In recent years there has been a dramatic increase in the number of states considering death with dignity laws. Sometimes called "assisted suicide," "right to die," or "medical aid in dying" initiatives, these laws make it possible for terminally ill patients to use prescribed medication to end their lives peacefully rather than suffering a difficult 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.
Michigan lawmakers have been trying to pass medical aid in dying legislation for years, most recently in the 2023-2024 session. At that time, the legislature considered an aid-in-dying bill, SB681, called the Michigan Death With Dignity Act. If it had passed, the law would have functioned much like Oregon's Death With Dignity Act, allowing terminally ill patients who met certain requirements to request and use life-ending medication.
This article first clarifies some confusing language related to death with dignity laws and then sets out some things Michiganders can do to bring a medical aid in dying act to their state.
"Death with dignity" and "medical aid in dying" are two 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, Michigan's proposed law states that terminating one's life under the law is not suicide. (See SB681, Section 18.)
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 might also see the phrase "right to die" used in place of "death with dignity" or "medical aid in dying." 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 Michigan advance health care directive. For information about appointing a health care agent and making known your wishes for medical care at the end of life, see the Living Wills & Medical Powers of Attorney section of Nolo.com.
Citizen groups are continuing to work to legalize aid in dying in Michigan. If choice at the end of life is important to you, here are some things you can do:
To find out more about the history and current status of medical aid in dying laws in the United States, visit the website of the Death With Dignity National Center.
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