec. This is following provincial legalization of euthanasia in December 2015 allowing consenting adults at the end of life with a terminal illness and suffering from constant and unbearable pain, to be given “medical aid in dying”. Terminal patients wishing to receive physician-assisted death in all other Canadian provinces and territories must wait four months for official federal legislation. While the Supreme Court of Canada overturned a ban on physician-assisted death in February 2016, the federal government was not able to make the one-year deadline to draft appropriate legislation. During the allotted four-month extension, exemptions will be allowed for Quebec residents in accordance with their provincial law. Anyone outside of Quebec wishing to exercise their right to die with medical help may apply for individual exemptions based on criteria set out by the February 2015 ruling. This is the first time the Supreme Court has been asked to grant individual exemptions of this kind. 
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