The purpose of this text is to tell the story of the implementation of the Act Respecting End-of-Life Care, referred to hereafter as Law 2 (Gouvernement du Québec, 2014) with an emphasis on the ambiguous role of ethics in the Interdisciplinary Support Groups (ISGs), created by Quebec's Ministère de la santé et des services sociaux (MSSS). As established, ISGs provide “clinical, administrative and ethical support to health care professionals responding to a request for Medical aid in dying (MAiD)” (Gouvernement du Québec, 2015). It is suggested that their composition includes the participation of a person with an expertise in ethics. These ISGs represent an important innovation for stakeholders involved in MAiD. To date, no scientific research has specifically addressed ISGs and little research has been conducted in other jurisdictions on the roles, operations and practices of MAiD support structures, especially the implication of ethics. Several ISGs have certainly developed promising practices that could benefit all stakeholders in the wider field of ethics and end of life. We will explore the development of ISGs in Quebec as a support structure for MAiD by highlighting the role that ethics has played (and should play) in these morally and humanly challenging situations.

本文的目的是讲述临终关怀法案的实施情况，以下称为第 2 号法律（魁北克省政府，2014 年），强调伦理在跨学科支持中的模糊作用团体 (ISG)，由魁北克卫生和社会服务部创建（MSSS）。根据建立，ISG 提供“医疗保健专业人员响应临终医疗救助 (MAiD) 请求的临床、行政和道德支持”（魁北克省政府，2015 年）。建议他们的组成包括具有伦理学专业知识的人的参与。这些 ISG 代表了参与 MAiD 的利益相关者的一项重要创新。迄今为止，没有专门针对 ISG 的科学研究，在其他司法管辖区也很少对 MAiD 支持结构的作用、运作和实践进行研究，尤其是伦理的含义。一些 ISG 确实制定了有前途的做法，可以使更广泛的道德和生命终结领域的所有利益相关者受益。