It's a difficult question. I don't know all of the safeguards that would be put into place in order for advance requests to be incorporated into the legislation for MAID.
I believe, in terms of respecting autonomy and trying to minimize suffering, this is an area that needs to be explored as an option. I have several patients whom I have assessed with dementia who are very determined to have medical assistance in dying as their end-of-life option.
As I said in my presentation, sometimes people have to choose timing in order to balance fear for loss of capacity, and opportunity for advance requests would, I believe, help to minimize that struggle.