ABSTRACT

Drawing on interviews we conducted with 15 medical assistance in dying (MAiD) providers from across Canada, we examine how physicians and nurse practitioners reconcile respect for the new, changing rules brought upon by the coronavirus disease 2019 (COVID-19) pandemic, along with their existing legal obligations and ethical commitments as health care professionals and MAiD providers. Our respondents reported situations where they did not follow or did not insist on others following the applicable public health rules. We identify a variety of techniques that they deployed either to minimize, rationalize, justify or excuse deviations from the relevant public health rules. They implicitly invoked the exceptionality and emotionality of the MAiD context, especially in the time of COVID, when offering their accounts and explanations. What respondents relate about their experiences providing MAiD during the COVID pandemic offers occasion to reflect on the role actors themselves play in giving meaning (if not coherence) to the potentially conflicting normative expectations to which they are subject.

中文翻译：

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COVID-19大流行对加拿大垂死医疗援助的影响以及公共卫生法与私人对法律秩序的理解之间的关系

抽象的

在我们与加拿大各地15个濒临死亡的医疗服务提供者进行访谈的基础上，我们研究了医生和执业医师如何调和对2019年冠状病毒病（COVID-19）大流行带来的新的，不断变化的规则的尊重，以及他们作为医疗保健专业人员和MAiD提供者的现有法律义务和道德承诺。我们的受访者报告了他们未遵循或不坚持遵循适用的公共卫生规则的其他情况。我们确定了他们采用的各种技术，以最小化，合理化，证明或辩解与相关公共卫生规则的背离。他们在提供自己的陈述和解释时，隐含地援引了MAiD环境的特殊性和情感性，尤其是在COVID时代。