We have to make sure that people who have major neurocognitive disorders don't request medical assistance in dying merely because they're afraid of their own decline and want to avoid becoming a burden to their loved ones. That's often what we hear.
I'm somewhat concerned at the idea of a physician immediately proposing medical assistance in dying to a patient upon diagnosing a major neurocognitive disorder in a clinical setting. That might raise questions in the patient's mind; he might wonder whether the physician feels that his status is grievous enough for him to request medical assistance in dying. Imagine if I informed you that you have diabetes and then asked you whether you'd like to opt for medical assistance in dying. You might think diabetes is a very serious disease.