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The Last Doctor

Lessons in Living from the Front Lines of Medical Assistance in Dying

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The Last Doctor

By: Jean Marmoreo, Johanna Schneller
Narrated by: Jean Marmoreo, Eve Crawford
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About this listen


NATIONAL BESTSELLER
*SHORTLISTED FOR THE 2022 WRITERS' TRUST BALSILLIE PRIZE FOR PUBLIC POLICY*


An urgently important exploration of the human stories behind Canada's evolving acceptance of Medical Assistance in Dying (MAiD), from one of its first and most thoughtful practitioners.



Dr. Jean Marmoreo spent her career keeping people alive. But when the Supreme Court of Canada gave the green light to Medical Assistance in Dying (MAiD) in 2016, she became one of a small group of doctors who chose to immediately train themselves in this new field. Over the course of a single year, Marmoreo learns about end-of-life practices in bustling Toronto hospitals, in hospices, and in the facilities of smaller communities. She found that the needed services were often minimal—or non-existent.

The Last Doctor recounts Marmoreo's crash course in MAiD and introduces a range of very different and memorable patients, some aged, some suffering from degenerative conditions or with a terminal disease, some surrounded by supportive love, some quite alone, who ask her help to end their suffering with dignity and on their own terms.

Dr. Marmoreo also shares her own emotional transformation as she climbs a steep learning curve and learns the intimate truths of the vast range of end-of-life situations. What she experiences with MAiD shakes her to her core, makes her think deeply about pain, loneliness, and joy, and brings her closer to life’s most profound questions.

At a time when end-of-life care and its quality are more in the public eye than ever before, The Last Doctor provides an accessibly personal, deeply humane, and authoritative guide through this difficult subject.
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Most relevant
I was directed to this book from the Youtube channel "We're in Hell" (more enjoyable and informative than the name implies) with a video about Medical Assistance in Dying (MAID). Context colours how I listen to this book, beyond the remit of a review; also as a physician involved in advance care planning discussions with patients. The Canadian experience exposes global challenges in people achieving both goals of accessing good quality end-of-life care and having a dignified death, which regrettably don't always co-occur. Regard this book as an introductory text to this problem and a prompt for readers to reflect (often agonise) on what they would want in the face of a terminal illness.

This book will make you think, and think hard...

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I was keyed unto this book by we're in hell, and I was blown away by how touching, rather than ghoulish. it brings in humour and humanity to this horrible but necessary service.

Touching, sincere and thought provoking

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I was gripped to this book from start to finish, it's a very insightful look into the experience of MAID in Canada. Jean Marmoreo's empathy for her patients is strong and apparent throughout and I felt very touched by the stories I heard.

The narration is excellent, Jean narrates part of it while Eve Crawford takes on the majority. Both are great storytellers.

Thoughtful look into Euthanasia

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