Sure.
Yes, there are concerns and there are things we would need to do. In terms of informed consent, the individual should obviously know the disease state, the trajectory of their diagnosis and how things are going to go so that when they're describing, in their advance request, that point at which they would like MAID, it's a clear description. I think the description needs to go beyond “when my family can't recognize me”. Perhaps it's a specific state or stage in a dementia diagnosis, and very detailed.
I think it's also important to note the use of language. This is an advance request; it's not an advance directive. The request is made. We believe that all of the eligibility requirements that exist for MAID, as outlined in the current legislation, should still be met—so the two assessments and all of those pieces. Then the clinician never has to go ahead with the procedure if they don't feel the individual meets the bar that's been set. It is a request, not a directive, and I think it's important we remember that language.