Advance Medical Directive Act- How is this different from euthanasia? What concerns or considerations should be further refined so that's not abused

An Advance Medical Directive is a legal document that you sign in advance to inform the doctor treating you, in the event you become terminally ill and unconscious, that you do not want any extraordinary life-sustaining treatment to be used to prolong your life. Making an AMD is a voluntary decision. It is entirely up t you whether you wish to make one. In fact, it is a criminal offense for any person to force you to make one against your will.

I think that it is different from euthanasia to a certain extent. Assisted suicide is a form of euthanasia where the patient actively takes the last step in their death. It refers to the practice of ending a life in a painless manner. Voluntary euthanasia and physician-assisted suicide have been the focus of great controversy in recent years. Euthanasia is more direct whereby it aids in ending one's live whereas the AMD is an act whereby it only stops aiding to prolong people's live but not speed up the ending of one's live.

However, in terms of a life lost, it is definitely similar. Both are not considering the chances of living but ending it more quickly than it possibly could allow. I personally think that this issue holds a ambiguous viewpoints. Some might think that during the course of being seriously ill or met with any fatalities, AMD is the right decision for you so as to end your pain once and for all. However some think that we should live on and cherish every second of your life or even await for a miracle, but not to give up on yourself.

One issue is that modern medical technology can technically prolong life in the final stages of a terminal illness. However, it cannot stop the dying process. In such situations, further medical intervention would be medically ineffective, and a decision has to be made whether to withdraw such futile medical intervention. Some terminally ill persons who are unable to express their wishes at that time, may want to be spared further suffering and be allowed to die naturally, in peace and with dignity.

Moreover, AMD could be abused by people if not handled in the right manner. People might force people to opt for AMD so that they could claim their insurances and not waste money on further medication which are medically ineffective and this is illegal. Although it is a criminal offense, people could settle it under the table without anyone else's awareness and this could avoid the law easily. Hence, we must seriously consider and get to the bottom of the reasons why one would opt for AMD before certifying for him.