THE MIGRATION - TRIBUNAL - Bill C-218: An Act to amend the Criminal Code (medical assistance in dying)
Bill C-218: An Act to amend the Criminal Code (medical assistance in dying)
Bill C-218 — 45-1
Bill C-218: An Act to amend the Criminal Code (medical assistance in dying) Sponsor: Ms. Jansen. Private Member's Bill. First Reading: June 20, 2025. PREAMBLE: Mental health support is a priority; vulnerable individuals should receive suicide prevention counselling rather than MAiD access; current MAiD policies risk normalizing assisted death as a mental health solution. LEGISLATIVE CONTENT: Section 1: Replaces subsection 241.2(2.1) of Criminal Code: "For the purposes of subsection (2), a mental disorder is not a grievous and irremediable medical condition." Section 2: Coordinating amendments addressing potential conflicts with prior MAiD legislation (2021 Act). EFFECT: Explicitly prevents mental disorders from qualifying as conditions justifying medical assistance in dying. Single-issue amendment to Criminal Code.
Graph Impact Analysis
316 nodes · 5085 connections · 6 variables directly affected · 205 cascade effects · 46 constitutional doctrines · 58 landmark cases · 0 constitutional provisions
Showing 177 of 316 nodes in visualization. Full list below.
Bill (analyzed)Directly Affected VariableCascade EffectConstitutional DoctrineLandmark CaseConstitutional Provision
Bill affects variableVariable causes variableDoctrine constrains variableCase cites doctrineDoctrine grounded in provision
Connected Nodes — Detailed List
Variables Directly Affected (6)
- Er Wait Time (er_wait_time)
- First Responder Burnout (first_responder_burnout)
- Healthcare System Trust (healthcare_system_trust)
- Indigenous Youth Suicide Rate (indigenous_youth_suicide_rate)
- Mental Health Index (mental_health_index)
- Suicide Rate (suicide_rate)
Cascade Effects (205)
Variables indirectly affected through causal chain propagation
- Accessibility Compliance — operational, tier 3
- Aging Population Care Demand Index — healthcare, tier 1
- Agri-Food Export Volume — financial, tier 1
- Agricultural Sustainability — environmental, tier 3
- Air Quality Index — environmental, tier 2
- Alberta Emissions — environmental, tier 3
- Alberta Provincial Spending — government_operations, tier 2
- Annual Brain Drain Fiscal Loss — financial, tier 1
- Big 6 Mortgage Loss Provision — financial, tier 1
- Biodiversity Index — environmental, tier 3
- Birth Rate — social, tier 2
- British Columbia Provincial Spending — government_operations, tier 2
- Broadband Access — operational, tier 2
- Business Investment — financial, tier 2
- CAD/USD Exchange Rate — financial, tier 3
- CUSMA Vulnerability Score — financial, tier 1
- Carbon Emissions — environmental, tier 1
- Caregiver Health Deterioration Rate — healthcare, tier 1
- Caregiver-Driven Workforce Exit Rate (Annual) — social, tier 1
- Child Poverty Rate — social, tier 3
- Childhood Nutrition-Cognitive Impact Index — social, tier 1
- Clean Tech Investment — environmental, tier 2
- Climate Adaptation Spending — environmental, tier 3
- Construction Trades Labor Shortage Rate — social, tier 1
- Consumer Spending — financial, tier 2
- Corporate Profit Repatriation (Annual Outflow) — financial, tier 1
- Corporate Tax Revenue — financial, tier 3
- Cost of Living — social, tier 1
- Credit Rating — operational, tier 1
- Crime Rate — social, tier 2
- Cyber Incident Cost (Annual, All Sectors) — financial, tier 1
- Cybersecurity Index — operational, tier 3
- Cybersecurity Workforce Gap — operational, tier 1
- Debt Servicing Cost — financial, tier 1
- Defense Spending — financial, tier 3
