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12 McGill J.L. & Health 1 (2018-2019)

handle is hein.journals/mcghealp12 and id is 1 raw text is: McGLL JOURNAL OF LAW AND HEALTH ~ REVUE DE DROIT ET SANTE DE MCGILL A CRITIQUE OF CANADIAN JURISPRUDENCE ON THE THERAPEUTIC PRIVILEGE EXCEPTION TO INFORMED CONSENT Michael Ralph Hadskis * The Supreme Court of Canada's land- mark decisions in Hopp v Lepp and Reibl v Hughes furnished a general analytical framework for informed consent actions that remains fully intact today. This article sets its gaze on a specific aspect of the framework, dubbed therapeutic privilege, that permits physicians to deviate from their general duty to disclose material, treatment- related risks to competent patients. Specific- ally, the privilege allows information about material risks to be withheld or generalized if physicians believe their patients are un- able to cope with receiving such informa- tion. It is argued that the Supreme Court's terse and vaguely-articulated exception to truth telling disempowers patients by de- priving them of their decisional autonomy and undermines the trust relationship that Les d6cisions marquantes de la Cour su- preme du Canada dans Hopp c Lepp et Reibl c Hughes ont fourni un cadre analytique gdndral pour les actions en consentement 6claird qui demeure intact aujourd'hui. Cet article fixe son regard sur un aspect spd- cifique du cadre, sunomm6 << privil&ge thdrapeutique >>, qui permet aux mddecins de ddvier de leur obligation gdndrale de divulger les risques importants relatifs au traitment aux patients comp6tents. Sp6ci- fiquement, le privil&ge permet l'information sur les risques importants d'dtre retenue ou gdndralisde si les mddecins croient que leurs patients sont << incapables de faire face >> a la r6ception de telle information. Il est argu- ment6 que l'exception br&ve et vaguement articulde de la Cour supreme ddshabilite les patients en les privant de leur autonomie dd- * BSc (Hons), LLB, LLM; Schulich School of Law, School of Health Administration & Health Law Institute, Dalhousie University. I do not have any real, apparent, or potential conflicts of interest as part of this submission. I am deeply grateful to my colleagues for their thoughtful comments on an earlier draft of this paper, including (in alphabetical or- der) Vaughan Black, Kim Brooks, Joseph Byrne, Elaine Gibson, Grace Johnston, and Chris Simms. I am also indebted to the McGill Journal of Law and Health Editorial Board and the anonymous reviewers for their truly insightful and helpful suggestions. 0 Michael Ralph Hadskis 2018 Citation: Michael Ralph Hadskis, A Critique of Canadian Jurisprudence on the Therapeutic Privilege Exception to Informed Consent (2018) 12:1 McGill JL & Health 1. Rf6rence : Michael Ralph Hadskis, << A Critique of Canadian Jurisprudence on the Therapeutic Privilege Exception to Informed Consent >> (2018) 12 : 1 RD & sante McGill 1.

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