Dr. Louise Campbell:

My understanding is that in some of the Australian states, provision is made for policy decisions at local or institutional level. My understanding is that an institution cannot be compelled to provide this service for all the reasons we have discussed. I am not sure how the referral mechanisms will work. The referral mechanisms vary across jurisdictions.

There have been concerns historically in Canada over the past five years because people who live in remote areas simply cannot access a practitioner who will enable them to die and they are more vulnerable because of their geographical remoteness from urban locations. There are, therefore, a whole host of issues to be discussed with regard to conscientious objection, organisational objection and the mandatory or not mandatory obligation to refer. That is a big discussion but it does exist.