What the actual evidence shows—again, reassurances aside—is that even with our best precision modelling, for something as severe as treatment-resistant depression for potential MAID assessments, assessors would get them wrong more than 50% of the time. A study done by Marie Nicolini showed 47% accuracy, which is interesting; it's actually worse than flipping a coin.
Nothing has changed in terms of developing more evidence to say that we can make better predictions. In fact, it's the opposite. Even Dr. Gupta has agreed, in a report she chaired, that you can't make determinations of irremediability. She suggested that this should be an ethical decision each and every time by an assessor. I'll let people think about whether they want their physician providing death to make an assessment of irremediability as an ethical decision.
Regarding suicidality, you actually cannot separate those factors, because, as I mentioned, they're the same factors, and we are seeing those, contrary to what Dr. Gupta said. We are seeing those emerge already in track 2 data, which will only get worse if it's expanded to MAID for mental illness.
