Opinion: Let’s help Maine’s Death with Dignity Act live up to its name

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An amendment to lift the mandatory waiting period would reduce the risk of prolonged suffering in pursuit of end-of-life care.

Maine has taken a commendable step in providing its citizens with the option of Death with Dignity , a choice that recognizes and respects individual autonomy in the face of terminal illness. This legislation acknowledges a fundamental truth: Individuals facing the end of their lives deserve the right to make informed decisions about their own care, and to seek a peaceful, dignified exit. However, as with any pioneering legislation, there is room for refinement.

This is where LD 613 , An Act to Amend the Maine Death with Dignity Act to Ensure Access by Qualified Patients, offers a vital and necessary improvement, one that I strongly support. Cynthia Cushing is community case management team leader at Summit Support Services in Wilton. She is also first vice president of the National Association of Social Workers’ Maine chapter.



This bill addresses a critical flaw in the current law: the mandatory, often lengthy, waiting period. While the intention behind this waiting period may have been to ensure careful consideration and prevent coercion, its rigid application can lead to unintended and tragic consequences. In cases where a patient’s condition demands immediate access to end-of-life medication, this waiting period becomes an unnecessary and cruel obstacle, prolonging suffering and denying individuals the peaceful, dignified death they so desperately deserve.

LD 613 empowers physicians, who are best equipped to assess individual patient needs, to use their professional judgment and waive all or part of this waiting period when medically necessary. This is not about encouraging hasty decisions; it’s about acknowledging that time is of the essence for some terminally ill patients. My own family recently experienced the harsh reality of this limitation, a reality that underscores the urgency of LD 613.

My relative, diagnosed with an aggressive form of terminal cancer, sought the option of a peaceful and dignified death. He had made his wishes clear, desiring to maintain control and avoid prolonged suffering. Tragically, the lengthy and inflexible waiting periods mandated by the current law, coupled with the frustrating difficulty of finding a physician willing to participate, rendered this option impossible.

He endured three agonizing weeks in hospital and hospice, his suffering prolonged unnecessarily, his dignity stripped away, before he finally passed. The memory of his pain and the helplessness I felt stays with me. No one, no family, should be forced to endure such needless pain and distress at the end of their life.

Death with Dignity is a peaceful, self-imposed end-of-life option for patients who are determined terminally ill with six months or less to live by a medical professional. Death with Dignity is not euthanasia, assisted suicide or mercy killing. This is not a matter of abstract policy or political debate.

It is a matter of compassion, of respecting the fundamental right of individuals to make informed choices about their own lives, especially in their final moments. It is about recognizing that end-of-life care is deeply personal and that one-size-fits-all solutions are often inadequate. Physicians, in partnership with their patients, are best positioned to determine the most appropriate course of action.

I am thankful to Rep. Michele Meyer and Sen. Marianne Moore for sponsoring and co-sponsoring LD 613, and I urge all Mainers to support this vital amendment.

It is a chance to affirm our commitment to individual dignity and compassionate care. In conclusion, this bill would allow physicians to make time-sensitive and medically sound decisions based on their patients’ individual needs, preventing needless suffering, respecting patient wishes, and ensuring a more compassionate and humane end-of-life experience. It is a chance to refine a law that already provides a valuable service to our state.

I urge my fellow Mainers to contact their legislators, to share their own stories and concerns, and to express their unwavering support for LD 613. It’s time to ensure that Maine’s Death with Dignity Act truly lives up to its name and provides the compassionate care that our citizens deserve. We believe it’s important to offer commenting on certain stories as a benefit to our readers.

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