Track 2 MAiD assessments in Canada present challenges for assessors

A UBC study reports that physicians and nurse practitioners face complex, time-consuming hurdles when assessing Track 2 MAiD applicants, citing eligibility interpretation, specialist consultation gaps, and impacts on patients found ineligible.

New research from the University of British Columbia examines challenges in assessing Track 2 medical assistance in dying (MAiD) applications in Canada. Track 2 cases involve people who may live for years while experiencing chronic suffering, making eligibility and timing complex to evaluate. The study draws on interviews with 23 physicians and nurse practitioners across four provinces to identify system-level barriers. Assessors described assessments as deliberate, resource-intensive and high-stakes. Key points: - Assessors report difficulty interpreting eligibility criteria for Track 2 MAiD. - Accessing specialist consultation and complete medical records can be challenging and can delay assessments. - Although the law sets a minimum 90-day safeguard, assessors say many cases take longer due to thorough reviews and coordination. - Declaring a patient ineligible raises concerns about patient risk and may lead some assessors to stop providing MAiD, affecting equity of access. Summary: The research highlights that Track 2 MAiD assessments are complex and vary by province, with coordination, consultation and documentation gaps creating delays and stress for assessors. UBC's team plans to continue studying Track 2 processes and patient and family experiences, and expects to share further findings within a year.