
The topic of assisted suicide is a highly contentious issue, with passionate beliefs on both sides of the debate. In the US, physician-assisted suicide is currently legal in twelve jurisdictions, but it is prohibited in 48 states. The US Supreme Court has ruled that there is no constitutional right to assisted suicide, and that states have the right to permit or ban the practice. The Court's decision was based on the idea that the right to assisted suicide is not a fundamental liberty interest protected by the Due Process Clause of the Fourteenth Amendment. This has led to a situation where individual states can decide the legality of assisted suicide, with a growing number enacting laws that protect a patient's right to die.
| Characteristics | Values |
|---|---|
| Physician-assisted suicide laws steeped in | Politics, public health, and religious arguments |
| Constitutional right to physician-assisted suicide | No Constitutional right, states have the right to prohibit it |
| Right to die | Not a fundamental right under the Constitution |
| Right to refuse life-saving medical aid | Allowed |
| Right to refuse medical treatment | Allowed |
| Right to die with dignity | Allowed in 12 US jurisdictions |
| Right to choose death over a life of physical suffering | Allowed in 12 US jurisdictions |
| Right to assisted suicide as a liberty interest | Not protected by the Due Process Clause |
| Right to assisted suicide as a fundamental liberty interest | Not protected by the New Mexico Constitution |
| Right to assisted suicide as a fundamental right | Not protected by the Constitution |
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What You'll Learn
- Physician-assisted suicide is not a fundamental right under the US Constitution
- The Supreme Court has not declared the practice illegal, leaving it a state issue
- The Supreme Court has ruled that refusing life-saving treatment is not the same as asking a physician to end a patient's life
- The Supreme Court has ruled that the government's interest in protecting life outweighs the patient's interest in choosing to die
- The Supreme Court has ruled that the right to assisted suicide is not protected by the Due Process Clause

Physician-assisted suicide is not a fundamental right under the US Constitution
In the United States, the debate surrounding physician-assisted suicide and its legality is a contentious issue that has been the subject of numerous legal battles. While some states have legalized the practice, it is essential to understand that physician-assisted suicide is not a fundamental right guaranteed by the US Constitution. This position was solidified by the US Supreme Court in 1997, which ruled that there is no constitutional right to assisted suicide.
In the landmark case of Washington v. Glucksberg, the Supreme Court addressed the question of whether Washington state's ban on physician-assisted suicide violated the Due Process Clause of the 14th Amendment by denying mentally competent, terminally ill adults the autonomy to choose death over a life of physical suffering. The Court unanimously ruled that the ban did not violate the Due Process Clause, stating that "the right to assisted suicide is not a fundamental liberty interest protected by the Due Process Clause since its practice has been, and continues to be, offensive to our national traditions and practices." This ruling set a precedent and gave states the power to determine the legality of physician-assisted suicide within their jurisdictions.
The Supreme Court's decision in Washington v. Glucksberg was based on a substantive due process analysis. The Court examined whether the right to assisted suicide was deeply rooted in US history and traditions and found that it was not. The Court's decision also considered the government's interest in protecting life and preventing intentional killing, concluding that it outweighed the patient's interest in choosing to die. This ruling affirmed that the legalization or criminalization of physician-assisted suicide is a matter of states' rights, allowing each state to make its own determination on the issue.
While the Supreme Court has ruled that physician-assisted suicide is not a fundamental right, a growing number of states have enacted laws protecting a patient's right to die. As of 2025, twelve US jurisdictions have legalized physician-assisted suicide, recognizing that the right to die is central to an individual's autonomy and bodily integrity. These states have implemented regulations and safeguards, such as requiring patients to make multiple requests for lethal medication and having a limited life expectancy. However, it is important to note that the legality of physician-assisted suicide does not obligate doctors who oppose the practice on ethical or personal grounds to participate.
The constitutional debate surrounding physician-assisted suicide remains complex and multifaceted. While the Supreme Court has ruled that it is not a fundamental right, the Court has also stopped short of declaring the practice illegal, leaving the decision to the states. This has resulted in a varying legal landscape across the country, with some states legalizing the practice while others prohibit it through statutes or common law. As public opinion and attitudes continue to evolve, the legal status of physician-assisted suicide may also undergo changes, reflecting the ongoing dialogue between voters, lawmakers, and the judicial system.
