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Coroner finds lapses in care for Quebec man who sought MAID after hospital bedsores

Quebec coroner issued 31 recommendations addressing systemic failures in care for spinal cord injury patients after a man with severe bedsores sought medical assistance in dying.

  • On Nov. 25, 2025, Quebec coroner Dave Kimpton issued his public inquiry report on the death of Normand Meunier, 66, who received MAID in March 2024, and made 31 recommendations.
  • Medical files indicate Normand Meunier developed a severe pressure sore after spending four days on a stretcher in Saint-Jérôme Hospital emergency room without a therapeutic mattress, worsening until bone and muscle were exposed.
  • Guaranteed and prompt access to therapeutic mattresses tops Dave Kimpton's recommendations, along with creating an advisory committee on bedsores and urging the Quebec Order of Nurses to boost training and best practices in emergency departments in Quebec health network.
  • In response, the CISSS des Laurentides said it welcomed the recommendations with openness and a firm commitment to continue improvement measures, while Dave Kimpton noted further reforms and culture change are essential.
  • The coroner framed the recommendations as addressing systemic failures in care for patients with spinal cord injuries, noting at least a dozen MEMO-Qc members requested MAID since 2023 due to poor care, and Kimpton urged valuing patient expertise.
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The Hamilton Spectator broke the news in Hamilton, Canada on Tuesday, November 25, 2025.
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