While 78-year-old Henry Rayhons was acquitted of raping his wife who had dementia, the publicity of the case has raised questions about dementia and consent, as well as questions of policy for long-term care facilities. (Please note that in NPR's article, Dr. Tenenbaum's hypothetical scenario would constitute rape by fraud, which is defined as criminal on a state-by-state basis.)
An issue just as divisive as the above concerns dementia and death with dignity. Assisted suicide is already controversial and illegal in some states; when complying with an advance directive would force someone's caregivers into the role of assistant, there are few right answers.
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