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The Supreme Court has not declared the practice illegal, leaving it a state issue
In the United States, the constitutionality of assisted suicide has been the subject of much debate and legal battles. The Supreme Court has addressed the issue in several landmark cases, but it has not explicitly declared the practice illegal, leaving the regulation of assisted suicide largely to the states.
In 1997, the Supreme Court issued rulings in two significant cases: Washington v. Glucksberg and Vacco v. Quill. In these cases, the Court addressed the constitutionality of state laws banning assisted suicide. The Court unanimously ruled that state laws prohibiting assisted suicide did not violate the Due Process or Equal Protection Clauses of the Constitution. The Court held that the government's interest in protecting life and preventing intentional killing outweighed the patient's liberty interest in choosing to end their life. However, the Court stopped short of declaring assisted suicide a fundamental right under the Constitution, leaving the door open for states to legalise the practice.
Following the 1997 rulings, several states have enacted laws allowing physician-assisted suicide, often referred to as "medical aid in dying" or "death with dignity." These states include California, Colorado, Delaware, the District of Columbia, Hawaii, Maine, New Jersey, New Mexico, Oregon, Vermont, and Washington. Each state has its own criteria for physician-assisted suicide (PAS), but common requirements include the patient being mentally competent, terminally ill, and providing witnesses for their request. While these states have legalised PAS, it is important to note that physicians who oppose the practice on ethical or personal grounds are not forced to participate.
The legalisation of PAS has been a contentious issue, with passionate arguments on both sides of the debate. Opponents of PAS argue that it goes against long-standing medical ethics and may pressure terminally ill patients to end their lives prematurely. On the other hand, proponents of PAS argue that it is central to an individual's right to personal autonomy and bodily integrity. The Supreme Court's decision to leave the issue to the states has allowed for ongoing debate and the evolution of laws surrounding end-of-life care.
While the Supreme Court has not declared PAS illegal, it is essential to note that the practice remains illegal in the majority of states. In these states, PAS is considered affirmative aid, exposing physicians to criminal liability and potential homicide charges. The legal landscape surrounding PAS continues to evolve, with ongoing court cases and public opinion polls indicating a growing acceptance of the practice. As of 2025, public opinion polls show that 72% of Americans support laws allowing physician-assisted suicide for terminally ill patients.
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The Supreme Court has ruled that refusing life-saving treatment is not the same as asking a physician to end a patient's life
The topic of assisted suicide has been the subject of much debate and several court cases in the United States. The Supreme Court has ruled on the constitutionality of assisted suicide, finding that it is not a fundamental right guaranteed by the Constitution. However, the Court has also declined to declare the practice illegal, leaving the decision to individual states.
In the case of Vacco v. Quill, the Supreme Court addressed the issue of whether New York's ban on assisted suicide violated the Equal Protection Clause of the Fourteenth Amendment. The Court found that the ban did not violate the Constitution, upholding New York's right to treat assisted suicide and refusing life-saving medical treatment differently. The Court's decision was based on the distinction between letting a patient die by withdrawing treatment and actively causing a patient's death. This distinction was found to be important, rational, and widely recognized in the medical and legal professions.
In another case, Washington v. Glucksberg, the Supreme Court again addressed the constitutionality of assisted suicide. The Court ruled that Washington state's ban on assisted suicide did not violate the Due Process or Equal Protection Clauses of the Constitution. This case involved a lawsuit brought by Dr. Harold Glucksberg and others, who argued that the ban violated the rights of mentally competent, terminally ill adults to choose death over physical suffering. While the Supreme Court upheld the ban, it did not make physician-assisted suicide illegal nationwide, leaving it to individual states to decide.
The Supreme Court's rulings on assisted suicide have been influential in shaping the legal landscape surrounding end-of-life decisions. The Court has recognized the importance of personal autonomy and bodily integrity in these decisions, but has also balanced it with the government's interest in protecting life and preventing intentional killing. The Court's decisions have also sparked ongoing debates about the morality, legality, and practicality of physician-assisted suicide, with states taking different approaches to the issue.