- Defense Spending Crowdout on Provincial Transfers — financial, tier 1
- Dementia Diagnosis Gap (Undiagnosed %) — healthcare, tier 1
- Dependency Ratio — social_services, tier 2
- Diet-Related Disease Burden — healthcare, tier 1
- Digital Service Adoption — operational, tier 2
- Disability Support Rating — social, tier 3
- Disaster Preparedness — environmental, tier 3
- Drug Procurement Cost Index — healthcare, tier 2
- ER Average Wait Time — Greater Toronto Area — healthcare, tier 1
- ER Visits — Substance-Related Share — healthcare, tier 1
- EV Adoption Rate — environmental, tier 2
- Early Intervention Program Coverage — education, tier 1
- Education Quality — social, tier 1
- Education Spending — financial, tier 3
- Employee Satisfaction — operational, tier 3
- Employer Benefit Offload Rate — healthcare, tier 1
- Employment Rate — social, tier 1
- Energy Per Capita — environmental, tier 2
- Environmental Health Index — environmental, tier 1
- Essential Worker Housing Affordability — GTA — social, tier 1
- Essential Worker Housing Affordability — Metro Vancouver — social, tier 1
- Excise Tax Revenue — financial, tier 3
- Exploitation-Dependent Sector Index — financial, tier 1
- Family Practice Overhead-to-Revenue Ratio — healthcare, tier 1
- Family Reunification Application Backlog — social, tier 1
- Farmland Price Per Acre (Productive Prairie) — financial, tier 1
- Federal Budget Balance — financial, tier 1
- Federal Debt — financial, tier 1
- Federal Employees — operational, tier 1
- Federal Spending — financial, tier 1
- Federal Tax Revenue — financial, tier 1
- Fertility Rate — social_services, tier 2
- First Nations Long-Term Drinking Water Advisories — infrastructure, tier 1
- Food Bank Utilization — social, tier 1
- Food Security Index — social, tier 3
- Food Supply Chain Fragility Index — infrastructure, tier 1
- Forced Sale Volume — financial, tier 1
- Foreign Credential Recognition Rate — social, tier 1
- Forest Coverage — environmental, tier 2
- GDP - Alberta — financial, tier 3
- GDP - British Columbia — financial, tier 3
- GDP - Manufacturing — financial, tier 2
- GDP - Natural Resources — financial, tier 2
- GDP - Ontario — financial, tier 3
- GDP - Prairies — financial, tier 3
- GDP - Quebec — financial, tier 3
- GDP - Services Sector — financial, tier 2
- GDP Growth Rate — financial, tier 1
- GST/HST Revenue — financial, tier 3
- Grid Defection Rate — energy, tier 1
- Grid-Constrained EV Adoption Plateau — energy, tier 1
- Gross Domestic Product (GDP) — financial, tier 1
- HELOC Available Credit — financial, tier 1
- Healthcare Access — social, tier 2
- Healthcare Satisfaction — social, tier 1
- Healthcare Spending — financial, tier 3
- Healthcare Wage Compression Index — healthcare, tier 1
- Healthcare Wait Times — social, tier 1
- Healthcare Worker Burnout Rate — healthcare, tier 1
- Healthspan-Lifespan Gap (Years of Disability) — healthcare, tier 1
- Homelessness Rate — social, tier 3
- Homelessness-Substance Use Comorbidity Rate — social, tier 1
- Housing Affordability — social, tier 2
- Housing Market Index — financial, tier 2
- Housing Starts — financial, tier 3
- Housing Supply Gap (Cumulative Shortfall) — financial, tier 1
- IT Modernization Score — operational, tier 3
- Immigration Processing Time — operational, tier 3
- Immigration Rate — social, tier 2
- Immigration-Driven Housing Demand Surge — social, tier 1
- Income Inequality — social, tier 2
- Income Tax Revenue — financial, tier 3
- Indigenous (On-Reserve) Broadband Access Rate — infrastructure, tier 1
- Indigenous ER Utilization Rate (vs National Average) — healthcare, tier 1
