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Assisted dying in practice: Australian lessons for the Terminally Ill Adults (End of Life) Bill
Alex Hughes1,2
1King's College Hospital, London, UK alexander.hughes3@nhs.net.
Abstract:
This editorial draws on clinical experience with Voluntary Assisted Dying (VAD) in Western Australia to critically examine the Terminally Ill Adults (End of Life) Bill. It compares the legislative approaches and examines the three key eligibility criteria: Terminal Illness (clause 2), Capacity (clause 3), and Coercion (clause 7). Concerns include prognostic accuracy, assessment setting, and structural coercion. Recommendations include independent life expectancy evaluations, outpatient based assessments, and early mandatory palliative care and social work involvement. Transparency about societal risks are emphasised, and the editorial draws on the UK governments recently published Impact Assessments.
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