That's a very important issue. This is another one where our interpretation of the Carter decision did not include the ability to provide advance directives. We read it, and our constitutional lawyers read it, to indicate that it applied to someone who was capable at the time of request and at the time of the activity of assisted dying. It's not something that we consulted the membership on.
What I can tell you is that in real-life practice, putting advance directives into action is incredibly complex and difficult, because it's very hard to capture all of the nuances and the specifics of a very complicated medical condition and intervention. Even in the best of situations, physicians have a lot of difficulty actualizing an advance directive.
What our members have told us is that they see a lot of potential difficulties if we were to layer on the concept of providing advance directives with a very complex set of circumstances in this type of novel intervention, especially right out of the gate. It would, again, be one further level of complexity that would make it more difficult for a lot of physicians to participate and to actualize the assisted dying process.
Certainly it's not our official policy, but I would caution that it opens up another whole set of circumstances.