,,iv  #aaf? ,,congress  #a/ ,session    
,h4 ,,con4 ,,res4 #gi  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,decemb] #ab1     
#bjai,mr4 ,correa 7= himself1 ,mr4      
,w5/rup1 ,mr4 ,pet]son1 ,mr4 ,smi? (    
,new ,j]sey1 ,mr4 ,langev91 ,mrs4       
,wagn]1 ,mr4 ,lip9ski1 ,mr4 ,la,hood1   
,mr4 ,c>twright1 ,mr4 ,h>ris1 & ,mr4    
,abraham7 submitt$ ! foll[+ concurr5t   
resolution2 :i* 0 ref]r$ to ! ,committee
 on ,en]gy & ,comm]ce  ,,concurr5t      
,,resolution  ,express+ ! s5se ( !      
,congress t assi/$ suicide 7sometimes   
ref]r$ to us+ o!r t]ms7 puts ev]yone1   
includ+ ^? mo/ vuln]able1 at risk (     
deadly h>m4  ,:]eas suicide means ! act 
( int5tionally end+ "o's own life1      
preempt+ dea? f disease1 accid5t1       
injury1 age1 or o!r condition2 ,:]eas   
assi/+ 9 a suicide1 sometimes ref]r$ to 
z dea? ) dignity1 end-(-life options1   
aid-9-dy+1 or simil> phrases1 means     
kn[+ly & will+ly prescrib+1 provid+1    
disp5s+1 or di/ribut+ to an individual a
 sub/ance1 device1 or o!r means t1 if   

tak51 us$1 +e/$1 or adm9i/]$ z direct$1 
expect$1 or in/ruct$1 w1 ) reasonable   
m$ical c]ta9ty1 result 9 ! dea? ( !     
individual1 preempt+ dea? f disease1    
accid5t1 injury1 age1 or o!r condition2 
,:]eas society has a long/&+ policy (   
support+ suicide prev5tion su* z ?r\gh !
 ef=ts ( _m public & private suicide    
prev5tion programs1 ! b5efits ( :i* c\ld
 be d5i$ "u a public policy ( assi/$    
suicide2 ,:]eas assi/$ suicide mo/      
directly ?reat5s ! lives ( p :o are     
eld]ly1 exp]i5ce depression1 h a        
disability1 or are subject to emotional 
or f9ancial pressure to end _! lives2   
,:]eas ! ,oregon ,heal? ,au?ority's     
annual reports reveal t pa9 or ! fe> (  
pa9 is li/$ second to la/ 7#be p]c5t7   
among ! reasons cit$ by all pati5ts     
seek+ le?al drugs s9ce #aiih1 :ile ! top
 #e reasons cit$ are psy*ological &     
social conc]ns3 los+ autonomy 7#ib      
p]c5t71 less able to engage 9 activities
 t make life enjoyable 7#ij p]c5t71 loss
 ( dignity 7#gi p]c5t71 los+ control (  

bodily functions 7#dh p]c5t71 & burd5 on
 family fri5ds_/c>egiv]s 7#da p]c5t72   
,:]eas ! ,supreme ,c\rt has rul$ twice  
79 ,wa%+ton v4 ,glucksb]g & ,vacco v4   
,quill7 t !re is no con/itutional "r to 
assi/$ suicide1 t ! ,gov]nm5t has a     
legitimate int]e/ 9 prohibit+ assi/$    
suicide1 & t su* prohibitions rationally
 relate to protect+ ! vuln]able f       
co]cion & protect+ disabl$ & t]m9ally   
ill p f prejudice1 negative & inaccurate
 /]eotypes1 & societal indiff]5ce2      
,:]eas cle>ly express+ t assi/$ suicide 
is n a legitimate heal? c>e s]vice1     
,congress pass$1 ) a ne>ly unanim\s     
vote1 & ,presid5t ,bill ,cl9ton sign$1 !
 ,assi/$ ,suicide ,fund+ ,re/riction    
,act to prev5t ! use ( ,f$]al funds =   
any item or s]vice1 includ+ advocacy1   
provid$ = ! purpose ( caus+1 or assi/+ 9
 caus+1 ! dea? ( any individual su* z by
 assi/$ suicide1 eu?anasia1 or m]cy     
kill+2 ,:]eas a h&ful ( ,/ates h        
au?oriz$ assi/$ suicide1 b ov] #cj      
,/ates h reject$ ov] #bjj attempts at   

