Access to voluntary assisted dying can depend heavily on where a patient lives. Rural doctor Dr Tim Leeuwenburg sees this firsthand through his work on Kangaroo Island, where patients often face long delays, travel burdens and complex legal barriers just to begin the VAD process.
With decades of experience in rural medicine, anaesthesia and critical care retrieval, Tim explains why VAD has become an important extension of holistic end-of-life care in regional communities. He joins Laureen to discuss the challenges facing rural patients, including cross-border residency rules, telehealth restrictions, workforce shortages and poor remuneration for practitioners. They reveal how bureaucracy and geography can complicate a patient’s final months and why legislative reform is urgently needed to improve equitable access across Australia.
Comprehensive information on Voluntary Assisted Dying in Your State is provided on the Go Gentle website at https://www.gogentleaustralia.org.au/vad_in_your_state or by contacting your State Health Department.
If listening to this podcast raises distressing issues for you, please contact one of the following support services:
Griefline (https://griefline.org.au/) 1300 845 745
Grief Australia (https://www.grief.org.au/) 1800 642 745
Lifeline (https://www.lifeline.org.au/) 13 11 14, or chat online 24 hours a day

Episode 22 - How the ACT Legalised Voluntary Assisted Dying
49:16

Episode 21 – From Advocacy to Law: The Evolution of VAD in New Zealand
43:55

Episode 20 – Dr Laureen Lawlor-Smith’s own reflections on VAD
45:47