Medical Association hails ‘living will’ directive as 'significant' step forward
MAM says proposed law gives 'long-needed' clarity on patient autonomy and clinical decisions
The Medical Association of Malta on Thursday welcomed the “living will” directive, hailing it as “significant”.
The new law, which is being debated in parliament, will allow terminally ill patients to make decisions about the care they want to refuse if they are unconscious.
In a statement, the MAM said the Advanced Care Directive Act provides “long-needed clarity” around patient autonomy and clinical decision-making in complex and sensitive situations.
MAM welcomed the inclusion of safeguards discussed during consultation, including clearer documentation requirements, defined clinical processes, and appropriate legal protections for practitioners acting in good faith.
“These provisions are essential to ensuring that patients’ wishes are respected while maintaining sound medical practice,” the MAM said.
The living will prepared under the Advanced Care Directive Act must be authorised by a notary to be in force.
It will allow patients, who must be at least 18 years old, to refuse treatments such as CPR and artificial hydration and feeding. Patients, however, cannot refuse any standard medical treatment, including palliative care.
The MAM also hailed the Health Professions Act currently being debated in parliament as “an important step forward” in updating the regulatory framework for healthcare professionals.
It said the Bill provides “clearer structures for professional governance, better definition of scope of practice, and stronger accountability safeguards for both patients and practitioners”.
The association noted that a number of its proposals have been reflected in the draft law, particularly in relation to fair disciplinary procedures, professional representation within regulatory bodies, and practical safeguards to ensure balanced oversight.
While expressing its appreciation for the government’s “willingness to engage meaningfully” with the profession throughout the drafting process, the MAM said it remained committed to supporting the proper implementation of both Acts and to working with government in the development of any subsidiary regulations and professional guidance that may follow.