Australia offers lesson in palliative care

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  • Bonita Vanderpas says:

    We truly are in need of Increase in Palliative Care services. I’m a Death Doula looking to help with clients and their families with, Advanced care planning, Legacy work, Vigilling, Teaching, etc… I retired from my 30 year nursing profession last January . I feel their is a great need for home Doula’s. A Doula supports, patients, families and the medical team..
    I believe this is part of the future for Death and dying..

  • Judy Gragtmans says:

    I couldn’t agree more…

  • Lorena McManus says:

    I am in full agreement with you but must add that west of Ontario community based palliative care programs do exist. Winnipeg was among the first created by myself and colleague Dr Mike Harlos in 1999. Calgary and Edmonton I believe are also examples and I believe B.C. has examples but I am not certain. Also, health care aids, nurses etc in Wpg all have certification in palliative care.

    Earlier financial studies demonstrate that cost only occur if beds are closed so I am curious about the the findings in the article. This is true of most savings in health care.

    In all a good article calling for the right things. Lorena McManus BN, MPA

    • Darren Cargill says:

      Thanks Lorena.

      Absolutely. There are great examples of “centers of excellence” all across Canada. St. Boniface was neck and neck with Montreal for the first PCU in Canada. Canadian virtual Hospice in Winnipeg. The Edmonton and Calgary Zones. Victoria Hospice.

      I simply write about what I know best :)

  • Graham Neill says:

    Just incredible! MAiD is a right in Canada. It has to be included in palliative care solutions. To not do so tells us the religious right is overpowering our governance again.

    • Darren Cargill says:

      Thanks Graham.

      For me, MAiD and palliative care are separate entities which sometimes share patients. While 1% of patients may request MAiD, 100% of patients facing a life-limiting illness will benefit from palliative care.

      Almost every jurisdiction that has legalized MAiD has also made significant concurrent investments in palliative care. Canada did not do this in 2016.

      MAiD is not really the focus of this article. There was another recent Healthy Debate article which addressed this issue that might be better suited for this discussion.

      • Judy Gragtmans says:

        Completely agree! We need good palliative everywhere! The Hospice of Windsor is an amazing example.

      • Darren Cargill says:

        Thank you Judy. We are very proud of our program in Windsor. We feel we can lead and be an example to others.

  • Raji Menon says:

    Totally agree!

  • Darren Cargill says:

    TY again Healthy Debate. Look forward to questions, comments and gratuitous insults.


Darren Cargill


Dr. Darren Cargill is a fellow of the College of Family Physicians of Canada, the Royal College of Physicians of Canada, and American Association of Hospice Palliative Medicine. He is the past medical director for the Hospice of Windsor and Essex County and lead physician for its community-based Palliative Medicine Program. He is one of only two certified hospice medical directors in Canada and has his designation as a certified Canadian physician executive.  He received HPCO’s Larry Librach award in 2017 for excellence in leadership and advancing palliative care through mentorship.

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