How to Access MAiD
The provincial Medical Assistance in Dying (MAiD) team is authorized to work alongside your regular health-care team to provide medical assistance in dying within regional health-care facilities across the province.
Before a patient is able to access medical assistance in dying, a review must be completed to see if they are eligible. This process is required by law. It also ensures the patient is aware of all available care options and has the information needed to make an informed decision.
The process* for determining eligibility for medical assistance in dying in Manitoba generally takes at least two weeks and includes:
1. Connecting with the provincial MAiD team
- This can be done by the patient, or a family member, friend or health-care provider.
- Contact the provincial MAID team
2. Triage and review of medical records
- After connecting with the MAiD team, a patient wanting to receive medical assistance in dying will speak with a nurse about their medical history and give permission to access their medical records.
- The MAiD team will review medical records from the patient’s primary health-care team, as well as relevant specialists, diagnostic imaging and lab reports. If, based on this review of medical records, the patient is likely to meet legal criteria and still wants to proceed, the MAiD team will arrange for independent physician reviews.
3. Independent physician reviews
- The law requires two independent reviews for eligibility.
- In Manitoba, these reviews are done by a team made up of a physician, nurse and social worker.
- The reviews can take place in a hospital*, clinic or at the patient’s home and can occur before or after the written request (see below).
4. Written request
- Patients must complete a written request for medical assistance in dying which must be signed in the presence of two independent witnesses (restrictions apply).
- For patients unable to write, another adult who meets the criteria of proxy (restrictions apply) can sign the request on the patient’s behalf.
5. There must be a minimum of 10 clear days between the day the request is signed and the day that medical assistance is provided
- For example, if the request is signed on October 1, the earliest date the patient could receive medical assistance in dying would be on October 12.
6. Preparing for a medically assisted death
- If the patient decides to proceed with an assisted death, the patient and the physician(s) involved will arrange a time and place. Medical assistance in dying can be provided at home or in a health-care facility*.
- At the time medical assistance in dying is provided, the patient must have the capacity to provide consent for an assisted death.
- The physicians(s) involved will provide or administer the medications, monitor the patient, confirm the patient has died and complete the required documentation including the Registration of Death and Medical Certificate of Death (commonly referred to as the death certificate).
7. The patient is free to change their mind at any time
- Including immediately before medical assistance in dying is provided.
*Please note that this process may differ for those patients in an abstaining facility.