My personal opinion, which I haven’t discussed with anyone else recently and haven’t seen it anywhere for years - is that Track 1 with good safeguards is the only “healthcare” that should be privatized. Income test it in the opposite direction that marginalized people always get income tested - and make those who have assets over the poverty line pay for it on a sliding scale so that the “duty to die” doesn’t keep falling on poor people. That would be a safeguard - make people who want to check out months or years early pay a tidy sum for it and put a decent set portion of that money back into health, palliative and hospice, and social services and housing. And for people who don’t have money to pay for it, make sure that all the other choices exist and are being tried. Public health shouldn’t be touching MAiD. Not only is it dangerous at this juncture for it to be available in nearly all hospitals as a “choice” that leaves people vulnerable to coercion, it’s not healthcare. It’s not even “end of life care” unless a person is literally at the very end, pain is uncontrollable, and they are about to die (with few exceptions). That’s what it was initially about. Removing the criminal charge for doctors who overdose patients as they’re actively acutely dying and begging to be let go. The common argument was that it wasn’t fair in those cases for doctors to face murder charges and I agree with that specific argument. But MAiD means literally killing people and that’s not medicine’s job. It’s not healthcare. That’s my personal opinion. MAiD is not about health it’s about death. Privatizing Track 1 MAiD could level the playing field.
And still eliminate Track 2 altogether.