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Sisters Lila Ammouri and Susan Frazier decided to end their lives at a Swiss assisted dying clinic after becoming “tired of life”, according to an advocate who was advising them.

Dr Ammouri, a palliative care doctor aged 54, and Ms Frazier, 49, had been suffering from medical “frustrations” such as chronic insomnia, vertigo and back pain, Exit International director Philip Nitschke told The Independent.

The sisters had intended to travel from their home in Arizona to Switzerland in early 2021, but the trip was delayed due to the Covid pandemic, he said.

They first contacted Exit, a non-profit assisted dying support group, in September 2020 to say they were exploring options to die by suicide.

“The explanation was that they weren’t 100 per cent well. They were complaining about what you might call frustrations. Collapsed dics, chronic back pain, chronic insomnia, vertigo,” Dr Nitshke told The Independent.

“They had both decided they were tired of life and it was time to go.

“What was very clear was that dying together was non-negotiable, it was very important to them.”

The sisters also revealed to Dr Nitshcke they had endured a “troubled” period in their lives.

“They didn’t give us much detail, but they said they had helped each other through what had been a difficult time and saw themselves as being each other’s best friend.”

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   Oregon will no longer require people to be residents of the state to use its law allowing terminally ill people to receive lethal medication, after a lawsuit challenged the requirement as unconstitutional.

In a settlement filed in U.S. District Court in Portland on 03/28/22, the Oregon Health Authority and the Oregon Medical Board agreed to stop enforcing the residency requirement and to ask the Legislature to remove it from the law.

Advocates said they would use the settlement to press the eight other states and Washington, D.C., with medically assisted suicide laws to drop their residency requirements as well.

“This requirement was both discriminatory and profoundly unfair to dying patients at the most critical time of their life,” said Kevin Diaz, an attorney with Compassion & Choices, the national advocacy group that sued over Oregon’s requirement.

Some 2,159 people have died after ingesting terminal drugs under the law since it took effect in 1997, according to data published last month by the Oregon Health Authority.

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Sisters Lila Ammouri 54, and Susan Frazier 49, from Arizona, US travelled to Basel Switzerland and died at the Pegasos clinic in Liestal on February 11, 2022.

The sisters were members of Exit International, having joined the organization in October 2020. They subsequently joined Pegasos in March 2021.

They sought information from Exit on ending their lives. Although they had a number of health problems, they were not terminally ill. They expressed a strong wish to die together.

They initially researched in detail possible DIY options described in the Exit Peaceful Pill Handbook. Fear of possible failure led them to then consider travelling to Switzerland. Pegasos was chosen because neither was terminally ill, and they felt Pegasos would be better able to serve their needs.

They also realised that their desire to die together, when not terminally ill, could not be accommodated by any of the right to die legislative changes introduced into a number of US states.

Both sisters were medically reviewed in Switzerland and their mental capacity to make such a decision assessed by independent professionals.

(The sisters – a palliative care doctor and a nurse practitioner from Arizona – had told friends they were taking a short vacation in Europe.)

Pegasos Director  Reudi Habegger stated

Pegaso’s Swiss Association is committed to ensuring that adults capable of judgement can exercise their right to a self-determined, humane death.  After careful clarifications and within the framework of the official rules, we respectfully accompany people with unbearable suffering on their last journey. Please understand that we cannot comment on individual cases for data protection reasons. 

What we can say, however, is that for each individual assisted suicide by Pegasos Swiss Association, a careful and preliminary clarification is required. Of course, we work closely with medical professionals and local authorities.

A majority of our supporters attach great importance to involving family members and selected friends in the preliminary clarifications and bringing them along on the day of VAD (Voluntary Assisted Dying). We strongly support this approach and actively recommend this and encourage the persons concerned. In the end, however, how they proceed corresponds to their own free will.

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Low cost, quality reading

Two books from Derek Humphry have now become available cheaply on KINDLE

My memoir  ‘Good Life, Good Death’  can be read on KINDLE for $$1.99.   (It was $33.00)


Also, my 1948 memoir ‘Jean’s Way’ is on Kindle for $6.

People tell me that both books are  quick and easy reads.

  • Derek Humphry                                    March 2022



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If interested in the debate over whether medical assisted dying should be extended beyond the only terminal adult, this long article in the Colorado Sun of 14 March is well worth reading:

Denver doctor helped patients with severe anorexia obtain aid-in-dying medication, spurring national ethics debate

A recent case study shocked psychiatrists across the country and added fuel to a long debate about whether right-to-die laws would lead to state-sanctioned deaths of people with mental illness and disabilities

Go to:



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ALZHEIMER’S  — Ways to cope

The hot-button issue of end of life choices available to a person with Alzheimer’s Disease or other form of dementia is coming up again in  March with the publication of a new book and it’s preview in ‘People’ magazine.

