That's an excellent question; it gets to the heart of a lot of this.
I can tell you that, at the beginning, I used to end my talks with a precariously balanced kind of picture that suggested that we're going to find one bright balance point, a solid line where things are right on this side and incorrect on that side. I no longer do that because I don't think that we can find a balance point. It's the issue of overinclusion or underinclusion. To me, the question becomes this: Which mistakes do we want to make? I think that offering and providing death under false pretenses is a pretty big mistake.
The other point I'll make is that when we expand to sole mental illness, are offering death under the false pretense of saying, “Your medical condition won't improve”—and more than half of the time we would be wrong in that—and think we can separate suicidality.... These are also people who are more marginalized through psychosocial suffering, which we also know fuels MAID requests as you get further and further away from reasonably foreseeable death. People shift to try to escape a life of suffering, and that's challenging.