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Alberta’s Bill 18 to Narrow MAID Access Draws Sharp Divide

The proposal spotlights a clash pitting patient choice against disability rights.

Overview

  • Alberta MAID clinicians published a signed opinion opposing Bill 18 and offered to brief the legislative committee reviewing it.
  • The bill would confine eligibility to people judged to be in their final 12 months of life and introduce mandates and sanctions that clinicians say would curb professional judgment.
  • Doctors warn the change would shut out many with chronic or slowly progressive illnesses, with dementia patients singled out as likely to lose access once they lose decision-making capacity.
  • Supporters writing in the Calgary Herald back Bill 18 as a way to stop so‑called Track 2 MAID for people who are not near death, calling the current pathway discriminatory and urging Ottawa to repeal it.
  • Clinicians also say dismantling care coordination and tighter referral rules would deepen gaps in access, especially for rural and marginalized patients, while people with more resources could seek services elsewhere.