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Annaliese Holland, 25, Approved for Voluntary Assisted Dying, Plans to End Her Life

Approval followed a three-week evaluation under Australia’s voluntary assisted dying law.

Overview

  • Diagnosed at 18 with autoimmune autonomic ganglionopathy, she was told by 22 that her condition was terminal.
  • Her decline includes multi-organ failure, reliance on total parenteral nutrition, and 25 surviving episodes of sepsis.
  • Treatment complications have caused severe osteoporosis, multiple spinal fractures, a cracked sternum, necrosis, and significant dental loss.
  • She describes VAD as a “safety blanket,” saying the option relieves anxiety about future pain and that she will choose the timing.
  • Her family is torn, with her mother hoping for a miracle and her father coming to accept her choice; VAD is legal across Australian states and differs from euthanasia because patients self-administer the medication.