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In a second case, Dr. James Mac Lean did not give one of the three medications used in assisted deaths, causing the patient to start breathing unexpectedly.
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May 26, 2026 • Last updated 5 hours ago •
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Thomas Dillion passed away peacefully on Monday, Jan. 29, 2024, in his 46th year, according to his obituary. Photo by siftonfuneralhome. com/HANDOUT /TORONTO SUN
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It’s almost as alarming as a fast-food drive-thru for medical assistance in dying.
Dr. James Mac Lean from London, Ont., has been warned by the College of Physicians and Surgeons (CPSO) after concerns arose about his handling of MAID cases. This includes evaluating a 45-year-old man outside a Tim Hortons in St. Thomas and personally driving him to a location in London where he provided drugs that ended his life-despite objections from his family.
An even more troubling situation involved Mac Lean administering MAID to a cancer patient without one of the required three medications because he couldn’t find it in his bag and his pharmacy order wasn’t ready. After declaring the man dead and leaving his home, Mac Lean had to return when the patient started breathing again. He then gave additional drugs, including the missing neuromuscular-blocking medication, before pronouncing him dead for a second time.
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Unlimited online access to articles from across Canada with one account. Get exclusive access to the e Paper, an electronic replica of the print edition that you can share, download and comment on. Enjoy insights and behind-the-scenes analysis from our award-winning journalists. Support local journalists and the next generation of journalists. Daily puzzles including the New York Times Crossword.
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Unlimited online access to articles from across Canada with one account. Get exclusive access to the e Paper, an electronic replica of the print edition that you can share, download and comment on. Enjoy insights and behind-the-scenes analysis from our award-winning journalists. Support local journalists and the next generation of journalists. Daily puzzles including the New York Times Crossword.
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Access articles from across Canada with one account Share your thoughts and join the conversation in the comments Enjoy additional articles per month Get email updates from your favourite authors
It’s almost as alarming as a fast-food drive-thru for medical assistance in dying.
Dr. James Mac Lean from London, Ont., has been warned by the College of Physicians and Surgeons (CPSO) after concerns arose about his handling of MAID cases. This includes evaluating a 45-year-old man outside a Tim Hortons in St. Thomas and personally driving him to a location in London where he provided drugs that ended his life-despite objections from his family.
An even more troubling situation involved Mac Lean administering MAID to a cancer patient without one of the required three medications because he couldn’t find it in his bag and his pharmacy order wasn’t ready. After declaring the man dead and leaving his home, Mac Lean had to return when the patient started breathing again. He then gave additional drugs, including the missing neuromuscular-blocking medication, before pronouncing him dead for a second time.Your Midday Sun
Your noon-hour look at what’s happening in Toronto and beyond. By signing up you consent to receive the above newsletter from Postmedia Network Inc. Thanks for signing up! A welcome email is on its way. If you don’t see it, please check your junk folder. The next issue of Your Midday Sun will soon be in your inbox. We encountered an issue signing you up. Please try again This has not loaded yet, but your article continues below. The family’s horror at witnessing such an unprofessional process during what should have been a dignified death is unimaginable. A report released by CPSO’s Inquiries Committee found two complaints against Mac Lean prompted an investigation by an independent assessor who concluded he “did not meet professional standards” leading to potential harm or injury based on five out of twenty reviewed cases.”The evaluator indicated that he seemed too eager to approve MAID: “proceeding with assessments without sufficient corroboration,” which undermines secondary assessors’ independence while risking coercion during evaluations for MAID.”
The evaluator also stated he should have waited for proper medications rather than using ones available at hand; additionally mentioning how he engaged patients may be perceived as unprofessional or coercive.”
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Over 90 charities , advocacy groups sign letter urging halt on MAID expansion
Nearly 5 ,000 MAID deaths recorded in Ontario throughout year ’24
After being legalized back in2016 , Ontario saw close to five thousand deaths through this method last year. Only qualified medical personnel can evaluate requests. To qualify , individuals must face serious illness or disability resulting in unmanageable suffering. An additional controversial pathway – specifically regarding those solely affected by mental health – has been postponed until March 2027. Thomas Dillon was noted as having been formerly active with skydiving prior passing peacefully January29 th. His family shared concerns regarding whether he met criteria for receiving MAID. As stated within their findings , Dillon struggled with inflammatory bowel disease along with relevant surgeries plus mental health issues. Following his application submission for MAID , both Mac Lean alongside nurse practitioner assessed him outside coffee shop subsequently deeming him fit under Track2-meantting individuals whosedeath isn’t anticipated imminently-but suffer severely due medical conditions they can’t remedy. This hasn’t fully loaded yet; however, your ongoing reading continues below. < < P Not surprising was committee voicing concern over assessing Dillon publicly noting how approach indicated insufficient level formality expected when determining requests pertainingto MAID.' They expressed worry surrounding numerous texts exchanged between Mac Lean &Dillon afterwards-including negative remarks concerning opposition expressedbyfamily members towardshis choice involving MAID-and personal transportation arrangement madebydoctor takinghim directly siteofassisteddeath.’ “Taking these actions into consideration created risk perceptionthat Respondent’s involvementmight influence Patient,”especially given possible existing mental health struggles,”the committee highlighted. Regarding initial failed attempt performing MA IDon cancer patient-thecommittee noted stress led Mac Leanto suggest cancellationsdue numerous presentindividuals awaiting assistance. Committee decided formal caution advised since Dr. lacked clarity awareness identifying necessary improvements within certain aspects care &conduct; nevertheless despite everything mentioned-Macleanispermittedcontinuemedicalassistanceindying procedures.”mmandel@postmedia. com
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