05/20/2026
I wanted to touch on a one of the most tender topics – Medical Aid in Dying (MAiD), because it lives right at the intersection of fear, love, suffering, control, and conscience.
Whether you feel curious, cautious, supportive, conflicted, or unsure...all of that belongs.
What Medical Aid in Dying is (and isn’t).
In places where it’s authorized, MAiD allows a terminally ill, mentally capable adult to request a prescription for medication they can choose to self-administer to bring about a peaceful death.
It is not the same as euthanasia (where someone else administers the medication). With MAiD, the person must be able to self-administer the medication.
While details differ by jurisdiction, most MAiD laws include safeguards such as:
Eligibility requirements (commonly: adult, terminal diagnosis with a prognosis of around 6 months, decision-making capacity, and the ability to self-administer).
Multiple requests (often an initial request, a second request after a waiting period, plus a written request).
Two clinicians involved to confirm the diagnosis, prognosis, capacity, and voluntariness (and to ensure the person knows all available options including hospice and palliative care).
And then comes the most important part: the medication is only an option. Some people request it and never take it. The value, for many, is simply knowing it’s there.
The practical side (what families don’t realize they’ll need).
If MAiD is something you’re considering (or supporting someone who is), these practical questions matter:
• Who will be present?
• Where will it happen?(home, facility, another setting allowed by law/policy)?
• What does the person want the hours and days beforehand to feel like?
• What support is in place for symptom management, anxiety, and fear? (Hospice/palliative care can be a part of this).
• How will the family be supported after this?
These aren’t just logistics – they are the scaffolding that holds dignity.
A lot of feelings come up around this subject. People fear suffering and loss of control. There are fears of being a burden. There is often conflicts with families because not everyone will agree on the decision. There is also anticipatory grief.
And finally, some will experience this as a way to align their death with their deepest values: autonomy, clarity, timing, or sacred choice. Others experience spiritual conflict asking: “Is this wrong?” “Will I be judged?”
Common fears (and what helps)
“What if I change my mind?”
You can. MAiD is voluntary at every step.
“What if I can’t go through with it?”
Then you don’t. Many people find comfort simply by having the option.
“What if my family thinks I’m choosing death over them?”
This is common. This is where clear, loving conversation matters most. “I love you. This isn’t about wanting to leave you. It’s about wanting my suffering to end in a way that matches my values.”
MAiD is not available in every state, but if you know someone who is thinking about this, I can offer a safe, non-judgmental space to talk about the emotional, practical, and spiritual layers of this through Tele-Doula services.
Note: MAiD laws and processes vary by location. This information is for educational purposes only and is not medical or legal advice. Please consult your medical team and local resources for guidance specific to your state.