What MAID Means for Your Estate Plan
Margaret had been thinking about it for two years. After her ALS diagnosis, she’d done her research, spoken with her doctor, and made her decision. She knew the date. Her family knew the date. What nobody had gotten around to was her will. It was 15 years old, named an ex-spouse as executor, and didn’t reflect a single thing about her life as it was now.
The gift of a planned death is time. The tragedy is when that time isn’t used.
MAID (medical assistance in dying) gives Canadians with a grievous and irremediable medical condition the legal option to choose the timing of their death. That’s a profound thing, and this article isn’t about the medical process or the policy debate. It’s about something more practical: what having a planned death means for your estate, your documents, and the people you’re leaving behind.
Because MAID changes the estate planning conversation in ways most people, and honestly, many professionals, haven’t fully thought through.
You Know the Date. Your Documents Should Too.
When death is sudden, there’s no window to update a will or have the conversations that should have happened years earlier. With MAID, that window exists. The question is whether people use it.
A valid, up-to-date will is the starting point. But MAID raises some specifics that a sudden death wouldn’t. In Canada, a person must have mental capacity to consent at the time MAID is administered. That’s straightforward enough when someone is physically ill but mentally sharp. It gets more complicated when cognitive decline is part of the picture. People living with dementia face a genuine catch-22: they must be capable of giving informed consent immediately before the procedure, but as dementia progresses, that capacity disappears, which means they can become ineligible for MAID even if they clearly wanted it earlier. Outside Quebec, this forces an impossible choice: act earlier than you want to in order to ensure you still have capacity to consent, giving up time with the people you love, or risk losing capacity and being unable to access MAID at all. Quebec became the first jurisdiction in Canada to allow advance requests for MAID, effective October 30, 2024, but that option isn’t available to the rest of the country yet, and it remains in tension with the federal Criminal Code. The practical takeaway for anyone navigating a serious diagnosis is that the window to get both your MAID request and your estate documents in order while capacity is unquestionable may be shorter than it seems. Waiting too long isn’t just a practical problem; it can become a legal one.
The same applies to powers of attorney and personal directives. If those documents aren’t in place before capacity becomes an issue, the window may close faster than expected.
What a Personal Directive Can and Can’t Do Here
Personal directives let you document your healthcare wishes and name someone to make decisions on your behalf if you can’t. They’re a critical piece of any estate plan, and they become even more important when serious illness is part of the picture. (The name for this document varies by province: you may see it called an advance directive, a representation agreement, a healthcare directive, or a mandate, depending on where you live.)
But here’s something worth knowing: a personal directive cannot authorize MAID on your behalf. In Canada, MAID requires the person to be capable of consenting at the time it’s administered. A substitute decision-maker can’t make that call for you. This is different from other end-of-life decisions, like withdrawing life support, where a proxy may have authority.
That doesn’t make a personal directive less important. It makes it more important to have those conversations early, while you can speak for yourself. Your directive can still capture your values, your wishes around pain management, what quality of life means to you, and what you don’t want, all of which matters enormously to the people walking alongside you through this.
When Robert Was Diagnosed at 58
Robert had been meaning to update his personal directive for years. After his MS diagnosis, he finally started thinking about getting his documents in order, including thinking more seriously about MAID as a future option. By the time he sat down with a notary, his condition had progressed enough that there were questions about his capacity to sign. The notary required a capacity assessment before proceeding, which delayed everything by weeks and added stress to an already difficult time. Had Robert updated his documents two years earlier, none of that would have been necessary. The lesson isn’t that MAID planning is complicated. It’s that the time to do the paperwork is before you urgently need it.
If this has you thinking about where your own documents stand, the NEXsteps Planning Toolkit is a good place to start. It brings together 12 self-guided tools covering the key areas of estate and incapacity planning, so you can see what you’ve addressed and what still needs attention.
What the Executor Is Walking Into
When death is sudden, an executor is often working in a fog of grief and surprise. When death is planned, the dynamic is completely different, and in some ways harder.
The executor knows what’s coming. There’s time to prepare, which is genuinely helpful. But there’s also time for family tensions to come out, for questions about the estate to get raised before the person is even gone, and for the executor to feel caught between the wishes of the dying person and the emotions of the people around them.
A few things tend to catch executors off guard when MAID is involved:
- The estate doesn’t automatically settle faster. A planned death doesn’t mean a simple estate. The same probate process, the same asset-gathering, the same beneficiary notifications apply. What’s different is that there can be more opportunity to organize, if the executor is looped in ahead of time.
- Family dynamics get complicated. When there’s a known date, people sometimes start acting like the estate has already transferred. Conversations about “who gets what” can happen in ways that put the executor in an uncomfortable position, especially if the will says something different from what family members are expecting.
- Beneficiary designations on registered accounts matter just as much. RRSP, TFSA, RRIF, and life insurance beneficiary designations pass outside the will entirely. If they haven’t been reviewed, a planned death doesn’t fix that.
The best thing a person choosing MAID can do for their executor is tell them what’s coming, share the location of all key documents, and make sure the will reflects current intentions.
What Diane Didn’t Expect
Diane was named executor for her aunt, who chose MAID after a cancer diagnosis. Her aunt had three weeks from the confirmed date to the procedure. Diane assumed that because her aunt was still sharp and organized, everything would be in order. What she found was a will that hadn’t been updated since 2009, two bank accounts her aunt had forgotten to mention, and a beneficiary designation on a life insurance policy that named her aunt’s late husband. None of it was unfixable, but all of it added work and delay during a time when Diane was also grieving. The documents didn’t need to be perfect. They just needed to be current.
What Families Should Be Thinking About
If someone in your family is considering MAID, or living with a condition where it might become relevant, the most useful thing you can do is normalize the estate planning conversation early. Not because death is imminent, but because having the documents in place is an act of care for everyone involved.
That means:
- A will that reflects current wishes and names the right executor
- Powers of attorney for property and personal care, signed while capacity is clear
- A personal directive that captures values and healthcare preferences, even if it can’t authorize MAID directly
- A conversation with the executor about where everything is and what to expect
- A review of all beneficiary designations on registered accounts and insurance
MAID, at its core, gives people a measure of control in circumstances where so much feels out of control. The estate planning side of it is where that control becomes real, not just for the person dying, but for everyone they leave behind.
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Disclaimer: This content is for general information only and is not legal, financial, medical, or tax advice.
