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September 10, 2026BioethicsOpen Access

VSED Should Not Be a Pathway to MAiD (Though Both Are Ethically Permissible)

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Authors

DDD. B. Davison

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Overview

Bioethical analysis critiques requiring voluntary stopping of eating and drinking before medical aid in dying in dementia, suggesting direct access routes avoid unnecessary suffering.

Key Points

  • To critically evaluate the ethical justification of requiring voluntary stopping of eating and drinking as a prerequisite for dementia patients seeking medical aid in dying.
  • Conducted a normative bioethical critique of end-of-life legal frameworks and ethical arguments supporting aid in dying.
  • Analyzed the legal concept of terminal self election and reviewed precedent arguments regarding patient autonomy and non-maleficence.
  • Rejects the requirement that patients must undergo voluntary starvation and dehydration to become eligible for medical aid in dying.
  • Proposes alternative ethical mechanisms enabling incapacitated patients with dementia to directly access aid in dying without completing intermediate steps.

Cite This Study

D. B. Davison (2026) studied this question.

synapsesocial.com/papers/6aa27b4758559d80afc745fbhttps://doi.org/10.1111/bioe.70144
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