- Indigenous Incarceration Rate (per 100K) — social, tier 1
- Indigenous Life Expectancy Gap (Years Below National) — healthcare, tier 1
- Indigenous Wellbeing Index — social, tier 3
- Inflation Rate — financial, tier 1
- Infrastructure Quality — operational, tier 1
- Innovation Index — operational, tier 1
- Interdepartmental Coordination — operational, tier 2
- Interest Rate — financial, tier 2
- Intergenerational Trauma Index — social, tier 1
- International Student Permit Volume — social, tier 1
- Inventory Cycle Volatility — financial, tier T3
- Invisible Infrastructure Load (Uncounted Population) — infrastructure, tier 1
- Life Expectancy — social, tier 1
- Long-Term Care Bed Waitlist — healthcare, tier 1
- Mobility Lock Index — financial, tier 1
- Mortgage Rate Shock Spread — financial, tier 1
- Municipal Tax Base Erosion (Post-Closure) — education, tier 1
- Municipal Water Treatment Capacity Index — infrastructure, tier 1
- Negative Equity Rate — financial, tier 1
- Net Annual Housing Unit Demand — social, tier 1
- Nova Scotia Provincial Spending — government_operations, tier 2
- Official Languages Compliance — operational, tier 3
- Oil Price (WTI) — financial, tier 3
- On-Reserve Housing Adequacy Rate — social, tier 1
- Ontario Emissions — environmental, tier 3
- Ontario Provincial Spending — government_operations, tier 2
- Opioid Crisis Index — social, tier 3
- Opioid Overdose Deaths (Annual) — social, tier 1
- PNP Intake-Capacity Gap — infrastructure, tier 1
- Palliative Care Access Rate — healthcare, tier 1
- Passport Processing Time — operational, tier 3
- Per-Pupil Education Funding (Rural/Northern) — education, tier 1
- Per-Pupil Education Funding (Urban) — education, tier 1
- Pharmacare Administrative Burden Index — healthcare, tier 2
- Pharmacare Bilateral Agreement Coverage — healthcare, tier 1
- Pharmacare Coverage Gap Population — healthcare, tier 1
- Pharmacare Federal Budget Remaining — government_operations, tier 1
- Pharmacare Formulary Scope Index — healthcare, tier 1
- Plastic Waste Reduction — environmental, tier 3
- Police Wage Competitiveness Index (vs Cost of Living) — social, tier 1
- Population — social, tier 1
- Post-Secondary Enrollment — social, tier 2
- Poverty Rate — social, tier 1
- Private Agency Purchased Nursing Hours — healthcare, tier 1
- Private Healthcare Spending Share — healthcare, tier 2
- Procurement Efficiency — operational, tier 2
- Program Delivery Efficiency — operational, tier 1
- Protected Land % — environmental, tier 3
- Provincial Separation Referendum Risk — operational, tier T2
- Public Transit Ridership — environmental, tier 3
- Public Trust Index — operational, tier 2
- Quebec Provincial Spending — government_operations, tier 2
- R&D Spending — financial, tier 2
- Regulatory Efficiency — operational, tier 2
- Renewable Electricity % — environmental, tier 3
- Renewable Energy Share — environmental, tier 1
- Rental Affordability — social, tier 3
- Rental Vacancy Pressure Index — social, tier 1
- Residential Construction Cost Index (2019=100) — financial, tier 1
- Residential Electricity Rate — energy, tier 1
- Rural Exodus Velocity — social, tier 1
- Rural School Viability Index — education, tier 1
- Rural Teacher Retention Rate — education, tier 1
- Sandwich Generation Population — social, tier 1
- School Facility Condition Index — education, tier 1
- Secondary ICE Vehicle Market Inflation — energy, tier 2
- Self-Governance Agreements (Active) — government_operations, tier 1
- Senior Healthcare Cost Growth Rate (Annual) — financial, tier 1
- Senior Population % — social, tier 2
