Washington's Death With Dignity Law

This article sets out the requirements for obtaining a prescription for life-ending medication under the Washington Death With Dignity Act

Recently, there’s been a dramatic increase in the number of states considering death with dignity laws. Sometimes called “assisted suicide” or “right to die” initiatives, these laws make it possible for terminally ill patients to use prescribed medication to end their lives peacefully rather than suffering a painful and protracted death.

The catalyst for greater national attention to this issue was 29-year-old Brittany Maynard, a woman diagnosed with terminal brain cancer who moved from California to Oregon to end her life in 2014. Maynard chose Oregon because California had not yet passed its aid-in-dying law, and Oregon is one of just a few other states to allow terminally ill patients to legally end their lives.

In 2008, Washington became the second state to adopt a Death With Dignity Act (DWDA), after Oregon. Washington voters approved the law in that year’s general election, and it took effect in 2009. In 2015, the latest year for which statistics are available, 213 people received prescriptions under the act and 166 used them to die. (For additional statistics, see the 2015 Death With Dignity Act Report published by the Washington State Department of Health.)

This article first clarifies some confusing language related to death with dignity laws and then sets out the requirements for obtaining a prescription for life-ending medication under Washington’s law.

Death With Dignity, Assisted Suicide, Right to Die: What’s In a Name?

“Death with dignity” is one of the most commonly accepted phrases describing the process by which a terminally ill person ingests prescribed medication to hasten death. Many people still think of this process as “assisted suicide” or “physician assisted suicide.” However, proponents of death with dignity argue that the term “suicide” doesn’t apply to terminally ill people who would prefer to live but, facing certain death within months, choose a more gentle way of dying. In fact, Washington’s Death With Dignity Act specifically states that terminating one’s life under the law is not suicide. (R.C.W. § 70.245.180.)

Increasingly, health organizations are turning away from the term “suicide” to describe a terminally ill patient’s choice to reduce the suffering of an inevitable death. The phrase “aid in dying” is becoming a more accepted way to refer to this process.

You may also see the phrase “right to die” used in place of “death with dignity.” However, “right to die” is more accurately used in the context of directing one’s own medical care -- that is, refusing life-sustaining treatment such as a respirator or feeding tubes when permanently unconscious or close to death. You can provide your own health care directions by completing a Washington living will (health care directive) and durable power of attorney for health care. (See the end of this article for more information.)

Death With Dignity Requirements in Washington

To request a prescription for life-ending medication in Washington, the patient must be:

  • at least 18 years old
  • a Washington resident
  • mentally capable of making and communicating health care decisions, and
  • diagnosed with a terminal illness that will result in death within six months.

A patient who meets the requirements above will be prescribed aid-in-dying medication only if:

  • The patient makes two verbal requests to their doctor, at least 15 days apart.
  • The patient gives a written request to the doctor, signed in front of two qualified, adult witnesses. (You can find the required Request for Medication form on the website of the Washington State Department of Health.)
  • The prescribing doctor and one other doctor confirm the patient’s diagnosis and prognosis.
  • The prescribing doctor and one other doctor determine that the patient is capable of making medical decisions.
  • The patient has a psychological examination, if either doctor feels the patient’s judgment is impaired.
  • The prescribing doctor informs the patient of any feasible alternatives to the medication, including care to relieve pain and keep the patient comfortable.
  • The prescribing doctor asks the patient to notify their next of kin of the prescription request. (The doctor cannot require the patient to notify anyone, however.)
  • The prescribing doctor offers the patient an opportunity to withdraw the request for aid-in-dying medication before granting the prescription.

To use the medication, the patient must be able to take it on their own. A doctor or other person who administers lethal medication may face criminal charges.

To read Washington’s Death With Dignity Act, see Revised Code of Washington § § 70.245 and following.

Learn More

For more details about Washington’s Death With Dignity Act, see the extensive list of Frequently Asked Questions and other Death With Dignity Act Resources on the website of the Washington State Department of Health.

To find out more about the history and current status of death with dignity laws in the United States, visit the website of the Death With Dignity National Center.

For information about appointing a health care agent and making known your own wishes for medical care at the end of life, see the Living Wills & Medical Powers of Attorney section of Nolo.com.

Updated: 9/28/2016

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