Chronically ill individuals are increasingly turning to Medical Assistance in Dying (MAID) as a means of achieving a dignified death. The author, who has lived with Type 1 diabetes and long COVID, explores the complex interplay between chronic illness, autonomy, and the availability of MAID. The case of Kiano Vafaeian, a 26-year-old man granted MAID due to Type 1 diabetes and complications, serves as a poignant example of the challenges faced by those living with chronic illnesses. The author delves into the ethical and societal implications of MAID, questioning why the rules differ for individuals with varying health conditions. The discussion highlights the loneliness and isolation experienced by those with chronic illnesses, emphasizing the need for better support systems and healthcare accommodations. The author also critiques the autonomy-first approach in healthcare, advocating for a more holistic understanding of patient autonomy that considers the broader context of a patient's life. The piece concludes with a call for society to create spaces that foster a sense of belonging and dignity for those living with chronic illnesses, challenging the notion that MAID is the only option for those seeking a dignified life.
