Does it worry you that there could be abuse? Patients could get the meds while they were lucid, but when they became a burden, someone else could administer them?
Theoretically there would be that possibility. For the most part, I’ve found when patients slip away in that way, the family becomes more concerned about their welfare and more likely to find help.
The only other states where patients can do this are Washington and Montana. Why hasn’t it spread further?
There’s tremendous opposition from the religious community, for reasons I accept. There’s built-in antagonism among the medical profession. “I think I’ve done all I can, and I’m not going to do any more” is not the sort of thing doctors say. And patients and their families have the hugest difficulty in accepting that they are beyond treatment in a curative sense.