Quebec physician Bruno Gagnon, who has dedicated his career to palliative care, is facing obstacles due to his moral objection to medical assistance in dying (MAiD). Dr. Gagnon believes he still has a lot to offer in the field but feels restricted under current circumstances. Bill 11, implemented on June 7, has expanded MAiD in the province, including the requirement for all palliative care facilities to provide the procedure. As a result, Dr. Gagnon is left with the options of either retirement or opening a private practice, neither of which is ideal. He has always felt marginalized in his profession due to his views on MAiD. Recently, he applied for a position at a growing facility but was informed that his objection to MAiD cost him the job. The facility would be unable to perform the procedure on days when he was the only doctor on duty, creating logistical issues. Dr. Gagnon expresses his disappointment, stating that it no longer feels like true palliative care. He cites cases where his colleagues offered MAiD instead of treatments that could have alleviated patients’ suffering. However, national data shows that more than 80 percent of individuals who received MAiD had prior palliative care. Dr. Gagnon argues that the remaining 20 percent did not have access to proper palliative care. Despite their opposing opinions on MAiD, both Dr. Gagnon and Georges L’Esperance agree that one’s spiritual faith can significantly impact approaches to palliative care and understanding of MAiD. Dr. Gagnon believes that palliative care workers should uphold Christian-like values and provide spiritual hope to patients as they face the end of life. St. Raphael’s, a Catholic palliative care facility in Montreal, is one of the few in Quebec that does not offer MAiD but is currently analyzing how to handle the new law. Their main focus remains to provide excellent palliative care and compassionate services.