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10 McGill J.L. & Health S1 (2016-2017)

handle is hein.journals/mcghealp10 and id is 1 raw text is: McGLL JOURNAL OF LAW AND HEALTH ~ REVUE DE DROIT ET SANTE DE MCGILL CARTER, MEDICAL AID IN DYING, AND MATURE MINORS Constance MacIntosh * The Supreme Court of Canada's decision in Carter v Canada (AG) decriminalized medical aid in dying in certain defined cir- cumstances. One of those circumstances is that the person seeking assistance be an adult. This article argues that the regu- latory response to this decision must ap- proach the idea of adult in terms of the actual medical-decisional capacity of any given individual, and not rely upon age as a substitute for capacity. This article surveys jurisdictions where minors are included in physician-assisted dying regimes, and iden- tifies what little empirical evidence exists regarding requests from minors. The heart of the article considers the jurisprudence on mature minors and when they are deemed to have the right to require the withdrawal of, or refuse to receive, life-sustaining treat- ment, and compares the reasoning in these cases with that in Carter. A particular focus of this article is on how the jurisprudence approaches decisional capacity when the individual in question may be particularly La d6cision de la Cour supreme du Canada dans Carter v Canada (PG), 2015 CSC 5, a d6criminalis6 l'aide mdicale a mourir dans certaines circonstances d6finies. Une de ces circonstances conceme le statut d' << adulte >> de la personne cherchant a ob- tenir cette aide. Cet article soutient que la rdponse r&glementaire a cette d6cision doit considdrer l'idde du patient << adulte >> sur le plan de la capacit6 d6cisionnelle de chaque individu, plutbt que de se fier a l'ge comme substitut de la capacit6. Cet article 6tudie les juridictions of les requdtes des mineurs sont incluses dans les regimes r&glementaires d'aide mdicale a mourir et identifie le peu de donndes empiriques qui existent concer- nant les requdtes provenant de mineurs. Au ccrur de cet article se trouve lajurisprudence sur les mineurs matures et les circonstances considdrdes comme 6tant suffisantes pour leur accorder le droit de refuser ou de cesser de recevoir les traitements de maintien de la vie. On y retrouve 6galement une com- paraison du raisonnement de ces d6cisions * Director, Dalhousie Health Law Institute, and Associate Professor of Law, Schulich School of Law. I am deeply grateful to Jocelyn Downie for holding a workshop to consider the implications of the Carter decision, and to my colleagues for their comments on an earlier draft of this paper, including Gil- lian Calder, Jodi Lazare, Joanna Erdman, Sheila Wildman, Debra Parks, Kim Brooks, Elaine Craig, and Michelle Giroux. I am also grateful to the three anonymous peer reviewers, for their helpful comments and suggestions. 0 Constance MacIntosh 2016 Citation: Constance MacIntosh, Carter, Medical Aid in Dying, and Mature Minors (2016) 10:1 McGill JL & Health S1. Rf6rence : Constance MacIntosh, << Carter, Medical Aid in Dying, and Mature Minors >> (2016) 10: 1 RD & sante McGill 51.

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