Literature Review

As Maryland considers medical aid in dying, here’s how it’s playing out in DCCapital News Service, by Sapna Bansil; 1/29/24A 74-year-old man with Lou Gehrig’s disease. An 88-year-old man with congestive heart failure. A 54-year-old woman with cancer. ... In Maryland, aid-in-dying proposals in past years have faced pushback from a number of opponents. ... But advocates say there’s unprecedented momentum this year for an aid-in-dying law in Maryland – in part because arguments for the option have been strengthened by its implementation in D.C. and 10 other states.

Minnesota lawmakers kick off debate on joining other states that permit physician-assisted suicideThe Associated Press, by Steve Karnowski; 1/25/24The Minnesota Legislature kicked off debate Thursday on whether the state should join the list of those that allow physician-assisted suicide.

Death with dignity bill introduced in Virginia with message from ailing congresswomanRadio IQ, by Brad Kutner; 1/23/24Eleven states across the country have dignity in dying laws which allow those facing the end of their lives to take control over their time and manner of their death. It’s a controversial movement but one a Virginia Congresswoman is personally connected to.

Policy experts on cost, accessibility, other details in Assembly GOP medical marijuana planWisconsin Examiner, by Baylor Spears; 1/22/24The proposal by [Wisconsin] Assembly Republicans would create the Office of Medical Cannabis Regulation in the Department of Health Services. The office which would maintain a registry of patients and caregivers who could purchase medical cannabis products from one of five state-run dispensaries. Access would be limited to patients with certain medical conditions, and available products would include oils, edibles and pills but exclude anything smokeable.

Federal lawmakers take first steps toward oversight of $50 billion in opioid settlements

Public policy: Potential bills from multiple states

Terminally ill Connecticut woman ends her life on her own terms, in VermontAP US News, by Lisa Rathke; 1/4/24A Connecticut woman who pushed for expanded access to Vermont’s law that allows people who are terminally ill to receive lethal medication to end their lives died in Vermont on Thursday.

More than 200 terminally ill Vermonters qualified for the state’s aid-in-dying law in its first decadeVT Digger, 12/28/23Over 200 terminally ill patients have sought and qualified to receive life-ending drugs since Vermont first legalized medical-aid-in-dying more than a decade ago, according to a recent report from the Vermont Department of Health. Vermont first legalized the practice—sometimes referred to as “death with dignity” by supporters or “assisted suicide” by opponents—in May 2013. From then until the end of June 2023, 203 Vermonters sought and qualified for the medication, according to the report. Not all of those who had access to the drugs obtained or used them, according to the Department of Health. Some died from the underlying disease. ... A vast majority of those who utilized the program had been diagnosed with terminal cancer, according to the report.

Death by Doctor May Soon Be Available for the Mentally Ill in CanadaNew York TimesDecember 27, 2023Canada already has one of the most liberal assisted death laws in the world, offering the practice to terminally and chronically ill Canadians. But under a law scheduled to take effect in March assisted dying would also become accessible to people whose only medical condition is mental illness, making Canada one of about half a dozen countries to permit the procedure for that category of people. That move has divided Canadians, some of whom view it as a sign that the country’s public health care system is not offering adequate psychiatric care, which is notoriously underfunded and in high demand. 

Third of patients given lethal drugs under right-to-die laws ‘do not take them’The Telegraph (England), 12/23/23More than a third of suicidal patients who are prescribed lethal drugs under right-to-die laws do not take them, data show. Just 1,905 of the 2,895 people prescribed assisted dying pills in Oregon, US, between 1998 and 2021 took them, according to the state’s public health data. The figures are mirrored in the neighbouring state of California, where in 2021, 286 of the 772 people prescribed a fatal dose ultimately decided against using it. Even in Canada, where medically-assisted deaths are the most pervasive and accepted in the world, around 13,000 people of the 15,500 with lethal drug prescriptions in 2022 used them—and around 300 people changed their mind. Experts consider the Oregon model, whereby a doctor specialising in end-of-life care prescribes a deadly drug to be taken at home by a patient, as the best option for Britain, should MPs vote for a change in the law.

The Hospice Action Network Presents 2023 Angel Awards HonoreesNews ReleaseDecember 19, 2023Alexandria, VA—The Hospice Action Network (HAN), the advocacy affiliate group of the National Hospice and Palliative Care Organization (NHPCO), is pleased to announce its 2023 Hospice Action Network Angel Award Honorees. ... New this year is the addition of the first-ever “Courageous Conversations Award” to be presented, when merited, to a standout individual who has inspired and educated the public on the value of hospice. At 99, former President Jimmy Carter is the longest living U.S. President and the first known President to utilize the Medicare Hospice Benefit. This year’s HAN award recipients are as follows:

A plea before dying—on behalf of those who might need itBy Burt RiskedahlTwin Cities Pioneer PressDecember 19, 2023I am so grateful for many of the important legislative bills approved in the 2023 session of the Minnesota Legislature, particularly those that protect reproductive health rights, ensure LGBTQ access to needed care and treatment, and provide significant funding for increased access to education. ... Regretfully, the Legislature failed to enact another important measure, the Minnesota End-of-Life Options Act, that would have also provided important rights to people. 

Assisted-suicide bills in Mass. present risks to patients, publicBy Madelyn Hicks, MDWorcester (MA) Telegram & GazetteDecember 17, 2023The Massachusetts Legislature’s Committee on Public Health is considering two bills that would legalize physician-assisted suicide in the commonwealth. As a Massachusetts physician, as a psychiatrist who treats persons with mental health problems, and as a daughter who has dealt with the loss of a parent to a debilitating illness, I am concerned by flaws in these bills that present risks to individual patients and the public. Trust in the health care system would likely be damaged for many, but especially for communities that have experienced health care inequity who have not been consulted on these bills. Disparities already exist in end-of-life care so that Black, Hispanic and LGBTQ patients are less likely to receive palliative care or hospice care.