- Senior Poverty Rate — social, tier 3
- Service Response Time — operational, tier 2
- Single-Person Household Rate — social_services, tier 2
- Skilled Immigrant Underemployment Rate — social, tier 1
- Split Family Productivity Discount — social, tier 1
- TSX Composite Index — financial, tier 3
- Teacher Vacancy Rate — Tier-1 Cities — social, tier 1
- Temporary Foreign Worker Count — employment, tier 2
- Tied-Worker Wage Suppression Delta — financial, tier 1
- Tier-1 City Population Growth Rate (Annual) — social, tier 1
- Trade Balance — financial, tier 2
- Trade Diversification Index — financial, tier T2
- Training Investment — operational, tier 3
- Triple Squeeze Index (Mortgage+Energy+Pharma) — financial, tier 1
- US Trade Dependency — financial, tier T2
- Unattached Patient Count (No Family Doctor) — healthcare, tier 1
- Unemployment Rate — social, tier 1
- Upstream Industrial Contamination Load — environmental, tier 1
- Veteran Services Rating — social, tier 3
- Visible Social Disorder Index (Urban Cores) — social, tier 1
- Waste Recycling Rate — environmental, tier 2
- Water Crisis Out-Migration Rate — social, tier 1
- Water Quality Index — environmental, tier 2
- Workforce Productivity — operational, tier 1
- Workplace Disability Claims — Mental Health Share — healthcare, tier 2
- Youth Mental Health Services Wait Time — healthcare, tier 1
- Youth Unemployment Rate — social, tier 3
Constitutional Doctrines (46)
Legal doctrines that constrain the affected policy variables
- Aboriginal Title (judge text aligned, conditional) certainty 1.00
- Aboriginal and Treaty Rights Recognition (s.35) (core, anchor) certainty 1.00
- Ancillary Powers Doctrine (judge text aligned, conditional) certainty 0.89
- Carter v Canada — Expanded s.7 Liberty (modern shift, strengthens_alignment) certainty 0.43
- Charter Equality Rights (core, core_guardrail) certainty 1.00
- Charter Fundamental Freedoms (core, core_safeguard) certainty 1.00
- Charter Legal Rights (core, core_safeguard) certainty 0.82
- Charter Mobility Rights (core, core_safeguard) certainty 1.00
- Constitutional Supremacy (core, anchor) certainty 1.00
- Crown Immunity / Sovereign Immunity (judge ultra vires, challenge) certainty 0.47
- Democratic Rights (core, core_safeguard) certainty 1.00
- Digital Privacy under Section 8 (modern shift, strengthens_alignment) certainty 0.89
- Division of Powers (core, anchor) certainty 1.00
- Double Aspect Doctrine (judge text aligned, conditional) certainty 0.48
- Duty to Consult and Accommodate (judge text aligned, core_safeguard)
- Federal Environmental Jurisdiction (judge text aligned, conditional) certainty 1.00
- Federal Paramountcy (jurisdictional overreach, core_to_federalism_model) certainty 0.66
- Federal Spending Power in Provincial Jurisdiction (jurisdictional overreach, challenge) certainty 0.85
- Inherent Right of Self-Government (judge text aligned, conditional) certainty 0.92
- Interjurisdictional Immunity (judge ultra vires, challenge) certainty 0.55
- Metadata and Informational Privacy (modern shift, strengthens_alignment) certainty 0.85
- Minority Language Education Rights (core, core_safeguard) certainty 1.00
- Necessarily Incidental Doctrine (judge text aligned, conditional) certainty 0.48
- New Brunswick Official Bilingualism (core, core_safeguard) certainty 0.99
- Notwithstanding Clause (Section 33) (core, challenge) certainty 0.93
- Oakes Test (Section 1 Reasonable Limits) (judge text aligned, conditional) certainty 0.89
- Official Languages Rights (core, core_safeguard) certainty 1.00
- POGG — Emergency Branch (judge ultra vires, challenge) certainty 0.49