If you would like to brief yourself on the various relevant advance care documents a good site for them is


The new book is “In Love”  a memoir by Amy Bloom (Random House) and Amazon.  It chronicles the story of her husband’s Alzheimer’s and their trip to Switzerland to get assisted dying at his request.  The Swiss call it ‘accompanied suicide’, which is legal there.

On page 63 author Amy Bloom says that LifeCircle in Switzerland is closed. I am assured today by Dr.Preisig that this is incorrect – they’re taking patients. ?

Consider also reading my book “Final Exit” in its various updated forms at


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FinalExit 2020

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All across America big chains are closing pharmacies because they are unprofitable.

Now it has hit home to me, as  local public radio KLCC is reporting….

Veneta’s only pharmacy closes

Derek Humphry (91) has lived in Veneta, Oregon,  for 32 years.

Veneta’s only pharmacy closed on January 5th, leaving the township of over 5,000 without a convenient way to fill their prescriptions.

91-year-old Derek Humphry has nine prescriptions he needs to fill regularly, including heart medication. He’s been a resident of Veneta for 32 years.

Last year, when Bi-Mart’s pharmacy was acquired by Walgreens, 56 counters closed in three states, including the only pharmacy in Veneta.

Humphry tried several others in the area and was turned away without explanation. He was within two days of running out of his blood-thinning medication when his doctor directed him to a Walmart in Eugene, significantly further away.

“A person like me doesn’t drive,” Humphry said. “I have to get other people to take me to the pharmacy. So it’s quite inconvenient.”

Bi-Mart spokesperson Don Leber attributes their exit from the pharmacy business to Oregon taxes on pharmaceuticals and increased fees implemented by insurance companies and pharmacy benefit managers and so they are unprofitable.


Sunday’s Washington Post, looking at the future,  had commentary on the 1972 movie ‘SOYLENT GREEN’  and its predictions about the future of medical assisted dying.   Extract:

Between the food shortages, staggering inequality, oppressive temperatures and stairwells lined with sleeping homeless people, life in “Soylent Green” isn’t a picnic. Perhaps that’s why authorities in the movie have legalized assisted dying.

One scene shows widows collecting “death benefits,” implying that your family will be rewarded if you opt out. It’s a moment that catches the eye of Sol Roth (Edward G. Robinson), who attends a clinic where he’s welcomed by a glamorous assistant. He’s asked to choose his favorite color and soundtrack, takes a mouthful of medicine and is placed in bed while an orderly pushes two buttons on a console.

A wall-sized TV then plays a montage of pacifying imagery (grazing stag, golden dawns, rivers) as the character exchanges a tender “I love you” with Thorn. (Robinson himself would die 12 days after shooting wrapped.)

A controversial subject at the time, assisted dying is legal today in Canada, Colombia, Australia and parts of Europe. In 2018, 142 people traveled from Germany, France and Britain to Switzerland’s Dignitas facility to make use of the country’s physician-assisted suicide policy that does not set a minimum age, diagnosis requirement or qualifying symptoms.  (end extract)

(Also, ten states in the USA have medical assisted dying laws.)

Read the whole article on SOYLENT GREEN at


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Choice in dying has long been progressive in Colombia, alone among South American countries.

Reuters is reporting:

Colombian Victor Escobar became the first person in the Andean country with a non-terminal illness to die by legally regulated euthanasia late on Friday, his lawyer Luis Giraldo confirmed.

“We reached the goal for patients like me, who aren’t terminal but degenerative, to win this battle, a battle that opens the doors for the other patients who come after me and who right now want a dignified death,” Escobar, 60, said in a video message sent to media by Giraldo.

On Saturday, a second Colombian, Martha Sepulveda, with amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s Disease, was also euthanized.

Escobar suffered from end-stage chronic obstructive pulmonary disease, which greatly diminishes quality of life, as well as a number of other conditions, Giraldo told Reuters.

The procedure took place in a clinic in Cali, the capital city of Colombia’s Valle del Cauca province.

“I’m not saying goodbye, just ‘see you later,’” Escobar said.

Escobar had fought two-years for his right to euthanasia in the face of opposition from doctors, clinics and courts, even though the Constitutional Court last year recognized the procedure should be available for others besides the terminally ill.

On Saturday, Sepulveda underwent the procedure in the city of Medellin at midday, Colombian legal rights advocacy group DescLAB — who supported her case — said in a statement.

Colombia’s Constitutional Court removed penalties for euthanasia under certain circumstances in 1997 and ordered the procedure to be regulated in 2014. The first person in Colombia with a terminal illness to die under those rules was in 2015.

As of Oct. 15 last year, 178 people with terminal illnesses had been legally euthanized in Colombia since 2015, according to DescLAB.

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