In the 16 months between the Supreme Court decision and the passage of federal legislation regulating medically assisted death, I was intensely involved in discussions and debates within the medical profession, among Catholic health care providers, ethicists and clergy, and with national and provincial government bodies. I was trying to mitigate the harms of the decision, particularly in the protection of the vulnerable, and in defending the right of conscientious objection for physicians and faith-based organizations.