The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
A Sceptics Report: Canada’s Five Years Experience with Medical Termination (MAiD)
Abstract
This article seeks to assess the results of legislation legalizing medical termination, known in Canada as "medical aide in dying" in 2016. Its focus, like that of previous authors, is to ask if the concerns of skeptics opposed to legalization have been realized or were they unfounded. These include the likelihood of a "slippery slope" with an expanding definition of eligibility and of MAiD deaths. Of similar concern at least since 1995 was the likelihood that, in the absence of the provision of palliative, rehabilitative, psychological and social services that medical termination would be a substitute for good medical care. These and other concerns are the basis for the review of MAiD in Canada clinically, legally and as an ethical construct.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Some authors interpret historical trends in countries such as the Netherlands and Belgium as evidence of incremental expansion in MAiD use, though the data remain limited and difficult to compare.39 40”
From Medical Assistance in Dying for the Sole Underlying Condition of Mental Disorder (MAiD MD-SUMC): an analysis and qualitative evidence synthesis (2026) · cites this paper as [39]
In the citing paper
“For example, Koch notes that the annual number of MAiD procedures in Canada increased steadily from 2016 to 2021, starting at 1018 and rising to 7595.39”
From Medical Assistance in Dying for the Sole Underlying Condition of Mental Disorder (MAiD MD-SUMC): an analysis and qualitative evidence synthesis (2026) · cites this paper as [39]
Citations
Cites
Walton, D. (1992) · doi:10.1093/oso/9780198239253.001.0001 · Cited by 226
The Ethical Canary: Science, Society and the Human Spirit.
Booth, M. (2001) · Ecosystem Health · doi:10.1046/j.1526-0992.2001.007002122.x · Cited by 126
Schüklenk, U., van Delden, J. J. M., Downie, J., McLean, S. A. M., Upshur, R. E. G., & Weinstock, D. (2011) · Bioethics · doi:10.1111/j.1467-8519.2011.01939.x · Cited by 114
Life quality vs the ‘quality of life’:
Koch, T. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00474-8 · Cited by 89
Self-citationThe Ethical Canary: Science, Society, and the Human Spirit
Somerville, M. (2000) · DigitalGeorgetown (Georgetown University Library) · Cited by 84
Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada
Downie, J., & Schuklenk, U. (2021) · Journal of Medical Ethics · doi:10.1136/medethics-2021-107493 · Cited by 65 · cited 2×
“Their stated goal was “both to inform Canada’s ongoing discus‑ sions and because other countries will confront the same questions if they contem‑ plate changing their assisted dying law” (Downie & Schuklenk, 2021, p. 1).”
BackgroundDeath talk: the case against euthanasia and physician-assisted suicide
(2002) · Choice Reviews Online · doi:10.5860/choice.40-0948 · Cited by 53
Access to Palliative Care in Canada
Costante, A., Lawand, C., & Cheng, C. (2019) · Healthcare Quarterly · doi:10.12927/hcq.2019.25747 · Cited by 51
Somerville, M. A. (2001) · McGill-Queen's University Press eBooks · doi:10.1515/9780773569317 · Cited by 38
THE ENGLISH INFLATION OF 1180-1220 RECONSIDERED
Latimer, P. (2001) · Past & Present · doi:10.1093/past/171.1.3 · Cited by 34
Research works printed but not linked: 3
- Graves, F. G. (1997). Writing for his life. American Journalism Review (March). Retrieved 19 September, 2021, from https://ajrarchive.org/Article.asp?id=388.
- Kaufmann, G. (1995). State v. Chabot: A euthanasia case from the Netherlands. Ohio Northern University Law Review, 20(3), 815–20.
- Koch, T. (1996). Living vs dying ‘with dignity': A new perspective on the Euthanasia debate. Cambridge Quarterly of Healthcare Ethics, 5, 50–61. https://doi.org/10.1016/S0277-9536(99)00474-8 · DOI
Cited by
Canadian Medical Assistance in Dying: Provider Concentration, Policy Capture, and Need for Reform
Lyon, C., Lemmens, T., & Kim, S. Y. H. (2025) · American Journal of Bioethics · doi:10.1080/15265161.2024.2441695 · Cited by 35
Canada’s Medical Assistance in Dying System can Enable Healthcare Serial Killing
Lyon, C. (2024) · HEC Forum · doi:10.1007/s10730-024-09528-3 · Cited by 6
A Moratorium on the Euphemism MAID.
Sams, R. W., & Jaggard, P. L. (2024) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2024.03.115 · Cited by 6
Medical Assistance in Dying, Slippery Slopes, and Availability of Care: A Reply to Koch
Merrell, D. A. (2024) · HEC Forum · doi:10.1007/s10730-024-09543-4 · Cited by 3
MAiD: How Slippery is its Slope?
Koch, T. (2025) · HEC Forum · doi:10.1007/s10730-025-09551-y · Cited by 2
Self-citationReframing Ongoing Debates: New Perspectives Modifying Moral Insights to Improve Patient Care
Wietrzykowski, M. (2025) · The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine · doi:10.1093/jmp/jhaf012 · Cited by 1
Pawluk, A., Arksey, E., Jansens, H., Qiao, S., & McFarlane, L. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-105129
“Moreover, the absence of uniform international reporting standards, such as diagnostic categorisation in Switzerland, further limits conclusions about global trajectories.”
The Practitioner’s Paradox: Conscientious but …Without Conscience
Koch, T. (2023) · Medical Research Archives · doi:10.18103/mra.v11i1.3558
Self-citationThe Assessment and Relief of Suffering in the Shadow of MAID
Scott, J. F., & Scott, M. (2023) · The International Library of Bioethics · doi:10.1007/978-3-031-30002-8_14
Disability and Medical Assistance in Dying (MAiD)
Grant, I., & Lemmens, T. (2026) · doi:10.1093/9780197852668.003.0026
Cherry, M. J. (2026) · The International Library of Bioethics · doi:10.1007/978-3-032-33538-8_10
Metadata
- Authors
- Koch, T.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Koch, Tom
- ORCID
- Koch, Tom
- Venue
- HEC Forum
- Published
- 2022-02-12
- Volume
- 35
- Issue
- 4
- Pages
- 357-369
- ISSN
- 0956-2737 (ISSN-L)
- 1572-8498
- OpenAlex
- W4210992418
- Cited by
- 11
- References
- 19
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- HEC Forum (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- medical assistance in dying, assisted dying, euthanasia, slippery slope, eligibility criteria, palliative care, end-of-life care, medical ethics, assisted suicide legislation, Canada
- MeSH terms
- Canada, Humans, Surveys and Questionnaires, Suicide, Assisted
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
