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To Help Patients End Their Life When They Choose is An Act of Care - Martin Winckler (Marc Zaffran, M.D.)

Life is a journey. It sounds like a cliché, but the analogy works. We’re embarked on a boat – our body – that we didn’t choose. Our parents made that choice – or that mistake – for us, and we bear the consequences. We spend many years depending on and relying on adults, long before we can make decisions by ourselves. From late childhood or early teenage we long to be free. But to be officially allowed to drive, drink, vote, get married, we need to reach an arbitrary age limit. Once we do, it doesn’t get much easier, but at least, we have the feeling everyone lives under the same principles. Right ? Wrong. In many developed countries, personal autonomy is not only valued, it is promoted and protected. This has been especially true in healthcare, since the second half of the 20th century, in reaction to the many unethical medical experiments that were performed on helpless people, not only in Nazi Germany during the Second World War, but also in many other countries – including

Informed consent and the (Alien) Medical language

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This paper was my keynote speech for the  2017 Conference of  The Health Care Access for Linguistic Minorities ( HCALM ) Network (McGill University,)  Montreal, QC,   Sep. 28-30, 2017.  Marc Zaffran, MD ("Martin WInckler")  * Stranger in a strange land  Imagine you’re lost in a foreign country and you stop someone in the street to ask your way. You don’t speak the local language and the person you hailed doesn’t speak yours. What could happen ? They might not stop, because they won’t be bothered. They might turn away because they are frightened : you are an alien, after all. You might be trying to take advantage of them. They might look at you with blank eyes because they don’t understand what you’re saying and both of you will look foolish and embarrassed. In the best case scenario, they might understand exactly what your problem is, because you’re showing them a map while trying to say a place’s name that is totally impossible for you to pronounce cor