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French Health Authority Rejects Prognostic Criteria for Assisted-Dying Eligibility

The Haute Autorité de santé advises focusing on quality of life over temporal prognosis, as lawmakers prepare for National Assembly debates on May 12.

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Overview

  • The Haute Autorité de santé (HAS) has determined that defining prognostic terms like 'medium-term vital prognosis' is medically unfeasible due to individual variability and lack of consensus.
  • HAS experts recommend shifting the focus from temporal prognosis to assessing the quality of a patient's remaining life when determining eligibility for assisted dying.
  • Deputies have proposed replacing precise prognostic criteria with the broader term 'phase avancée ou terminale d’une maladie,' which could widen eligibility to include patients with incurable neurodegenerative diseases.
  • No European country currently uses time-based prognostic criteria for assisted dying, and Québec has abandoned such an approach after trialing it.
  • The French National Assembly will begin a two-week debate on May 12 to finalize the terms of the proposed assisted-dying legislation.