Living Wills and Health Care Proxies - Manitoba Law Reform

128 Pages·2006·19.49 MB·English

Manitoba

SELE-DRTERMINATION IN HEALTH CARH
(LIVING Wits sD MznLtn Cant PROSIES

Jane 1991 Reporiers
ng in Publleaton Dat
Manitoba, Law Reform Corian

‘Report on Seif Determination in Health Care (ving Wills al Heath Care Powis).
repon: #78)

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|. Right odio Law a eiasion ~ Manitoba, 2, Medical laws and egisioinn — Maiinbs.
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Manimaba Ti. i Sere Report (Masioha Law Reforms Goons:

KEM <Q48.EML35 1991 MATIZT UNIT CO.0926565,

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TABLE OF CONTENTS

CHAPTER 1- INTRODUCTION

INCL

(CHAPTER 3-TMPLEMENTING HEALTH CARE DIRECTIVES
B,_QUALIFICATIONS UF MAKER ANDIROSY
B, TORMOF HEALTHCARE DIRECTIVE
REVOCATION
6. RESUK@TION oF WaLIOMY
1, RELEASE OF MAKER'S MFDICAL.ISTORMATION
2, No Pesan Aout De aber Wises

4 Pomes

PARRA
endo ExiagLesiaton|
(0) Perdana ree Ae

MAPTER 4- THE HEALTH CARE DIRECTIVES ACT ANNOTATED)

CCMAPTIR 5. CONCLUSION AND SUMMARY OF RECOMIENDSTIONS

SUMMARY OF RECOMMENDATIONS

APPRNDI 4 THE HEALTH CARE DIRECTIVES ACT

APPANULX C- LIST OF PERSONS WHO RUSTONDEDILIST Ok HEAWONS
"WHO RECEIVED COPIES OF THE DISCUSSION PAPER.

AFFRNDIE I DISCUSSION PAPER ON ADVANCE DIRECTIVES AND
DURABLE POWERS ATTORNEY FOR HEALTH CARE
CHAPTER 1

INTRODUCTION

he Misi Lay Reform Commision underook x projec 0 determine whether te
Should recognize ¢ mechans by whist erin! pnt ural pve auctions ts eee
ont th net hey ated ord ot watt ested i they Ltr becane unable 0
Sl dete powore of atomey for esi re pee 7

Jol a list upon, we reared 2 Disctsion Paper seine ot hand oe elated
sats and disuibue i iuiteolenyzzane who Mtl be interes
rive. Oxe seuch far Samick ‘aon files he Wi mya aa
verge wach the puterdon of te Duscusinn Paper rsceved in mi fay. 1990, our
Eiseulve Duet, Jetey Sehooor, waa 4 guet of Oucsinnnaie, CBC Radi’ ftegon
lone'inaeuratunc ara inal the C1 Rana News reponed nine public meteen
hich flowed was paving we voeival Inula: of mace pen fe ease
Payer. "Tosineapprocimaely 200 copes have been subse

fy nly Fehvay, 981, we ad rsived 38 wen respon Dey came fom the
anatical community, rious etnias civil ght erwon sort groups and pats
Eten, ‘The Comtisnion wo ef thnk he epee fr er ave conseroon
ff te sues andthe tine whi fey ek pag ew Pap he subs Me
Sanable tour shies

Audowl insight on the istoes rte inthe Discusion Raper wat obtained when Me
Schnoar and Leg Cours is Alien mast woot to aa at Tonos apes
ane for ernie Medsine an he Lahey of Tous Coe fy Bhi In Feb,
1851. We sil keto fink Ds. Michel Sects and eter Slope for held inva,

‘The vii repens pug inert new pespoctesen he bows pee os

he Common woud also Li io hush Pos Ramey Saciderinn so Des. Hee
Xi, Teel id be Hosea Wang fe stance wh ey ow

