In recent years there has been a dramatic increase in the number of states considering medical aid in dying laws. Sometimes called "death with dignity," "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.
Spurred by Maynard's decision and the resulting publicity, the Iowa legislature began introducing medical aid in dying bills in 2015. None of them passed. In the 2024 legislative session, lawmakers considered another similar bill called the Our Care, Our Options Act (numbered HF2288 and SF2101). Both bills died in committee without ever receiving hearings. 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.
Citizen groups are continuing to work to legalize aid in dying in Iowa. If choice at the end of life is important to you, here are some things you can do:
"Medical aid in dying" and "death with dignity" are two of the most commonly accepted phrases describing the process by which a terminally ill person ingests prescribed medication to hasten death. You might also see the phrase "right to die" used in place of either of those phrases. "Right to die," though, 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. In Iowa or any other state, you have a right to provide such directions or give any other health care instructions by completing an 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.
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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