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HOW IT’S DONE IN SWITZERLAND

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
By ANDREW SOLOMON FEB. 8, 2016

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:
http://www.nytimes.com/2016/02/14/books/review/the-good-death-when-breath-becomes-air-and-more.html

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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
http://www.hbo.com/vice/episodes/04/39-right-to-die/video/ep-403-preview.html?autoplay=true
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
www.finalexit.org/ergo-store

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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:
http://www.finalexit.org/ergo-store/

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You can be there at the end

There is a fine and thoughtful cover article in the current February edition of the magazine MOTHER JONES.

MY RIGHT TO DIE: Assisted suicide, My family, and Me
by Kevin Drum

It is now on bookstalls and at this web site
http://www.motherjones.com/politics/2016/01/assisted-suicide-legalization-california-kevin-drum

But it has one disappointing flaw in the last six paragraphs. Writer Drum says it is a crime to be in the presence of someone choosing to end their own life. WRONG. It is NOT a crime in the USA and probably nowhere else.

Yes, it is the crime of assisted suicide if someone present physically helps or provides the means. Big difference

The Hemlock Society and its successors have always stressed that careful
self-deliverance with friends or family with them was preferable; that is why peaceful methods and non-violence were always emphasized. Be there, but don’t touch. Nobody should have to die alone — unless that was their specific wish.

Of course, in the states (OR, WA, VT and CA) which now have Death With Dignity Acts allowing physician-assisted suicide for the dying, under certain rules, it is obviously not a crime for family to be present or help provided the doctor has prescribed the drugs.

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January 2016 marks the 25th anniversary of the publication of the guide book “Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying”.
When first written, no publisher in the world would consider it, so I self-published it. In late l991 it hit the New York Times bestseller list and remained there for 18 weeks, spurring Random House NY to take over the paperback rights. There have been 13 translations into major languages.
Worldwide sales of “Final Exit” in hardcover, paperback and ebook are approximately two million. It is in most English-language libraries.
I keep it updated. Now in its 3rd edition — Derek Humphry

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Be ever vigilant for persons in Mexico, China, Russia and elsewhere who are making a profitable business on the internet/web by offering Nembutal by mail. Usual charge is $500, wired to them in advance.

This is the latest scammer reported to me:
Samuelle Pindolon from Cholula/Puebla/Mexico City. The person had the money wired to an Aura Luna Solares in Mexico City.

Press release from the Final Exit Network

Dear Fellow Right-to-Die Supporters:

Books have the power to encourage and advance change. But only rarely does a book, by itself, establish a new civil liberty and start a movement to achieve it. Such a book is Derek Humphry’s Final Exit. The notion that people had a right to end their suffering came as a shock.

It upended the almost universal belief that suffering had to be endured, and that it was not up to any of us to question the ‘why’ of it.

>From its beginnings as a privately published book, because no company would agree to print it, it has now become the standard source for information and has sold an estimated 2 million copies worldwide.

Since Derek’s bold statement of belief and action, much of Western Europe and the United States has witnessed a revolution in the understanding of human liberties.

The battle for end of life autonomy has advanced more slowly – but it advances. So it seems fitting that on the 25th anniversary of the book’s publication, we honor Continue Reading »

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The Euthanasia Research & Guidance Organization (ERGO) asks for your help only once a year

Please consider making an end-of-year donation to ERGO for the upkeep of its news digest, its two web sites and blog. ERGO advises news media, does broadcasts, and talks daily with persons about their choice in dying problems.

ERGO has no offices or staff but there are fees, travel, utilities, outsourcing and upkeep expenses. ERGO is 501c3 since l993
and therefore tax deductible to the extent of US law. To make a secure contribution on the internet, go to

http://www.finalexit.org/ergo-store/contribute-to-ergo-c-68/contribute-to-ergo-p-192.html

Or if you prefer to mail a check, this is the address
ERGO
24829 Norris Lane
Junction City OR 97448 USA

Thank you Derek Humphry ergo@finalexit.org

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