The Last Doctor

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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, who dedicated her career to preserving life, became one of the few doctors to train in MAiD after the Supreme Court of Canada approved it in 2016. In just one year, she delves into end-of-life practices across bustling Toronto hospitals, hospices, and smaller communities, discovering that essential services are often minimal or lacking. This narrative recounts Marmoreo's intensive training in MAiD and introduces a diverse array of memorable patients—some elderly, others with degenerative conditions or terminal illnesses—who seek her assistance to end their suffering with dignity. Throughout her journey, Dr. Marmoreo undergoes a profound emotional transformation as she navigates the complexities of end-of-life situations. Her experiences with MAiD challenge her deeply, prompting reflections on pain, loneliness, joy, and life's most significant questions. In a time when end-of-life care is increasingly scrutinized, this account offers a personal, humane, and authoritative perspective on a challenging subject.