I think that's true. However, if we look at adults who have opted for MAID, many of them have had excellent palliative care. I think I'm one of a minority of physicians in that I don't think that palliative care is the answer to the question about whether or not there should be MAID.
Obviously I'm passionate about providing excellent palliative care, but I can still think of families whose child was dying, who questioned why they must live in that state any longer. That might be an existential sort of concern, a physical symptoms sort of concern, and I think poignantly of one family I cared for recently, in which the child's mother had opted for MAID for cancer the week before the grandchild died, and the mother caring for this child, who was also dying of a malignancy, said, “Why can't we make this choice?”
Therefore, I think that the mature minors are one scenario and the parents of never-capable children are another one. I know that is not the purview of this committee, but it's actually the question that's raised to me more often than those from the youth themselves.