legalization s9ce #aiid2 ,:]eas ,/ates t
 au?orize assi/$ suicide = t]m9ally ill 
pati5ts d n require t su* pati5ts       
receive psy*ological scre5+ or treatm5t1
 ?\gh /udies %[ t ! ov]:elm+ majority ( 
pati5ts contemplat+ suicide exp]i5ce    
depression2 ,:]eas ! laws ( su* ,/ates  
conta9 no requirem5t = a m$ical att5dant
 to be pres5t at ! "t ! le?al dose is   
tak51 us$1 +e/$1 or adm9i/]$ to int]v5e 
9 ! ev5t ( m$ical complications2 ,:]eas 
su* ,/ate laws conta9 no requirem5t t a 
qualifi$ monitor be pres5t to assure t !
 pati5t is kn[+ly & volunt>ily tak+1    
us+1 +e/+1 or adm9i/]+ ! le?al dose2    
,:]eas su* ,/ate laws conta9 no         
requirem5t to secure le?al m$ication if 
unwant$ or if dea? occurs be=e su*      
m$ication is us$2 ,:]eas su* ,/ate laws 
d n prev5t family memb]s1 heirs1 or     
heal? c>e provid]s f pressur+ pati5ts to
 reque/ assi/$ suicide2 ,:]eas su*      
,/ates qualify "s pati5ts = assi/$      
suicide by us+ a broad def9ition (      
t]m9al disease & go+ to die 9 six mon?s 

or less t includes diseases 7su* z      
diabetes or ,,hiv7 t1 if appropriately  
treat$1 w\ld n o!rwise result 9 dea? )9 
six mon?s2 ,:]eas x is extremely        
difficult ev5 = ! mo/ exp]i5c$ doctors  
to accurately progno/icate a six-mon?   
life expectancy z requir$1 mak+ su* a   
prognosis a pr$iction1 n a c]ta9ty2     
,:]eas report+ requirem5ts v>y by ,/ate1
 b :5 requir$1 rely on prescrib+        
physicians or disp5s+ ph>maci/s to      
self-report2 ,:]eas su* report+ is nei!r
 conduct$ by an objective ?ird p>ty nor 
( suffici5t dep? & accuracy to          
effectively monitor ! occurr5ce ( assi/$
 suicide2 ,:]eas !re is an a/\nd+ lack (
 transp>5cy 9 ! practice ( assi/$       
suicide to ! ext5t t ,/ate heal?        
dep>tm5ts & o!r au?orities admitt$ly h  
no me?od ( kn[+ if x is be+ practic$ )9 
! b\nds ( ,/ate laws & h no fund+ or    
au?ority to make su* a det]m9ation2     
,:]eas "s ,/ate laws actively conceal   
assi/$ suicide by direct+ ! physician to
 li/ ! cause ( dea? z ! und]ly+         

condition )\t ref]5ce to dea? by        
suicide2 ,:]eas ! confid5tial nature (  
end-(-life decisions makes x virtually  
impossible to effectively monitor a     
physician's behavior to prev5t abuses1  
mak+ any numb] ( safegu>ds insuffici5t2 
,:]eas ! co/ ( le?al m$ication is f>    
less co/ly ?an _m life-sav+ treatm5ts1  
:i* ?reat5s to re/rict treatm5t options1
 especially = disadvantag$ & vuln]able  
p]sons1 z has happ5$ 9 sev]al kn[n cases
 & presumably _m m unkn[n 9 :i* insur]s 
h d5i$ or delay$ cov]age = life-sav+ c>e
 :ile (f]+ to cov] assi/$ suicide2      
,:]eas access to p]sonal assi/ance      
s]vices su* z 9-home hospice &          
palliative c>e1 home heal? c>e aides1 & 
nurs+ c>e_/nurs+ assi/ance is           
regretfully limit$ & subject to long    
wait+ li/s 9 _m areas1 plac+ sy/emic    
pressure on pati5ts 9 ne$ ( su* p]sonal 
assi/ance s]vices to resort to assi/$   
suicide2 & ,:]eas = all ^! reasons1     
assi/$ suicide und]m9es ! integrity ( ! 
heal? c>e sy/em3 ,n[1 !re=e1 be x  ,t x 

is ! s5se ( ,congress t ! ,f$]al        
,gov]nm5t %\ld ensure t e p]son fac+ !  
end ( _! life has access to ! be/       
quality & compreh5sive m$ical c>e1      
includ+ palliative1 9-home1 or hospice  
c>e1 tailor$ to _! ne$s & t ! ,f$]al    
,gov]nm5t %\ld n adopt or endorse       
policies or practices t support1        
enc\rage1 or facilitate suicide or      
assi/$ suicide1 :e!r by physicians or   
o!rs4