Sure, and I thank you for the question.
As I've said, I struggle to see what safeguards there could be, beyond restoring the reasonably foreseeable death criteria. There are some things that could be done.
In the past it's been recommended that for track two there be an independent panel that reviews in detail a detailed psychosocial assessment similar to what we would do in child placement or in sentencing. It could look at all of those factors and at whether there are things like housing and alternatives. That would need to step out of the doctor-patient and into a somewhat removed panel with a broader set of expertise.
The problem, which the senator will be more than aware of, I'm sure, is that with our jurisdictional division of provincial and federal responsibilities, the MAID law can't order the provinces to meet people's disability or housing needs—not without a very long and torturous fight.
That's one thing I think could improve the situation. It's that kind of independent review, psychosocial assessment and ordering. Perhaps if those supports aren't forthcoming, then approval for MAID wouldn't be given until they are.
From a policy perspective, that's really hard to pull off.