Canadian French and English newspapers’ portrayals of physicians’ role and medical assistance in dying (MAiD) from 1972 to 2016: a qualitative textual analysis

OBJECTIVE: To examine how Canadian newspapers portrayed physicians’ role and medical assistance in dying (MAiD). DESIGN: Qualitative textual analysis. SETTING: Online and print articles from Canadian French and English newspapers. PARTICIPANTS: 813 newspaper articles published from 1972 to 2016. RESULTS: Key Canadian events defined five eras. From 1972 to 1990, newspapers portrayed physician’s MAiD role as a social issue by reporting supportive public opinion polls and revealing it was already occurring in secret. From 1991 to 1995, newspapers discussed legal aspects of physicians’ MAiD role including Rodriguez’ Supreme Court of Canada appeal and Federal government Bills. From 1996 to 2004, journalists discussed professional aspects of physicians’ MAiD role and the growing split between palliative care and physicians who supported MAiD. They also reported on court cases against Canadian physicians, Dr Kevorkian and suffering patients who could not receive MAiD. From 2005 to 2013, newspapers described political aspects including the tabling of MAiD legislation to change physicians’ role. Lastly, from 2014 to 2016, newspapers again portrayed legal aspects of physicians’ role as the Supreme Court of Canada was anticipated to legalise MAiD and the Québec government passed its own legislation. Remarkably, newspapers kept attention to MAiD over 44 years before it became legal. Articles generally reflected Canadians’ acceptance of MAiD and physicians were typically portrayed as opposing it, but not all did. CONCLUSIONS: Newspaper portrayals of physicians’ MAiD role discussed public opinion, politicians’ activities and professional and legal aspects. Portrayals followed the issue-attention cycle through three of five stages: 1) preproblem, 2) alarmed discovery and euphoric enthusiasm and 3) realising the cost of significant progress.