Objections to assisted dying within institutions: systemic solutions for rapprochement

In this Matters Arising article, we outline how the recent article The impact on patients of objections by institutions to assisted dying: a qualitative study of family caregivers' perceptions (White et al., 2023 Mar 13;24(1):22) informed Voluntary Assisted Dying (VAD) implementation in our large Australian public health setting, where objections do not emanate from, but within, the institution. In reporting the harms to patients and caregivers created by institutional objection, White et al. provide an evidenced-based road map for potential potholes or risks associated with VAD implementation. We discuss the complexities emerging from the diverse views of health professionals and the ethical tensions arising from such, especially within certain specialties, and how we developed systemic strategies that support patients, caregivers and staff alike. We highlighted the need to shift from Do you support VAD? to How can we support you as healthcare professionals to integrate VAD into your practice, in a way that complies with the legislation, meets the needs of patients and caregivers, and feels safe and does not compromise your moral stance?

Automated summary

This article discusses how a recent study on the impact of institutional objections to assisted dying informed the implementation of Voluntary Assisted Dying (VAD) in an Australian public health setting. The study found that institutional objections can harm patients and caregivers, and provides systematic strategies to support VAD implementation. The article highlights the importance of considering the diverse views of healthcare professionals and addressing ethical tensions, while ensuring the integration of VAD into practice in a safe and compliant manner.