- POGG — National Concern Branch (judge ultra vires, challenge) certainty 0.55
- Pith and Substance (judge text aligned, conditional) certainty 0.84
- Procedural Fairness (Natural Justice) (judge text aligned, conditional) certainty 0.99
- Provincial Regulation in Federal Exclusive Jurisdiction (jurisdictional overreach, core_to_federalism_model) certainty 0.35
- Provincial Resource Ownership (s.92A / s.109) (core, anchor) certainty 1.00
- Reference re Greenhouse Gas Pollution Pricing Act — POGG Tightened (modern shift, strengthens_alignment) certainty 0.41
- State Surveillance Constitutional Limits (modern shift, strengthens_alignment) certainty 0.89
- Transboundary Environmental Harm Doctrine (judge text aligned, conditional) certainty 1.00
- Treaty Implementation vs. Provincial Jurisdiction (jurisdictional overreach, core_to_federalism_model) certainty 0.34
- Treaty Interpretation Principles (judge text aligned, conditional) certainty 1.00
- Tribunal Independence (judge text aligned, conditional) certainty 0.97
- UNDRIP Implementation Framework (modern shift, strengthens_alignment) certainty 0.42
- Unwritten Constitutional Principle: Constitutionalism and Rule of Law (judge text aligned, conditional) certainty 0.74
- Unwritten Constitutional Principle: Democracy (judge text aligned, conditional) certainty 0.89
- Unwritten Constitutional Principle: Federalism (judge text aligned, conditional) certainty 0.89
- Unwritten Constitutional Principle: Protection of Minorities (judge text aligned, conditional) certainty 0.94
- Vavilov Reasonableness Framework (judge text aligned, conditional) certainty 0.95
- Vavilov — Restricting Administrative Deference (modern shift, strengthens_alignment) certainty 0.41
Landmark Cases (58)
Judicial precedents that interpret the constitutional doctrines
| Case | Year | Court | Citation | CanLII |
|---|---|---|---|---|
| R v Bykovets (good law) | 2024 | SCC | 2024 SCC 6 | View on CanLII |
| Impact Assessment Act Reference (good law) | 2023 | SCC | 2023 SCC 23 | View on CanLII |
| References re Greenhouse Gas Pollution Pricing Act (good law) | 2021 | SCC | 2021 SCC 11 | View on CanLII |
| Canada (Minister of Citizenship and Immigration) v Vavilov (good law) | 2019 | SCC | 2019 SCC 65 | View on CanLII |
| R v Reeves | 2018 | SCC | 2018 SCC 56 | View on CanLII |
| R v Marakah | 2017 | SCC | 2017 SCC 59 | View on CanLII |
| R v Jones | 2017 | SCC | 2017 SCC 60 | View on CanLII |
| First Nations Child and Family Caring Society v Canada (good law) | 2016 | CHRT | 2016 CHRT 2 | View on CanLII |
| Carter v Canada (Attorney General) (good law) | 2015 | SCC | 2015 SCC 5 | View on CanLII |
| R v Spencer (good law) | 2014 | SCC | 2014 SCC 43 | View on CanLII |
| Tsilhqot'in Nation v British Columbia (good law) | 2014 | SCC | 2014 SCC 44 | View on CanLII |
| R v Vu | 2013 | SCC | 2013 SCC 60 | View on CanLII |
| R v Tse | 2012 | SCC | 2012 SCC 16 | View on CanLII |
| Reference re Securities Act (good law) | 2011 | SCC | 2011 SCC 66 | View on CanLII |
| Reference re Assisted Human Reproduction Act (good law) | 2010 | SCC | 2010 SCC 61 | View on CanLII |
| Canadian Western Bank v Alberta (good law) | 2007 | SCC | [2007] 2 SCR 3 | View on CanLII |
| Taku River Tlingit First Nation v British Columbia | 2004 | SCC | 2004 SCC 74 | View on CanLII |
| Haida Nation v British Columbia (good law) | 2004 | SCC | 2004 SCC 73 | View on CanLII |
| Figueroa v Canada (Attorney General) (good law) | 2003 | SCC | 2003 SCC 37 | View on CanLII |
| Sauve v Canada (Chief Electoral Officer) (good law) | 2002 | SCC | 2002 SCC 68 | View on CanLII |
