Canada has stepped back from expanding medical assistance in dying to people whose sole underlying condition is mental illness, after officials concluded that suicidal intent cannot reliably be distinguished from a request for MAID. Yet proposed legislation could simultaneously broaden access through advance requests for people with conditions such as dementia. The debate exposes a deeper question about suffering and hope: when circumstances may not improve, what gives a person reason to keep living? Christians have been entrusted with a hope that does not depend on present circumstances—and an opportunity to share it.

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