The Collège des médecins du Québec undertook a reflection about intensity of care, which has contributed to the revival of the debate on euthanasia in Québec. This article proposes to retrospectively discuss this contribution. Medical ethics have always been a major argument to oppose euthanasia. Any related question can easily revive the discussion. This time, the debate is significantly different since it is reoriented toward care, and the Collège issued a clear statement : treatments are more appropriate when they stem from a well–executed decision–making process. As a treatment, euthanasia brings new challenges, especially when patients loose their decision–making capacities. Still, it is easier to grapple these new challenges when focusing on decision–making and appropriate care.