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If you already have ‘Final Exit’ 3rd edn. in paperback, there is now a 2016 Addendum. Send $5 for print copy:
ERGO, 24829 Norris Lane, Junction City, OR 97448

This Addendum is already included in the Ebook version. Download at

“Final Exit” has been updated for 2016.
The ebook download version is fully updated at the ERGO Bookstore www.finalexit.org/ergo-store
The paperback when ordered from ERGO Bookstore now has a printed Addendum 2016 included with all copies.
(The above updates are not available with Amazon.com purchases.)
If you have ‘Final Exit’ already and want the updates, send $5 and the printed pamphlet will be mailed to you by return.
The updates in the ebook and in the printed Addendum include:
1. Huge price increases in barbiturates, thus the alternative cocktail now being used in states where physician-assisted suicide is legal.
2. Summary of the states and nations which have legalized some form of medical assisted dying.
3. Article on how assisted dying is carried out in Switzerland, what it costs, plus full contact details for the two organizations which will accept foreigners.
4. The best anti-emetics for use in self-deliverance from a terminal illness.
5. Clarification on the presence of loved ones at an actual self-deliverance.
6. Advice on how to obtain guidance on making your own inert gas kit now that party balloon helium in North America is diluted.

Send $5 to ERGO, 24829 Norris Lane, Junction City, OR 97448, and we will mail back the Addendum by return.
Or download the updated paperback or ebook from www.finalexit.org/ergo-store

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Persons thinking of purchasing for self-deliverance from a terminal illness the barbiturate Nembutal over the Internet from places like Mexico, China, Peru and so on, should note this:
Interpol is intercepting emails between purchasers and the sellers and then informing local police that the recipient is a suicide risk. Then there is a ‘wellness call’ to the home by uniformed officers, seeking to prevent deaths. (This is normal procedure.)
This situation has factually emerged in two recent cases in the UK.
Additionally, most foreign drug sales are scams. The very few which are honest are now, with this Interpol interception, also risky.

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References to ‘Final Exit’ book in TV and pop culture

 Arsenio Hall on his late night CBS TV show did a sketch about people being unable to return ‘Final Exit’ to their local library because they were no longer alive. Libraries were complaining that they had to keep buying the book to meet demand, Hall joked.

 Industrial metal band Fear Factory uses quotes from Humphry’s video in the last track, “Final Exit”, of their seventh studio album Mechanize

 In a Christmas episode of Mystery Science Theater 3000 Dr. Forrester gives TV’s Frank a copy of the book as a gift after he reveals that he stole Frank’s blood to pay for it.

 In episode 11 of the sixth season of Married With Children, Al Bundy can be seen reading this book while in bed.

 In episode 6 of the first season of The Powers That Be (1992), Theodore Van Horne (David Hyde Pierce) reads this book in bed ticking off the methods he’s tried.

 Bill Hicks incorporated this book in several of his bootleg shows as a build-up to one of his controversial sketches on how euthanasia can make movies more interesting and believable, quoting a phrase “Put ’em in the movies…

 In episode 10 of season one of the Showtime TV show “Huff”, Beth Huffstodt finds a copy of the book in her mother-in-law’s closet and worries that her mother-in-law is planning to kill herself.

Read the paperback or ebook

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Pharmaceutical Companies Hiked Price on Aid in Dying Drug

By Katie Orr, March 22, 2016, KQED News

When California’s aid-in-dying law takes effect this June, terminally ill patients who decide to end their lives could be faced with a hefty bill for the lethal medication. It retails for more than $3,000.

Valeant Pharmaceuticals, the company that makes the drug most commonly used in physician-assisted suicide, doubled the drug’s price last year, one month after California lawmakers proposed legalizing the practice.

“It’s just pharmaceutical company greed,” said David Grube, a family doctor in Oregon, where physician-assisted death has been legal for 20 years.

The drug is Seconal, or secobarbital, its generic name. Originally developed in the 1930s as a sleeping pill, it fell out of favor when people died from taking too much, or from taking it in combination with alcohol. But when intended as a lethal medication to hasten the death of someone suffering from a terminal disease, Seconal is the drug of choice.

“It works very quickly and very gently,” Grube says. “People fall asleep with no complications. It’s a very gentle passing.”

In 2009, Grube remembers the price of a lethal dose of Seconal — 100 capsules — was less than $200. Over the next six years, it shot up to $1,500, according to drug price databases Medi-Span and First Databank. Then Valeant bought Seconal last February and immediately doubled the price to $3,000.

Most drug companies justify such hikes by pointing to high research costs. But Grube says that’s not the case with Seconal. It’s been around for 80 years.

“It’s not a complicated thing to make, there’s no research being done on it, there’s no development,” he says. “That to me is unconscionable.”
NOTE: There is an alternative prescription drug method for assisted dying within the newest 2016 Ebook version of ‘Final Exit’ (download only). Visit www.finalexit.org/ergo-store

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I have detected a good deal of misunderstanding of how the Swiss
organizations handle assisted suicide. How are the drugs administered
and why does it cost $10,000? So I asked Dr Michael Irwin,
a retired UK doctor who has considerable experience in Switzerland,
to explain the procedures and methods. Dr Irwin writes:

The two large Swiss organizations (EXIT Deutsche Schweiz, based in
Zurich, and EXIT Suisse Romande, in Geneva) have helped suffering Swiss
nationals with assisted suicides, requiring the swallowing of liquid
nembutal (pentobarbital), for several decades.

