Miriam Vazquez

BackgroundIn 2021, Spain passed Organic Law 3/2021, which regulates euthanasia and represents an extension of rights to make decisions in the context of health care. According to the Law, the state must guarantee access to Medical Assistance in Dying (MAiD) through health services. Therefore, the involvement of health professionals is crucial. The aim of this work is to analyse the perspectives of health professionals on the provision of MAiD. Particular attention is paid to the social impact of the Law, the conceptual problems it raises, and the distribution of rights and responsibilities of professionals and patients, as well as the procedural aspects included in the regulation, the experiences of professionals regarding MAiD, and the implementation differences observed among regions.MethodsIt was an exploratory qualitative research applying a thematic analysis through semi-structured interviews with physicians and nurses from primary care, hospital care, and palliative care, recruited from three Autonomous Communities in Spain (Madrid, Catalonia, and Andalusia) between March and May 2023.ResultsA total of 25 interviews were conducted with medical and nursing professionals, 17 women and 8 men. The information collected was organised according to these discursive axes: social impact of the Law; terminological and conceptual problems; rights and responsibilities of professionals and patients; procedure (time limits, role of professionals); experiences of professionals regarding MAiD; and differences in implementation among the regions of the study. For this analysis, the participants’ positions on the provision of MAiD were considered.ConclusionsThe professionals interviewed generally express a positive assessment of the legal safeguards of MAiD Law in Spain. However, challenges remain in its implementation, such as perceived legal ambiguities, assessment of suffering, and balancing autonomy. Structural inequalities and limited support may affect access and provider well-being. Strengthening professional training, teamwork, and institutional resources, as well as a relational approach, is essential. The findings offer practice-based guidance for policy and clinical care and highlight the need for further research on real-world impacts.

In 2021, Spain passed Organic Law 3/2021, which regulates euthanasia and represents an extension of rights to make decisions in the context of health care. According to the Law, the state must guarantee access to Medical Assistance in Dying (MAiD) through health services. Therefore, the involvement of health professionals is crucial. The aim of this work is to analyse the perspectives of health professionals on the provision of MAiD. Particular attention is paid to the social impact of the Law, the conceptual problems it raises, and the distribution of rights and responsibilities of professionals and patients, as well as the procedural aspects included in the regulation, the experiences of professionals regarding MAiD, and the implementation differences observed among regions. It was an exploratory qualitative research applying a thematic analysis through semi-structured interviews with physicians and nurses from primary care, hospital care, and palliative care, recruited from three Autonomous Communities in Spain (Madrid, Catalonia, and Andalusia) between March and May 2023. A total of 25 interviews were conducted with medical and nursing professionals, 17 women and 8 men. The information collected was organised according to these discursive axes: social impact of the Law; terminological and conceptual problems; rights and responsibilities of professionals and patients; procedure (time limits, role of professionals); experiences of professionals regarding MAiD; and differences in implementation among the regions of the study. For this analysis, the participants’ positions on the provision of MAiD were considered. The professionals interviewed generally express a positive assessment of the legal safeguards of MAiD Law in Spain. However, challenges remain in its implementation, such as perceived legal ambiguities, assessment of suffering, and balancing autonomy. Structural inequalities and limited support may affect access and provider well-being. Strengthening professional training, teamwork, and institutional resources, as well as a relational approach, is essential. The findings offer practice-based guidance for policy and clinical care and highlight the need for further research on real-world impacts.

Prior's approach to time has been neglected by semanticists for several reasons. The main one, we believe, is the inability of Priorean tense logic to refer to times. The second one, is the inability to account for some important features of natural language such as temporal anaphora and the role of temporal constructions in discourse. Priorean tense logic has, however, one important advantage over other accounts: the internal perspective of time (due to its modal nature). This paper examines extensions of Priorean tense logic in which reference to times is possible, focusing on the so-called hybrid temporal logic. We will outline some of its main features and analyze some of its philosophical implications. © 2013 Elsevier B.V., All rights reserved.

In Mind as Metaphor, Adam Toon embarks in an anti-Cartesian project that rejects the assumption that folk psychology is an attempt at explaining the inner machinery of the mind. He defends, instead, a version of mental fictionalism that arises from pretense. In what follows, I argue that we can articulate this proposal in terms of collective imagination understood as a shared or collective practice that can be sedimented in habits, behaviors and various elements of our material environment. The upshot of this articulation is that it helps us understand how various elements of Toon’s proposal hang together. Additionally, it allows us to explore some implications related to the heterogeneity of folk psychology and its mysterious success.