As a gerontologist, I’m deeply worried about advance consent for MAID
Tom Koch is an author and medical ethicist at the University of British Columbia. His most recent book isThe Parliamentary Committee reviewing Canada’s current medical assistance in dying laws recently recommended the systemto allow people with incurable illnesses such as dementia to make advance requests for euthanasia. The idea is that people with degenerative illnesses could control their own fate and escape suffering after the point when they can legally give consent.
I came to understand this first in the 1980s while caring for my father. As his dementia set in, a condition he had always feared, there were moments of beauty and shared intimacy that neither of us had anticipated. Stripped of the ingrained roles of our relationship, I saw the essence of the man my mother married, the person at the core of the father he had been. And, of course, he came to know me in a way that was previously impossible..
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