TORONTO -- Canada's highest court struck down a ban on doctor-assisted suicide for mentally competent patients with terminal illnesses, declaring Friday that how people choose to confront such conditions is "critical to their dignity and autonomy."
The Supreme Court's unanimous decision reverses its own decision two decades ago and gives Parliament a year to draft new legislation that recognizes the right of consenting adults who are enduring intolerable suffering to seek medical help ending their lives. The current ban on doctor-assisted suicide stands until then.
The judgment said the ban infringes on the life, liberty and security of individuals under Canada's constitution. It had been illegal in Canada to counsel, aid or abet a suicide, an offense carrying a maximum prison sentence of 14 years.
"The law allows people in this situation to request palliative sedation, refuse artificial nutrition and hydration, or request the removal of life-sustaining medical equipment, but denies the right to request a physician's assistance in dying," the ruling noted.
The decision reversed a Canadian Supreme Court ruling in 1993. At the time, the justices were primarily concerned that vulnerable people could not be properly protected under physician-assisted suicide.
The top court said Friday that doctors are capable of assessing the competence of patients to consent, and found there is no evidence that the elderly or people with disabilities are vulnerable to being talked into ending their lives.
Friday's decision was spurred by the families of two British Columbia women, who have since died.
Gloria Taylor, was diagnosed with Lou Gehrig's disease, a degenerative neurological illness. Taylor had won a constitutional exemption at a lower court for a medically assisted death in 2012, but that decision was overturned in subsequent appeals. She died of an infection later the same year.
In its ruling, the court quoted Taylor's wishes: "What I fear is a death that negates, as opposed to concludes, my life," she said. "I do not want to die slowly, piece by piece. I do not want to waste away unconscious in a hospital bed. I do not want to die wracked with pain."
The court stated that "by leaving people like Ms. Taylor to endure intolerable suffering, it impinges on their security of person."
Kay Carter was diagnosed with a degenerative spinal cord condition. At age 89, Carter travelled to Switzerland, where assisted suicide is allowed.
"Justice, dignity and compassion were the defining qualities of my mother," Kay's daughter, Lee, told reporters. "We just felt that it was a fundamental right for Canadians that they should have this choice."
Canadian law defines assisted suicide as "providing another with the knowledge or means to intentionally end his or her own life."
Assisted suicide is legal in Switzerland, Germany, Albania, Colombia, Japan and in the U.S. states of Washington, Oregon, Vermont, New Mexico and Montana. The Netherlands, Belgium and Luxembourg allow doctors, under strict conditions, to euthanize patients whose medical conditions have been judged hopeless and who are in great pain.
Canadian Justice Minister Peter MacKay responded to Friday's ruling saying, "This is a sensitive issue for many Canadians, with deeply held beliefs on both sides. We will study the decision and ensure all perspectives on this difficult issue are heard."
The Canadian Medical Association said it will work with legislators to draft a new law governing medical aid in dying to ensure patient needs are respected and the physician's perspective is reflected.
Opponents of assisted suicide denounced the ruling.
"Life is too precious to allow a doctor to kill," said Dr. Charles McVety, president of the Institute for Canadian Values. "It is sad to think that people suffering will now have to contend with the pressure of making a decision on ending their life, instead of fighting to continue."
In a joint statement, the Council of Canadians with Disabilities and the Canadian Association for Community Living said they are "profoundly disappointed."
"As we each near the end of our lives, at the time when we are likely to be most vulnerable to despair and fear, we have now lost the protection of the Criminal Code," the groups said.
It has been more than 20 years since the case of another patient with Lou Gehrig's disease, Sue Rodriguez, gripped Canada as she fought for the right to assisted suicide. She lost her appeal but took her own life with the help of an anonymous doctor in 1994, at the age of 44.