cover of episode 'The Interview': The Doctor Who Helped Me Understand My Mom’s Choice to Die

'The Interview': The Doctor Who Helped Me Understand My Mom’s Choice to Die

2024/11/16
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The Daily

Key Insights

Why did Dr. Ellen Wiebe choose to become a MAID provider?

Human rights have been a major focus of her life, and her practice includes abortion, which also deals with bodily autonomy. She feels honored to help people regain control over their lives in difficult situations.

How does Dr. Wiebe handle the emotional toll of her work?

She sets boundaries to protect herself from secondary trauma and finds meaning in her work. She balances her work with personal life to maintain her mental health.

What are some common concerns about MAID, and does Dr. Wiebe find them valid?

Concerns include the slippery slope effect, religious objections, and potential for coercion. Dr. Wiebe acknowledges these concerns and emphasizes the importance of thorough assessments to ensure patients are making informed decisions.

How does Dr. Wiebe determine if a patient is eligible for MAID?

She assesses whether the patient has a grievous and irremediable medical condition, understands their prognosis, and is making a rational decision. She also considers the patient's capacity to make decisions and the nature of their suffering.

What role do doctors play in the MAID process in Canada?

Doctors are trusted gatekeepers who assess patients for eligibility, ensuring they meet the criteria for MAID. This role is based on the trust society places in doctors to act in the best interest of patients.

How does Dr. Wiebe differentiate between rational decision-making and disordered thinking in MAID patients?

She looks for signs of disordered thinking, such as self-blame or a negative view of the world, which may indicate clinical depression. Rational decisions are based on a clear understanding of one's situation and the consequences of their choices.

What impact does MAID have on the grieving process?

MAID can make the grieving process more manageable by allowing families to say their goodbyes and understand the patient's decision. However, it can also lead to feelings of abandonment if the patient chooses to die earlier than necessary.

How does Dr. Wiebe address concerns about coercion in MAID?

She ensures that patients are not making decisions based on external pressures, such as financial reasons or family burdens. She assesses the patient's situation comprehensively to determine the true nature of their suffering.

What challenges does Dr. Wiebe face from opponents of MAID and abortion?

Anti-abortion opponents have been more violent, with incidents of shooting and stabbing. Anti-MAID protesters are generally less violent, often resorting to prayer. Both groups use similar rhetoric to demonize her work.

How has Dr. Wiebe's experience with death influenced her view on life?

Her patients teach her about the importance of living a meaningful and enjoyable life. She values spending time with loved ones and finds fulfillment in her work, emphasizing the importance of making life worthwhile.

Chapters

Dr. Ellen Wiebe discusses her motivation for becoming a MAID provider, drawing parallels to her work in abortion rights, and her approach to handling the emotional aspects of her work.
  • Dr. Wiebe's work is driven by a focus on human rights and bodily autonomy.
  • She feels honored to help patients through difficult decisions and restore their autonomy.
  • Dr. Wiebe balances her work by also being an abortion provider, seeing both as fundamental rights.

Shownotes Transcript

Dr. Ellen Wiebe has performed hundreds of medical aid in dying (or MAID) procedures and is one of Canada’s most prominent advocates for the practice. David Marchese had questions — medical, legal and philosophical — about when it makes sense for doctors to help people to die, and also about how MAID might shape our thinking on what, exactly, constitutes a good death.Unlock full access to New York Times podcasts and explore everything from politics to pop culture. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify.