Australia’s voluntary assisted dying frameworks have matured rapidly over the past seven years, yet structural barriers continue to limit equitable access to care.

As VAD moves from the margins to the mainstream, these barriers warrant close examination.

Major medical organisations, including the AMA, now recognise it as a legitimate component of end‑of‑life care. And it is notable that public support remains strong, well above 70%.

But there are barriers still. Consider the experience of Robbi Flynn,* a 33-year-old patient with terminal adenocarcinoma receiving oncology care at her local public hospital operated by a faith‑based organisation.