Then, in the 1998, the possibility of this Swiss option became available
for non-Swiss nationals with the establishment of Dignitas, in Zurich.
This was followed by the formation of EX International, in Berne, about
twelve years ago, and, more recently, the emergence of Lifecircle (also
known as Eternal Spirit) in Basle. Within the last few months, a fourth
group has been formed in the Italian-speaking part of Switzerland.

All use liquid nembutal, in dosages which are about double what is
normally lethal, With the exception of Lifecircle, this is swallowed –
which, for some people, can perhaps be difficult because it has a bitter
taste. However, I have witnessed this happening on four different
occasions since 2005 (three times at Dignitas, and once at EX
International) and this did not seem to be too unpleasant for the
individuals who died – perhaps because all four were so relaxed and so
determined to die? This way, someone is fully unconscious in a few
minutes, and dead within fifteen to thirty minutes.

However, at Lifecircle, a physician inserts an intravenous drip (usually
into a vein in an individual’s arm) which, initially, only allows a
saline solution to flow into the body. Then, whenever this individual
wishes to die, he or she activates a device, attached to this IV drip,
which adds nembutal to the saline solution. I saw this happen on
February 29th, when I was in Basle with John Hofsess at Lifecircle – he
was unconscious within a minute, and dead about three minutes later.

Regarding the necessary costs – of this Swiss option – for non-Swiss
nationals, there are slight variations between the different
organizations. But, approximately, one-third of the quoted $10,000 goes
on preliminary expenses (especially for the review of medical reports,
by a local Swiss physician, which must be submitted before someone
travels to Switzerland; and, then, on two interviews with Continue Reading »

You probably saw this in Sunday’s New York Times Book Review. Interesting that Final Exit included in the 5 most significant books in the last 50 years on the subject:

‘The Good Death,’ ‘When Breath Becomes Air’ and More

Death goes in and out of fashion. The topic lingers behind euphemisms for a few years, and then someone calls it forth again: Elisabeth Kübler-Ross with her disciplined “On Death and Dying” in 1969; Susan Sontag with her angry but profound “Illness as Metaphor” in 1978 and the empathetic follow-up “AIDS and Its Metaphors,” in 1988; Derek Humphry, implausibly, with his suicide handbook Final Exit” in 1991; Sherwin Nuland with his magisterial “How We Die” in 1993; more recently, Joan Didion with her agonizingly precise “The Year of Magical Thinking” in 2005; and Atul Gawande with his humane “Being Mortal” in 2014. Each of these books argues, one way or another, for a continuum between life and its conclusion.

The gloss of youthful vitality can persuade us that life is for the living, but life is also for the dying, and repudiating that ultimate punctuation escalates our anxiety and deprives us of final dignity. Time and again, we must clarify our individual and collective beliefs about how the last chapter changes the rest of the narrative. “Or not to be” is not in fact a question.

These recent weeks have seen the publication of five books about death: one by a historian; two by hospice workers; one by a widow; one by a man who is dying himself……SNIPPED
Source for full article:

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The program on international euthanasia which the VICE organization has been making for the last year will appear on HBO this Friday evening, February 19, 2016
VICE airs on Friday nights at 11:00 PM ET/PT immediately following Real Time with Bill Maher. Some HBO channels at 8.30 pm.

TITLE : The Right to Die

From the preview glimpses, Derek Humphry is a part of this program.
See preview at
The program will be shown throughout the world in due course.

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From today, there is an updated edition of Final Exit ebook to mark its 25 years in print.

Final Exit ‘Digital Edition’ v.3.2 (eBook)
The Practicalities of Self-Deliverance
and Assisted Suicide for the Dying

by Derek Humphry, founder of the Hemlock Society

• v.3.2 – Revised 3rd edition / 25th Anniversary Edition
• eBook PDF • 900KB • 186 pages
• eBook ISBN 978-0-9637280-6-7
• Price: $17.00 • No shipping charges for eBooks
• Purchasing eBooks thru the ERGO Store helps to support ERGO

Version 3.2 of Final Exit 2016 (25th Anniversary Edition) eBook is updated to include an alternative new lethal drug cocktail if barbiturates are unavailable or too expensive, updated info on inert gas techniques, and updated information on assisted suicide laws and Swiss organizations.

Download it at

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DutchNews NL reported 20 January 2016:

Euthanasia requests for severe dementia patients rejected

None of the 26 requests for euthanasia for people with very severe dementia made to a special Dutch clinic were carried out, according to a report in medical magazine Medisch Contact.

Between January 1 2012 and May 1 2015, official guardians made requests to help 26 patients who had become incapable of asking for themselves, the report says. All the patients had signed a euthanasia declaration before they became seriously ill.

Euthanasia is allowed in the Netherlands under strict conditions. The patient must be suffering unbearably and the doctor must be convinced the patient is making an informed choice.

In 25 cases, doctors at the special clinic ruled that even though communication was possible with the patient, they could not indicate whether they still wished to die or not. In addition, in all 25 cases doctors said the patient could not be described as suffering unbearably.

In one case, doctors agreed to help the patient but they died of natural causes before euthanasia could be carried out.

Earlier this month, the government said the guidelines for performing euthanasia on people with severe dementia have been relaxed a little so that patients can be helped to die even if they are incapable of making their current feelings known.

However, they will have to have signed a euthanasia declaration with their family doctor before they became seriously ill to be considered for help in dying.
ERGO Bookstore has an Advance Declaration (Living Will) dealing with the dementia question:

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