The article proposes a reflection on the evolution of medical assistance in dying based on an analysis of four societal value-based trends, namely the quest for autonomy, retreat of the argument of authority, search for a quality of life and the decline of religion. These four trends have gradually imposed themselves both in Quebec and elsewhere in the West (Boudon, 2002) and have largely influenced the evolution of the debate on medical assistance in dying (Scarlett-May, 2018; Volant, 2011). Each of these values is discussed and compared to the issues concerning medical assistance in dying. In the evolutionary approach of the palliative care network, these values question the relationship between caregivers and end-of-life patients. To start, a contextualization of the progress of the law in this matter is presented. Lastly, avenues for intervention are proposed and ethical considerations are raised to promote the personal choices of individuals at the end of life as much as possible.