I would answer by saying there's nothing in the Supreme Court's ruling that addresses, from a constitutional perspective, whether Canadians have the right to make an advance directive for medical aid in dying that would be provided to them after they had lost their ability to say that it's what they want or don't want. There's nothing in the Carter ruling that tells Parliament that is something it has to consider.
I can say that the National Assembly of Quebec did not take that step in Bill 52. Certainly there are some who might have sought that, and they did have a special piece of analysis done, because it raises very different issues.
For instance, the person who makes an advance directive before the time that a family member, for instance, brings it to the physician's attention, is no longer able to say whether or not they want physician-assisted dying. They're not able to articulate the nature of their suffering. These are elements that would need to be present under the law right now in order for a person to access it at a later time. At the time when it would be provided, the person would not be able to say whether they were suffering.
It presents unique challenges for physicians, and it's an issue that is dealt with separately. Is it something Parliament and this committee might wish to consider? It may be, but I don't think there's anything in the Carter ruling that instructs Parliament to go there.