Abstract
It seems clear that Diane Pretty, in asking the courts to permit her husband to help her die, does not feel she will die in comfort and with dignity. This poses a significant challenge to health-care providers. Her situation highlights the need for considerable disorder-specific expertise among those delivering health care at the local level. But should primary care professionals be expected to have expertise of high-prevalence disorders such as type 2 diabetes mellitus and coronary heart disease as well as disorder-specific symptom management expertise of low-prevalence disorders such as multiple sclerosis (MS) and motor neurone disease?
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