| Ocean Port Hotel Ltd v British Columbia | 2001 | SCC | 2001 SCC 52 | View on CanLII |
| R v Marshall | 1999 | SCC | [1999] 3 SCR 456 | View on CanLII |
| Law v Canada (Minister of Employment and Immigration) (modified) | 1999 | SCC | [1999] 1 SCR 497 | View on CanLII |
| Beaulac v Canada (good law) | 1999 | SCC | [1999] 1 SCR 768 | View on CanLII |
| Baker v Canada | 1999 | SCC | [1999] 2 SCR 817 | View on CanLII |
| Reference re Secession of Quebec (good law) | 1998 | SCC | [1998] 2 SCR 217 | View on CanLII |
| Delgamuukw v British Columbia (good law) | 1997 | SCC | [1997] 3 SCR 1010 | View on CanLII |
| R v Van der Peet (good law) | 1996 | SCC | [1996] 2 SCR 507 | View on CanLII |
| R v Badger | 1996 | SCC | [1996] 1 SCR 771 | View on CanLII |
| R v Pamajewon | 1996 | SCC | [1996] 2 SCR 821 | View on CanLII |
| Friends of the Oldman River Society v Canada | 1992 | SCC | [1992] 1 SCR 3 | View on CanLII |
| Reference re Canada Assistance Plan (BC) (good law) | 1991 | SCC | [1991] 2 SCR 525 | View on CanLII |
| R v Sparrow (good law) | 1990 | SCC | [1990] 1 SCR 1075 | View on CanLII |
| Mahe v Alberta (good law) | 1990 | SCC | [1990] 1 SCR 342 | View on CanLII |
| Knight v Indian Head School Division | 1990 | SCC | [1990] 1 SCR 653 | View on CanLII |
| General Motors of Canada Ltd v City National Leasing | 1989 | SCC | [1989] 1 SCR 641 | View on CanLII |
| Irwin Toy Ltd v Quebec (Attorney General) (good law) | 1989 | SCC | [1989] 1 SCR 927 | View on CanLII |
| Black v Law Society of Alberta (good law) | 1989 | SCC | [1989] 1 SCR 591 | View on CanLII |
| Andrews v Law Society of British Columbia (good law) | 1989 | SCC | [1989] 1 SCR 143 | View on CanLII |
| Ford v Quebec (Attorney General) (good law) | 1988 | SCC | [1988] 2 SCR 712 | View on CanLII |
| Bell Canada v Quebec | 1988 | SCC | [1988] 1 SCR 749 | View on CanLII |
| R v Morgentaler (good law) | 1988 | SCC | [1988] 1 SCR 30 | View on CanLII |
| R v Crown Zellerbach (good law) | 1988 | SCC | [1988] 1 SCR 401 | View on CanLII |
| R v Oakes (good law) | 1986 | SCC | [1986] 1 SCR 103 | View on CanLII |
| Societe des Acadiens v Association of Parents (modified) | 1986 | SCC | [1986] 1 SCR 549 | View on CanLII |
| Singh v Minister of Employment and Immigration (good law) | 1985 | SCC | [1985] 1 SCR 177 | View on CanLII |
| Reference re Manitoba Language Rights (good law) | 1985 | SCC | [1985] 1 SCR 721 | View on CanLII |
| Valente v The Queen | 1985 | SCC | [1985] 2 SCR 673 | View on CanLII |
| Hunter et al. v. Southam Inc. | 1984 | SCC | [1984] 2 SCR 145 | View on CanLII |
| Canada v Saskatchewan Wheat Pool (good law) | 1983 | SCC | [1983] 1 SCR 205 | View on CanLII |
| Multiple Access Ltd v McCutcheon | 1982 | SCC | [1982] 2 SCR 161 | View on CanLII |
| Interprovincial Cooperatives Ltd v The Queen | 1976 | SCC | [1976] 1 SCR 477 | View on CanLII |
| Reference re Anti-Inflation Act | 1976 | SCC | [1976] 2 SCR 373 | View on CanLII |
| Reference re Offshore Mineral Rights of British Columbia (good law) | 1967 | SCC | [1967] SCR 792 | View on CanLII |
| Labour Conventions Reference | 1937 | JCPC | [1937] AC 326 | — |
| Union Colliery Co v Bryden | 1899 | JCPC | [1899] AC 580 | — |
| Hodge v The Queen | 1883 | JCPC | (1883) 9 App Cas 117 | — |
| Citizens Insurance Co v Parsons (good law) | 1881 | JCPC | (1881) 7 App Cas 96 | — |
Dataset Reach Summary
This bill touches 6 primary variables which cascade through 205 downstream effects, constrained by 46 constitutional doctrines grounded in 0 constitutional provisions and interpreted by 58 landmark cases.
Tribunal verdict: TRANSFORMATIVE (composite: 0.909)