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Ontario family physician Dr.
James MacLean has been cautioned and placed under supervision by the College of Physicians and Surgeons of Ontario after a review found serious concerns in his provision of medical assistance in dying (MAID). The collegeâs inquiries committee concluded MacLean displayed a lack of judgment, crossed professional boundaries and kept inadequate records in reviews of two 2024 MAID deaths and a broader chart review that found unsafe conduct in five of 20 files.
One case involved a 67-year-old cancer patient in September 2024 who resumed breathing after MacLean pronounced him dead because he had not administered a neuromuscular-blocking drug; MacLean returned to complete the procedure.
Another involved a 45-year-old man with Crohnâs disease whose eligibility assessment was conducted outside a Tim Hortons and who was driven by the doctor to the MAID location.
Sanctions include at least six months of clinical supervision, ongoing chart review, mandatory education and unannounced practice inspections.
Families have expressed alarm and said the regulatorâs steps were too lenient and plan to appeal.




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