The Canadian Charter of Rights and Freedoms protects the rights and freedoms of all Canadian individuals. Individuals are given the ability to challenge government actions that they feel are in violation of their personal rights and freedoms. Canadians, are first and foremost Canadians, and separate and distinct from the actual professions in which they engage. Additionally, a physician could be sued by the family of a patient with mental health issues if the family believe the physician assisted their relative in committing suicide by engaging in "effective referral", and that this action was not in the patient's best long term interest. This is yet another impediment for physicians to remain in family medicine. Please remove the term, "effective referral".