Medical tourism for assisted dying expands across U.S. states
WASHINGTON D.C., UNITED STATES — In a shift reshaping the landscape of medical tourism, people are traveling not for healing but for the right to die on their own terms.
Diagnosed with a recurrence of ovarian cancer, Francine Milano journeyed from Pennsylvania to Vermont, not for leisure, but to arrange for medical assistance in dying.
In an interview with KFF Health News, Milano shared how she wanted to take control over how she would leave this world, highlighting a growing trend among terminally ill patients seeking autonomy over their final moments.
Legal reforms facilitate end-of-life choices
The legal landscape for medical aid in dying has evolved, with Vermont and Oregon lifting residency requirements in 2023.
This change allows nonresidents to seek end-of-life options within their borders, a significant shift from when individuals like Milano would have had to travel to Switzerland or reside in one of the few U.S. states where medical aid in dying is legal.
Despite the logistical and emotional challenges, this change has prompted dozens to make the journey.
Navigating complex procedures
Traveling for assisted dying presents numerous hurdles. Patients must find local doctors, arrange travel when gravely ill, and adhere to strict legal protocols.
In both Vermont and Oregon, patients must be evaluated by two physicians, have a prognosis of less than six months to live, and be mentally competent. These safeguards aim to protect individuals while ensuring the process is ethically sound.
“The law is pretty strict about what has to be done,” noted oncologist Charles Blanke.
Increasing demand amidst legislative debates
The demand for medical aid in dying is increasing, with Vermont and Oregon reporting significant numbers of out-of-state participants.
However, the process is not without its critics. Religious groups and some medical professionals oppose it, arguing that it contradicts the role of healthcare providers.
Despite these debates, legislative efforts continue. In recent sessions, 19 states considered aid-in-dying laws, though only Delaware has passed such legislation.
Personal impact and challenges
For Milano, the journey to Vermont is both a logistical challenge and a source of empowerment. Despite the difficulties, she is grateful for the option to control her end-of-life decisions.
“I just wish more people had the option,” she expressed, underscoring the personal impact of these legal changes.
As more states consider similar legislation, the landscape of medical tourism for assisted dying is poised to expand, offering new choices for those facing terminal illnesses.