"his na Report mighe loo unfulia o hog of you who have reat owe Dison
Tepees 1 suian roion orn that dacut, night of te con winch
an th Ree he tome uatceary aden special each oye ed.
Inthe Diseuton Paper Oe usr witch se cused evolved ea result ibe
she eenered rom te retponse. tbe cussion in Tene ou hn eles
Chaps 2 of this Report foeust on general principle, sets out our cent
recupmeaitions lot new igal wochani fo pve eet 1 ascsons respecting Tue
sfc reatnent Chapt 3 disuses aes of wnplomceaion, ch ts quien oe
‘ecoang the mv dscument which we envoy, the method of execaing aml the met
‘Seoling i Chapt luc set outa at Act snd aonctaoneokwoy how our ropa
‘Wowie Both sn faces nor aur Room rgeer inst ay rte foun ths
‘RS. Chaptr 3 conlidee our Repet un summarizes ur coments.

yy hve aac several appenices: Appenix A neice our at Act, witout
myosin Appendie’ B eontane two sample form Append Cet out set fhe
‘nviinds id Ergon tr mhorn wr ene sopler of Oe Discussion Paper ar hens Who
sesrondeds and Appends Db coloured page) iS eprint of one Dseuson Pape.
CTIAPTER2

GENERAL PRINCIPLES

‘A. TE CASE FOR REFORM

jen invasive the ght eden whut ita he done to throw Bois,
iocuding bat aed weaunent Wl abwaseea ar np ine pnp
(GAGE Spit sl deermon the ght tisha auconoms. AS ne ge of iho
ses

‘Danger tae at ale hes ana) ec td
ee ce ne tact of ieecal sony. ls ed mn ae
2B Bichon uneswoma ntly evan

In gece though. the Tas sx enunciated» comeaponding right fo inet
etre inc fave Although there me ecery been srs nvetpent nth a
SSremcten india) penclly cane give Bacay Testucins n adeane nut tbe mesial
Ucuteet which cor te does er dors nol sh to Rave admnsceed Inthe event of Becoming
fnuumpetrt to give snsractons how studcal parrent, tre is no atari hat uch
Romulans willbe follow, the. peacoat can To that ater an indivi! Deeomes
expe, ether by fsa of widen ines age, fry ir re willy 2 0
‘Bair Gerancnr decous on he person's ball: In wrinual Cecurlanes, he approval %
Sale ofr sneer courage sg

[With cach vnc in medical since, this responsiily hooomes more enero for
feaity wed Ret nciignle wh vee laced quick mata eat car be kept aive
fSracnenerbic pods of tire Many far te the wil languish ‘cons o xe yt
tun a vegttve se, wae w Coto her oeial Rettent, ‘They fear ht they wil
Pe nubjecred vo peoucthme hich tay ve tr ves fat reduce or Gewoy the gusty of at
tic Chokes mop be nae on the bein which hey wilt Rave syrowed. The eu ot
Tong of tome once hr metic te conn oe ed paps even sara peop’
deta

‘Tosdress thew: eocers, we abe inoue Discusion Pept: Should He pine of se
asermioee wieh goveros copie individ so beefitodvigals who were competent
ce hin bo have sebognently Neue ncempetent wn dune ter en medica ete?
‘Fhe reaponses wvened 2 consenmve of epmion on Us ues: respondents garalthat ese
‘wes Sobel fr enextalst perms conpenar indesdie io dette, whi sl CNPC

Spteae, Sin th BLK, 2 (LEA eee Com yd lint Si of ora
the mnie qeammene 0 be admis should they besa Ensnmgetont ta tke ds
Gectens for hemsaves Moen veaxsilets um ie medica eemmenity favoured
‘Soap ota basing mechani We apie hat nahn mln soi De devehped

‘Two mechan have fol fein eh United Secs and Asan. hot, eilaton
tute enacted to onab compton isd "0 make‘ dosaments one in hh
fan spot esr mses for ute medal teutsen al acts sac oy eno ora ae

Indival ur make mecist mesirene decisions on bet belt." Thee aroun hecoae
tec nate even ia hele mahere seer toe to make ese deers for emilee
Honscser, ie emphisis in tnee jrsd.eunie fae See tema ies i te
Jesh ee rth abate ml amon ey whan
the person besos trinall "The rervingaeszaptna i hese juicer 0 Me
tha inere i a need cy Zr couaols whic eye ee To diet te water oe med
rstrmen so terminally pcs con's atv eae Tn cum, i tr

