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Dying Waiting: VAD Access Blocked by Outdated Laws
23 Apr
Summary
- Australia uniquely prevents telehealth in voluntary assisted dying processes.
- One in three Australians found it difficult to locate a supportive doctor.
- Demand for VAD services is predicted to soon exceed current capacity.
Voluntary assisted dying (VAD) applications are increasing across Australia, yet the nation remains the sole country to prohibit the use of telehealth in this process. This restriction creates significant barriers, with a concerning number of patients dying while waiting to complete the VAD procedure due to regulatory complexities.
Advocates highlight that while VAD is legal in most Australian jurisdictions, navigating the multi-week process, involving multiple doctor assessments and requests, proves difficult for many. Approximately one in three individuals reported challenges in finding a doctor willing to support their VAD request. The Northern Territory is committed to drafting VAD legislation, though a timeline remains undefined.
Furthermore, the VAD sector is approaching an 'inflection point,' as demand is projected to surpass service capacity. Concerns include process complexities, a shortage of trained practitioners, limited open discussions about VAD, and objections from faith-based institutions. Without adequate support and remuneration for practitioners, the system risks strain and burnout.
The federal government acknowledges the complexities arising from the interplay of Commonwealth legislation and state/territory VAD schemes. Discussions with states and territories are ongoing to address these critical issues, aiming to improve access to end-of-life care for those who choose it.
