Assisted dying may become legal in Canada on Feb. 6, 2016 and given that country's recent lurch to one side of the political spectrum, doctors are worried that a more social authoritarian government will penalize then if they have conscientious objections to assisted dying.

Dr. John Fletcher, Editor-in-Chief of CMAJ (Canadian Medical Association Journal) argues that just as physicians in Canada are currently allowed to opt out of referring pregnant women for abortion, so too must a similar option be available in the case of referrals for assisted death.

"Doctors have no business denying patients their newly recognized right, no matter how strongly they may feel," states Dr. Fletcher. "But where does this leave physicians who, for whatever reason, do not wish to be involved with helping their patients to gain access to medical aid in dying? Those who would refuse, not only to offer medical aid in dying themselves, but also to refer a patient to another doctor for such a service, argue that referral would make them guilty by association of an act that they see as wrong."

The next step in the road to assisted dying is for the country's medical profession to create a system that will allow patients to receive the medical support to die if they wish while respecting physicians who cannot provide referrals because of their beliefs.

"Simply saying that doctors may give medical aid in dying or should refer to someone who will is not adequate, because many doctors will be reluctant, leaving vulnerable patients and their caregivers fighting their own doctor for their rights," states Dr. Fletcher.