loses capacity to consent, they are no longer eligible for MAiD.
Once a patient is connected to a willing clinician, the process for
actually obtaining MAiD can take time. By placing the onus on
patients to contact the CCS or Telehealth, the appellants’ model
increases the possibility of front-end delay in accessing MAiD.
 The vulnerability of patients seeking MAiD is self-
evident, but it is firmly established in the evidentiary record.
Dr. Kevin Imrie is a physician at Sunnybrook Health Sciences
Centre in Toronto, who gave evidence on behalf of the College. Dr.
Imrie observed that when patients meet the criteria for MAiD
they are necessarily vulnerable physically and psychologically.
They are also exceptionally dependent on their health care
providers. At the time his affidavit was sworn, Dr. Imrie had par-
ticipated in three cases of MAiD. He deposed that,
Patients who find themselves in the position of seeking MAiD are often in the
most vulnerable of positions, are very sick, and facing all of the physical,
mental and emotional burdens and trauma associated with facing the end of
their lives. During such a time, they are enormously dependent upon their
doctors and the health care system for what quality of life they do have.
 Similarly, Dr. Edward Weiss, a family physician and the
contact person for MAiD for the William Osler Health System in
Brampton and Etobicoke, deposed that at least seven patients
whom he had seen for MAiD in the previous year would not have
easily, or perhaps not at all, been able to access the CCS without
the assistance of a health care professional.
 The intervenors, the Canadian HIV/AIDS Legal Network
et al., point out that patients living with HIV/AIDS face stigmatization and discrimination related to their health care needs. The
same is true of transgender patients who encounter challenges in
accessing appropriate health care, hormonal treatments and
transition-related services. These barriers add to the challenges of
patients with HIV/AIDS or transgender patients in accessing
MAiD and other health care services and accentuate the need for
direct and personal referrals.
 The appellants’ own evidence illustrates these challenges.
One of the individual appellants described how she had responded
to a transgendered patient who sought assistance in transitioning.
She explained her religious convictions to the patient: “I believe
that God has created us male and female, and that choosing to
change your gender is working against how God has made you.
And ultimately when people change their gender they think that
life is going to be better but there’s a high suicide rate when
people change their gender.” The physician referred the patient to
a psychiatrist for “gender dysphoria”. Again, I do not doubt the
physician’s sincerity or her dedication to her patient. Her evidence