Death Rhetoric in the U.S.A. 1938 to 2017

Rhetoric can be used to convince people of either truth or falsehood. Purveyors of the “right to die” are like the snake oil salesmen of old. These groups all make claims that appeal to the emotions but that are not backed by facts. They use nice sounding words like rights, compassion, dignity, self-determination, and choice, but every one of them sprang from the Euthanasia Society of America and the Hemlock Society—deadly names for deadly organizations. They know their agenda won’t sell if accurate language is used, so they continually change their names and rhetoric to peddle imposed death.

1938 The Euthanasia Society of America (ESA) was founded to promote legalization of both voluntary and involuntary euthanasia, but was unsuccessful in changing laws until changing tactics in the 1960s.

1967 ESA established the Euthanasia Educational Council (EEC) which introduced the “Living Will,” a document drawn up by lawyer Luis Kutner and regarded by ESA as the first step toward winning social and legal acceptance of euthanasia.

1969 The Indiana Law Journal published Kutner’s “Due Process of Euthanasia: The Living Will, A Proposal.” Kutner, spelling out the “right to die” agenda, presented the living will as “limited in its initial creation to adult patients who are capable of exercising their will” and as a means to “permit inaction termination of a patient’s life.”

1975 ESA changed its name to the Society for the Right to Die (SRD).

1976 The California “Natural Death Act,” the first Living Will law in the U.S., was enacted.

1979 EEC changed its name to Concern for Dying (CFD) and split from SRD.

1980 Derek Humphry founded the Hemlock Society (HS) to promote death-on-demand—both euthanasia and assisted suicide. (Hemlock was the poison used in ancient Greece for executions and state-approved suicides.)

1986 At a conference named “A New Ethic for the New Medicine,” the American Medical Association’s Council on Ethical and Judicial Affairs endorsed imposing death by starvation and dehydration: “Even if death is not imminent, but a patient’s coma is beyond doubt irreversible...it is not unethical to discontinue all means of life-prolonging medical treatment (including) medication and artificially or technologically supplied respiration, nutrition and hydration.”

1987 32-year-old Nancy Ellen Jobes—who, according to the testimony of two neurologists, was aware and responsive—died of starvation and dehydration after the NJ Supreme Court upheld lower court rulings that surrogates may refuse medical care without clear evidence of a patient’s wishes. Within a few years, similar court decisions would set “right to die” precedent in a number of other states.

1990 The U.S. Supreme Court, in its first termination of food and fluids case, Cruzan v. Missouri Department of Health, upheld Missouri’s requirement that there be “clear and convincing evidence” of an incompetent patient’s wishes. Nevertheless, 33-year-old Nancy Cruzan was starved and dehydrated to death after a lower court found new evidence—an alleged conversation she had 12 years prior—to be “clear and convincing.”

1990 The federal “Patient Self-Determination Act”—forcing healthcare providers to promote Living Wills—was enacted. Most states had already

enacted Living Will laws. (By 1994, all states would have advance directive laws.)

1991 SRD and CFD—having merged in 1990—renamed themselves Choice in Dying.

1991 The influential New England Journal of Medicine lent an air of legitimacy to physician-assisted suicide (PAS) by publishing Dr. Timothy Quill’s article detailing how he assisted the suicide of a 45-year-old woman with leukemia. He would be neither convicted for this criminal act nor held accountable for his breach of medical ethics.

1993 Compassion in Dying (CID), an HS spin-off, was created to provide information and assistance to sick people who want to die and to promote so-called “aid-in-dying” laws.

1994 Oregon voters approved the “Death With Dignity Act” and the Death with Dignity National Center (DDNC) was born. The DDNC works alongside CID promoting PAS laws in other states.

1997 Dr. Timothy Quill, the lead plaintiff in Quill v. Vacco, challenged laws against PAS as being “unconstitutional.” This case made its way to the U.S. Supreme Court, which ruled against Quill.

1997 After wending its way through court challenges and another popular vote, Oregon’s assisted suicide law took effect—doctors legally began to write prescriptions for suicide.

1997 Last Acts, a coalition of more than 100 prominent organizations, funded by the Robert Wood Johnson Foundation, was established purportedly to improve the quality of end-of-life care. (“Improving care” is often code for hastening death.)

1999 Choice in Dying became Partnership for Caring (PFC). PFC managed the Last Acts program.

2003 HS started End of Life Choices, a political action committee, in Denver, CO.

2004 Final Exit Network (FEN) was started by disgruntled former HS and End of Life Choices members, including HS founder Derek Humphry. FEN counsels people on ending their lives and its “exit guides” have attended hundreds of suicides.

2004 PFC—tracing its roots back 66 years, through numerous name changes, to the ESA—merged with Last Acts to form Last Acts Partnership, which soon folded. Its assets went to the National Hospice and Palliative Care Organization (NHPCO), the largest organization representing Hospice and Palliative Medicine programs and professionals in the U.S. The President and CEO of NHPCO (2002-2016), J. Donald Schumacher, PsyD, also served as PFC’s Vice-Chair for Public Policy. Thus, the Euthanasia Society of America’s agenda infiltrated Hospice and Palliative Care.

