Commonwealth Scholar Dr. Dexter Johnson combines an Edinburgh Surgeon's insight and the analytical approach of a legal academic to provide a critical look at the Mental Capacity Act 2005. Today you choose and determine your dignity, tomorrow should dementia strike, you cross the 'capacity divide' and state paternalism takes over. Your life is dominated by a carer using the 'best interests' test and you fall into the dependent underclass. Why did the decade and a half of reform of capacity law fail to transfer your dignity across the capacity divide? This book explores the ongoing struggle between autonomy and state paternalism!