Ikuitons, its re plate one “spe of tease over nich snl Sn Me ers
an ho cut exeese tse, Tete limita serve to proven the sal of hfe prolonin
exaneot in ais sutton, (ur example, nome shies at or completes deny Oe
Hoatvness fa refusal ef tain, ys cr pale tres see Ti ey te
‘etivenee of he avarice intncons o's eghant wan,

esr y sme seal paren “pl he pug seas ous Gat ns aon tee
overleels many wan woud ase Wish to conal sir medic weabuest. A repie ch
Seapets the etre ett wishes of te emily gnats pers wo es
Fle, cascphfe secon sb jgrmen pets ws wt Inept x conm a
eaten, ater tun saris and toge we spl wise expose + peerece for de ora

ke sar fur sap Fa apps il easy ha at ely
fund inte American and Autudian ods. The Taw prseay aceps ta: indidunse38
‘Surol thei coment meoicn!eament. itis sonable aed Cowes ay fo the see
Dosti, insane svn have te une ont oar ti fant tna! eset ue
fey cur pr conzent to testa, fae emer! or eho one ren) rer soe hey
{Roald be dle todo the re fn epee ua eae. Jt the panspl of ll sree
‘unl so ape tyenrnat egal ons abel the pepe acl dcoiat
ule th law aesptio sue meal cae

RECOMMENDATION 7

Pha law should he rforaed to permit the creation of a echanivn which woud
ale legally bindlg effect a he wahes aa person, not how competent make
‘evans tows meta! enon whic ere exon whem hor se aa the
‘Spay a muse hvalih sue acne

‘The more Aificalt challenge ie devising a mecheis which i simple ad effective It us be
terest fe sere person sal sn eRe care poseable
{HE Ropor we ct natn prpesa
BR. THE MFCHANISM: TILE MIEALTH CARE DIRECTIVE.

‘We propose st he wy scogrine a pew mth for the expression of beh exe
chon, ave we viel oul av inet. Pers pron ho a Ineo 1 mike
Fest ew esos for himself or bers’ thouid be aste so wake the doeasr AR
Ihdviatat ula const io mate's belt ee Gece (he ter) woul be Ble ose out ie
rhe the sespecing ure madi Usaten Haus, seit at ee as He
fur co eeibly pie every events fuera ag takers voeuon fay
Seton lash clan, Ty err t oder tae pelea, the shes shoud alo he pened
i tate inthe health care dctve sno pesom or pesos (whom we wl cul 3 heals ere
ry) va re health cage deisiont og his he be Te git evga rw
‘Signi which deleted tthe bel cee proc, we exper hate rosy ml nanaly
bepeziog wan te ke kone nel an

RECOMMENDATION 2

he bea care dec sand be reaneized wx & mechanism to give lgot
{eel tthe exreston a ute heoth cae Whee

RECOMMENDATION 3

‘Boer person who tas te capacty to make Reali care detions shout be
Deviled to make a heal care dere

RSCOMMENDATION 4
{The healthcare ective shou be @ dome x which the maker ox
(ah give or refuse coment to fare medhel rete; andlor

(9) appoint one on moce perans (healthcare prize) to mate healt care
eesont on sor her behalf fle he or she mtg hs capo
‘ae ease ras

Aton individuals Should be fa if thea wit, awe th ee dees fo he sole
Bins sein out fte resents ofr the fle porpose ota 2 Heal ee
‘rot, bail cae Gmetvey shouldbe cpa of aseonplishing Pah aa, A Soya
Te tc Sepa doer eet fy puposes meld igoze thor clos eats ud
‘oul pate an unneceerly eple eabo ta miN eae the ens ey

G.CIVING EFFECT TO BEALTH CARE DIRECTIVES
1 Comag tno Force

el care diectives srld Bosome efectse age tne muker hat lst te capacity ta
teake and commana hath ete desicans fr healt het wots nn eee

{rhe drab ofthat eapiy. Where the wishes of te maker st gute elie
‘Grecdve we relevant io De alt care ein ho be made and ested eal, ey would