Affiliation:
1. Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario,
Canada
Abstract
This paper examines the recent policy update by the College of Physicians and
Surgeons of Ontario (CPSO), which allows physicians to override patient wishes for
cardiopulmonary resuscitation (CPR) without consent. It critically analyzes the ethical
implications of this shift, emphasizing the juxtaposition between the legal protections for
patient’s Last Wills and the relatively diminished safeguarding of their end-of-life care
preferences. The paper highlights the potential for bias in physician decision-making, the
risk of reverting to a more paternalistic healthcare model, and the challenge of balancing
patient autonomy with medical authority. The study underscores the need for a nuanced
approach to healthcare policy that respects patient autonomy while addressing the
complexities of end-of-life decisions.