We see these patients virtually every day. What happens is that you do everything possible to address their suffering in those domains I referred to before, including existential and spiritual suffering. Part of the frustrations that many of us have with the system is that, if I want to refer for spiritual care or anticipatory grief or even family members for grief and bereavement, the access to those services is very poor. We have long waiting lists.
We have to often take it upon ourselves to address that suffering. I guess I've always worked on the principle that I will do whatever possible to address their suffering, everything short of MAID, but ultimately, if that person insisted that everything we have tried was not acceptable to them, which is consistent with the law, then I would agree to an eligibility assessment for them with regard to medical assistance in dying.