2005 On March 31st, Terri Schiavo died by starvation and dehydration in a Florida hospice after exhaustive efforts by her parents, siblings, disability rights and pro-life groups, and individual concerned citizens failed to overturn a FL judge’s decision that Terri’s husband could order her food and water stopped.

2005 Compassion in Dying and End of Life Choices joined to form Compassion & Choices (C&C). C&C describes itself as “working to improve care and expand choice at the end of life,” but its actual efforts have been directed at only one “choice”—suicide. C&C facilitates PAS deaths and vigorously leads campaigns to legalize PAS in state after state along with the DDNC.

2008 14 years after OR legalized PAS, WA became the second state to succumb when voters approved the “Death With Dignity Act.”

2009 The Montana Supreme Court created a defense for a physician charged with assisted suicide, but prosecutions still remain possible in MT.

2013 The American Academy of Hospice and Palliative Medicine included Dr. Timothy Quill, a board member of the DDNC in Oregon, on a list of “Hospice and Palliative Medicine Visionaries.” Quill, proponent and self-admitted perpetrator of assisted suicide, was celebrated by his HPM peers as a visionary. Frightening!

2013–16 Three more states and the nation’s capital succumbed to the seductive rhetoric of “right to die” activists: VT (2013), CA (2015), CO (2016), Washington, DC (2016). PAS laws are hyped with words like choice, options, control, and dignity, which all sound good for patients. But what these laws really do is protect doctors, like Timothy Quill, who provide lethal drugs to suicidal people with no oversight.

2017 The “visionary” Dr. Timothy Quill again sought to overturn NY’s law against assisted suicide as a plaintiff in Myers v. Schneiderman—a case initiated by End of Life Choices New York. In September, NY’s highest court, in a unanimous decision, thwarted his vision by finding no constitutional right to assisted suicide: “As to the right asserted here, the State pursues a legitimate purpose in guarding against the risks of mistake and abuse. The State may rationally seek to prevent the distribution of prescriptions for lethal dosages of drugs that could, upon fulfillment, be deliberately or accidentally misused.” Yes, indeed.

Physician Assisted Suicide Laws

Enacted in the U.S.A. Since 2017

After 80 years of death rhetoric in the United States, the centuries of our moral, philosophical, and legal safeguards for life have begun to fall. Hawaii was the first state to pass physician assisted suicide. Altogether, thirteen states and Washington D.C. have legalized physician assisted suicide in the U.S.A.

2018-2019: Hawaii - Hawaii’s Our Care, Our Choice Act (OCOCA) was passed in 20181 and took effect January 1st, 2019, legalizing assisted suicide.2

2019: New Jersey - The New Jersey Medical Aid in Dying Act took effect August 1st, 2019, legalizing assisted suicide.3 The patient must make two oral requests, with a 15-day waiting period between them.4

2019: Maine - The Maine Death with Dignity Act was passed and enacted in 2019. Patients must make two oral requests, separated by a 15-day waiting period, to receive the lethal prescription.5

2020: Oregon - As of January 1st, 2020, Oregon removed waiting period requirements for those patients whose life expectancy is less than the waiting period, whether for the 15-day period between oral requests or the 48-hour period between the written request and writing the lethal prescription.6

2021: New Mexico - The Elizabeth Whitefield End-of-Life Options Act took effect in July, 2021, legalizing assisted suicide.7,8

2022: California - As of January 1st, 2022, California removed the requirement for a written and witnessed request for lethal drugs and reduced the waiting period between the two required oral requests from a minimum of 15 days to no less than 48 hours.9

2023: Oregon and Vermont - Both Oregon10 and Vermont11 removed their state residency requirements for prescribing lethal drugs, making them suicide destination states.

2023: Hawaii and Washington - Hawaii amended its assisted suicide program to reduce the initial 20-day waiting period between oral requests to five days.12 Washington reduced its waiting period between oral requests from 15 days to seven.13 And both states expanded which medical professionals can diagnose and determine mental capacity.

2024: Colorado - As of August 7th, 2024, advance practice nurses in Colorado are authorized to evaluate and prescribe lethal drugs. The waiting period between oral requests was reduced from 15 to seven days, and providers can now waive all waiting periods if the patient is unlikely to survive more than 48 hours.14

2025-2026: Delaware - The Ron Silverio/Heather Block End of Life Options Law passed in 2025 and took effect January 1st, 2026.15

2025-2026: Illinois - The Medical Aid in Dying bill (SB 1950) was passed in December, 2025, and went into effect September 2026. Patients must make two oral requests no less than five days apart. The waiting period may be waived if the patient is likely to die within five days of the first oral request.16

2026: New York - The Medical Aid in Dying Act was passed in February, 2026, and went into effect in August, 2026. Uniquely, patients must undergo a mandatory mental health evaluation and make one oral request that is recorded as video or audio, which goes into their medical record. There is a five-day waiting period between when the prescription for lethal drugs is written and when it may be filled. 17,18