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USA: with Montana now three States providing legal aid-in-dying

Because of a ruling by the Montana Supreme Court in January 2010  –  following the 2008 verdict of Montana District Court  Judge Dorothy McCarter  –   saying that “nothing in state law prevents patients from seeking physician-assisted suicide”, now three States (Oregon, Washington and Montana) provide its residents with legal aid-in-dying

Associated Press reports:

Patients and doctors had been waiting for the state’s high court to step in after a lower court decided a year ago that constitutional rights to privacy and dignity protect the right to die. The Montana Supreme Court opinion will now give doctors in the state the freedom to prescribe the necessary drugs to mentally competent, terminally ill patients without fear of being prosecuted, advocates said.
Steve Johnson, a 72-year-old Helena cancer patient, welcomed the decision, saying he has talked with his doctor about ending his life: “I am very concerned about the intense pain and loss of dignity,” the lifelong rancher and veterinarian said at a press conference at the Capitol. “I’ve accepted my death. I approach the end of my life with a clear mind.”
The Supreme Court didn’t go as far as District Judge Dorothy McCarter of Helena did last December when she extended constitutional protections to the procedure. The Supreme Court decided not to determine whether the Montana Constitution guarantees the right. Instead, it said nothing in state law or the court’s precedent indicated it was against public policy – and pointed to laws giving patients rights to make crucial decisions as a justification for legalizing the assistance.

“The Montana Supreme Court has determined that this is a choice that state law entrusts to Montana patients, not to the government,” said Compassion and Choices Legal Director Kathryn Tucker, a lawyer on the case. “Montanans trapped in an unbearable dying process deserve, and will now have, this end-of-life choice.” The Montana attorney general’s office had argued in court that the decision on such a policy should be left to the Legislature. The Supreme Court, pointing to the Legislature’s own policy-making, ruled that assisted suicide is an acceptable defense to any homicide charges against the doctor.
“In physician aid in dying, the patient, not the physician, commits the final death-causing act by self-administering a lethal dose of medicine,” Justice William Leaphart wrote for the court.
Justice John Warner, serving his last day on the court, wrote in a separate concurring opinion that the court decided to leave the constitutional issues alone because addressing them was not necessary.
Justice James Nelson, a more liberal member of the court, said he would have extended the constitutional right to the procedure as the lower court had.
Two judges dissented from the decision, saying the court was reversing long-standing public policy. “Until the public policy is changed by the democratic process, it should be recognized and enforced by the courts,” wrote Justice Jim Rice for the minority. “In my view, the court’s conclusion is without support, without clear reason, and without moral force.”


Montana is the first state where a court has determined that  patients may request, and physicians may legally provide, aid-in-dying.