{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:09:20Z","timestamp":1777882160321,"version":"3.51.4"},"reference-count":2,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>The extension of assisted dying to those whose natural death is not reasonably foreseeable has very real implications for how we think about life-limiting illness and the systems of care we design to palliate suffering. We now have a new idea of a life-limiting illness; dying is a result of an illness\u2019s impact on quality of life, not length of life. In this article, I tell the story of \u201cSam,\u201d whose complex illness and suffering led her to choose an assisted death. I reflect on my own responses to Sam and conclude with a dream for a palliative system of care designed uniquely to support those choosing death over a life of suffering.<\/jats:p>","DOI":"10.1177\/26323524251381400","type":"journal-article","created":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T10:40:55Z","timestamp":1759056055000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An impossible dream?"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1063-7190","authenticated-orcid":false,"given":"Barbara","family":"Pesut","sequence":"first","affiliation":[{"name":"Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Health Canada. Fifth annual report on Medical Assistance in Dying in Canada 2023 [Internet] https:\/\/www.canada.ca\/en\/health-canada\/services\/publications\/health-system-services\/annual-report-medical-assistance-dying-2023.html#t2.3b (2024 accessed 2 July 2025)."},{"key":"e_1_3_3_3_2","unstructured":"Pesut B Schiller C Hall M et al. Track 2 Medical Assistance in Dying (MAID): a BC research to policy project. Report to the British Columbia Ministry of Health https:\/\/pesut-lab.sites.olt.ubc.ca\/files\/2025\/04\/Pesut-et-al.-2025.-Report-to-BC-Ministry-of-Health-Track-2-MAiD-A-BC-Research-to-Policy-Project.-Final.pdf (2025 accessed 2 July 2025)."}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524251381400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524251381400","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524251381400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:03:56Z","timestamp":1777597436000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524251381400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":2,"alternative-id":["10.1177\/26323524251381400"],"URL":"https:\/\/doi.org\/10.1177\/26323524251381400","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"26323524251381400"}}