Monaco has taken a meaningful step in healthcare reform, introducing a forward-thinking law that addresses palliative and end-of-life care with a focus on dignity, empathy, and patient autonomy. The National Council’s unanimous vote on the newly passed legislation marks a significant evolution in how the Principality approaches the final stages of life.
Described by Monaco’s Minister for Health and Social Affairs, Christophe Robino, as “a pact of humanity,” the new law ensures individuals facing the end of life are treated with respect, compassion, and appropriate care. The reform affirms the right to access palliative services, manage pain effectively, and be involved in decisions about one’s own treatment path.
Among the law’s key provisions is the introduction of advance directives—legal documents allowing patients to express their end-of-life wishes in writing. These directives aim to build transparency and deepen the relationship of trust between patients and their healthcare providers. Physicians are now also encouraged to make critical decisions in consultation with a team, reinforcing a shared and responsible approach to care.
The legislative journey was guided by contributions from renowned French expert Jean Leonetti, whose work on similar laws in France helped shape Monaco’s framework. Franck Lobono, Chair of the Social Affairs Committee, emphasized that Leonetti’s insights provided both moral clarity and practical direction during the law’s development.
In addition to recognizing the role of voluntary organisations in supporting patients and families, the bill outlines a significant expansion of dedicated palliative care facilities. While the current hospital has four beds reserved for such cases, the new hospital plans to triple that number.
With this legislation, Monaco affirms its commitment to offering not only advanced medical care but also a humane, respectful environment for those at life’s end.