
Nous croyons qu’en assurant un meilleur accès aux services de soins palliatifs ainsi qu’aux autres
services aux patients, notamment ceux offerts aux personnes atteintes de maladies mentales ou
aux personnes handicapées, on aidera les Canadiennes et Canadiens plus vulnérables à obtenir
les soins et le soutien qui leur conviennent. Nous incitons les gouvernements fédéral et
provinciaux à faire des soins palliatifs de qualité une priorité d’un bout à l’autre du pays et à
veiller à ce qu’ils soient également accessibles à tous les membres de la société.
Commissioner Susan McMillan – Territorial Commander for The
Salvation Army in Canada and Bermuda
Greater Access to Palliative Care
Last week I received a letter from a woman whose father had stayed in a Salvation Army health
facility that provides palliative care. She writes, “It has been a month since my father passed
away. I want you to know what a difference you made during a very difficult time. I was so
grateful that my father died in a peaceful and accepting setting. We were welcomed into your
community with open arms. I knew my father was in a place where he would be well taken care
of. I was offered a haven to rest and shown such tenderness. I learnt a deeper level of
compassion, tenderness and acceptance. The work you do for individuals is such a gift.”
As we discuss medical assistance in dying, the conversation should acknowledge the significant
value that palliative care provides to individuals, families and society. With its holistic approach
(physical, emotional, psychological, social and spiritual), palliative care is grounded in the ideal
that patients should be cared about and not just cared for. It can alleviate the pain and
symptoms of serious illness and improve the quality of life for both patients and family
members.
On April 14, 2016, the Federal Government announced its commitment to develop a stronger
palliative care strategy in Canada. This is encouraging given the serious shortage of palliative
care beds across the country. Today, only approximately 30% of Canadians have access to
quality palliative care.3 With a rapidly aging population, we know that the demand for these
services will only increase.
The concern, however, is that since there are so few palliative care options currently available,
many people with life-threatening illnesses will have an easier time accessing medical-assisted
death than receiving the support needed to adequately manage their pain and discomfort. In
the Government’s Consultations on Physician-Assisted Dying4, it noted that Canadians do not
want assisted death to become the preferred option simply because other options are not
accessible. If there is a lack of quality palliative care available, then we can’t expect people to
make a truly informed choice about how to respond to their health care needs.
It should also be noted that palliative care does not exist to accelerate or delay death. It is about
helping people live out their lives in comfort and dignity. As such, palliative-care teams and
3 http://www.chpca.net/
4 http://www.justice.gc.ca/eng/rp-pr/other-autre/pad-amm/pad.pdf