Specifically to the point on dementia, my current understanding is that it would be unacceptable to provide MAID without a clear duration of life expected. For that reason, advance requests would be required.
Advance requests may not be perfect, but we frequently see patients.... Ms. Demontigny said that she would rather die too early than too late. We see this in our technology-enabled world, where people forgo medical technology that could save their lives. They are afraid of rolling the dice and ending up in a worse situation where they are dependent on others to survive and where they're unable to communicate or contribute to society. For that reason, advance directives are useful far beyond dementia, cognitive decline, and other areas of chronic illness and perhaps acute illness as well.