Medical Assistance in Dying committee  I'll speak first. I think it makes sense for it to be a standard of practice. It could fall under the regulation of provincial colleges of physicians, or something like that. I think that would be sufficient. The point of all of this is to try to make sure that everything goes

Medical Assistance in Dying committee  Yes, I'd be happy to address this. It's about autonomy. It's about how we project our autonomy. Really, what advance requests do is project our autonomy into the future, into the person that we will become. We know that we change all the time, from day to day. You are changed by

Medical Assistance in Dying committee  I can speak for myself that I generally agree, but what I'm trying to represent for you are the perspectives of the MAID providers. We didn't discuss that, so I'm hesitant to comment.

Medical Assistance in Dying committee  It's not that I'm not certain. It's that it was outside of the domain of our study. It wasn't something that we looked at.

Medical Assistance in Dying committee  Yes. I think that's an extremely excellent suggestion. The more people you confer with, the more people you lodge your autonomous wishes with, the more likely you are to have them expressed at the right time, when provision of MAID should be delivered.

Medical Assistance in Dying committee  I'm not sure I understand the question.

Medical Assistance in Dying committee  Yes. I think that's quite reasonable. As I understand it, ultimately the decision to provide MAID is going to rest with the MAID provider. The point of all of the recommendations that I put forward here, which came out of suggestions from MAID providers, is setting up the struct

Medical Assistance in Dying committee  Yes.

Medical Assistance in Dying committee  That's correct. I think you already heard from some MAID providers who have suggested that nothing will be foolproof and guaranteed. What we want to do is set up the situation so it is likely you get the outcome you want, with the kinds of constraints that are important to you.

Medical Assistance in Dying committee  That's what we anticipate, yes. Of course, we don't have advance requests for MAID. All we have is the hypothetical we presented to those MAID providers.

Medical Assistance in Dying committee  Yes. That seems to satisfy what I would consider to be informed consent.

Medical Assistance in Dying committee  Yes. I guess what I would say is that it's really in the interest of the patients, the requesters, to reaffirm as often as is appropriate, given their relationship with the provider, to ensure that the consistency of their views is heard, because that makes it more likely that th

Medical Assistance in Dying committee  Yes. It's entirely possible that you, as an individual—particularly as a dementing patient—might behave in a fashion where you might resist at the time of provision. You might be resisting all kinds of treatment at that point. That is a very difficult situation for a MAID provide

Medical Assistance in Dying committee  Thank you very much for inviting me to speak before this committee. I am a professor of neuroethics at the University of British Columbia. Today I'm going to outline for you a problem and then share some solutions. If advance requests for MAID become legal, one might think that