For 25 years, David Maginley provided psychospiritual care in the cancer, palliative and intensive care unit of a major Canadian hospital. A four-time cancer survivor himself, he has supported thousands as they faced life-threatening illnesses, hundreds as they've died, and regularly been involved in MAiD cases. Ordained in the Lutheran Church, he now has a private practice and speaks internationally. Dr. Robert Twycross, a pioneer in hospice and palliative care, was educated at Oxford University and began his career in the 1970s at St. Christopher's Hospice alongside Dame Cicely Saunders. His groundbreaking research in pain management, particularly the effective use of opioids for cancer pain, established global standards and influenced the World Health Organization's analgesic ladder.A dedicated educator, Dr. Twycross's textbooks, lectures, and workshops shaped generations of healthcare professionals, extending palliative care principles beyond hospices into mainstream medical practice. Dr. Twycross transformed end-of-life care, ensuring that the alleviation of suffering remains central to medical practice.
Early Exits is a milestone that will bring comfort to many and may change the way we think about end-of-life care. This thought-provoking and, ideally, conversation-provoking book should be required reading for anyone dealing with or anticipating the process of dying. - Bruce Greyson, MD Carlson Professor Emeritus of Psychiatry & Neurobehavioral Sciences Division of Perceptual Studies, University of Virginia Health System This is a well-informed, honest, and deeply spiritual alternative to the materialistic, individualistic, and autonomy approaches to death and dying. The narratives are impressive, as is the author's courage to swim against the current. - Theo A. Boer, PhD Universitair Docent Ethiek, Protestantse Theologische Universiteit Groningen, Netherlands Center for Bioethics and Health Law of Utrecht University Early Exits is a masterfully argued, well-written, compassionate, and provocative book on a contested issue that will likely continue to be debated. - David Pfrimmer, PhD Professor Emeritus for Public Ethics Martin Luther University College An honest and thought-provoking review of MAiD in Canada, urging readers to consider our approach to living, dying, suffering, and reality itself. This is an immensely significant work that contributes to our ongoing societal dialogue on the dying process. I highly recommend this book to anyone who recognizes the importance of embracing life fully, including its inevitable end. - Kristine Lund, PhD, RP Professor, Spiritual Care and Psychotherapy Clinical Director, Delton Glebe Counselling Centre David offers a non-judgmental exploration that is both well-researched and deeply heartfelt. His extensive background in working with dying individuals shines through in this remarkable book, overflowing with invaluable insights and resources. This is a thought-provoking and enriching read, shedding light on the profound challenges of transitioning with grace and dignity. Magnificent! - Rebecca Austill-Clausen MS, OTR/L, FAOTA Ethics Committee, International Association for Near-Death Studies This book arrives at a crucial moment as MAiD is increasingly adopted. It offers a thoughtful pause and a chance to reflect on end-of-life decisions, serving as a valuable resource for patients, physician advisors, and policymakers... For all of us reflecting on our shared mortality, this book presents a rich and hopeful perspective on ancient and modern approaches to this often-avoided subject. - Drew Bethune, M.D. Retired thoracic surgeon, Former Senior Medical Director Nova Scotia Cancer Program