There's no doubt that a competency assessment is part and parcel of every MAID assessment. Doctors do this all the time because we can't do a single service with a patient—we can't do surgery or do psychotherapy or give medications—without permission, and the person must be competent. Doctors do this routinely.
In the case of MAID, however, you may need to up the ante a little bit and ensure that there are instruments like the MacArthur competency tests or other instruments that can be used. The competency part of the assessment takes a good chunk of time. We want to make sure before recommending someone for MAID that they are truly competent. I think the other thing to keep in mind is that psychiatric patients like everyone else are assumed to be competent until they are proven otherwise. We don't assume that just because you have schizophrenia or depression or a personality disorder you're not competent. You are considered to be competent until we show otherwise.