Bibliographic record
Abstract
An Act Respecting End of Life Care came into force in the province of Québec, Canada on 10 December 2015. This new law aimed to ensure that all adults with decisional capacity in Québec had access to the full range of health care options at the end of their lives including for the first time, medical assistance in dying (euthanasia). This chapter describes how the province’s medical regulator, the Collège des Médecins du Québec (CMQ), laid the groundwork for the passage of this law. Although not necessarily setting out to play a role in law reform as such, the CMQ’s proposal to frame assisted dying as a therapeutic act enabled the legislator to introduce a bill which already had the support of the medical profession as well as a regulatory structure in place to guide practice. This allowed the regulator to be more than a stakeholder in a process of law reform but a driver of reform itself.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.011 | 0.016 |
| Scholarly communication | 0.012 | 0.006 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.014 | 0.011 |
| Insufficient payload (model declined to judge) | 0.012 | 0.004 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".