Your seventh recommendation is “to require that discussions on medical assistance in dying be initiated only by patients”. Your eighth recommendation is to “consult the immediate family when assessing a medical assistance in dying application” for cases involving an intellectual disability. I believe that these are measures that should be part of medical practice. Do you get the impression that the assessors or providers would not be receptive to that?
It seems to me that the medical community would be altogether prepared to talk with the families. It goes without saying.