While the Supreme Court has provided guidance on the constitutional issues surrounding assisted suicide, the topic remains complex and emotionally charged. The Court's rulings have not resolved all questions, and the practice of assisted suicide continues to be the subject of legal, ethical, and moral discussions across the United States.
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The Supreme Court has ruled that the government's interest in protecting life outweighs the patient's interest in choosing to die
The issue of assisted suicide has been a contentious topic in the United States for decades, with passionate arguments on both sides of the debate. The Supreme Court has been pivotal in shaping the legal landscape surrounding this issue. In 1997, the Supreme Court issued rulings in two landmark cases: Washington v. Glucksberg and Vacco v. Quill. These cases addressed the constitutionality of state laws banning assisted suicide and set a precedent for future legal battles over the right to die.
In Washington v. Glucksberg, the Supreme Court held that Washington State's prohibition against causing or aiding a suicide did not violate the Due Process Clause of the Fourteenth Amendment. The Court applied its established method of substantive due process analysis and concluded that the right to assisted suicide was not deeply rooted in the United States' history and tradition. This decision affirmed that the government's interest in protecting life and maintaining long-standing legal doctrines outweighed the patient's liberty interest in choosing to die. The Court's ruling also highlighted the need to be cautious in defining the precise "liberties" protected under the Constitution.
Vacco v. Quill, the second case decided on the same day, addressed a similar challenge against New York State's ban on assisted suicide. The Supreme Court ruled that this prohibition did not violate the Equal Protection Clause of the Fourteenth Amendment. The Court drew a distinction between letting a patient die by refusing treatment and actively causing a patient's death through assisted suicide. This distinction was deemed important, logical, and rational, allowing states to treat these situations differently without violating the Constitution.
The Supreme Court's rulings in these cases set a precedent for state-level legislation on assisted suicide. While the Court stopped short of declaring assisted suicide illegal, it affirmed that there is no constitutional right to assisted suicide. This decision gave states the authority to determine the legality of assisted suicide within their jurisdictions. As a result, there is now a patchwork of laws across the country, with some states legalizing the practice while others maintain strict prohibitions.
The Supreme Court's stance on assisted suicide has had a significant impact on the legal landscape surrounding end-of-life decisions. While the Court prioritised the government's interest in protecting life, the ongoing debate and evolving state legislation reflect a complex societal perspective on the right to die.
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The Supreme Court has ruled that the right to assisted suicide is not protected by the Due Process Clause
The issue of assisted suicide has been the subject of much debate and legal contention in the United States. The Due Process Clause of the Fourteenth Amendment guarantees US citizens the right to life, liberty, and property without arbitrary government interference. In the context of assisted suicide, the question arises as to whether the right to life includes the right to end one's life with medical assistance.
In 1997, the US Supreme Court addressed this issue in two landmark cases: Washington v. Glucksberg and Vacco v. Quill. In these cases, the Court ruled that the right to assisted suicide is not protected by the Due Process Clause. The Court held that the government's interest in protecting life and preventing intentional killing outweighed the patient's interest in choosing to end their life. The Court further noted that assisted suicide had no place in the country's traditions or history and thus could not be considered a fundamental liberty interest.
The Supreme Court's rulings in these cases set a precedent for how states approach the legality of assisted suicide. While the Court declined to declare assisted suicide illegal, it affirmed the rights of states to determine its legality within their jurisdictions. This has resulted in a varied landscape of laws and regulations regarding assisted suicide across the country.
As of 2025, physician-assisted suicide is legal in twelve US jurisdictions, including California, Oregon, and Washington. These states have enacted laws that allow mentally competent, terminally ill individuals to obtain life-ending medication upon request. However, it is important to note that each state has its own criteria and regulations governing the practice.
The debate surrounding assisted suicide continues to be passionate and contentious. While some advocate for the right to die with dignity, others raise ethical, legal, and religious concerns. The Supreme Court's rulings in Washington v. Glucksberg and Vacco v. Quill remain pivotal in shaping the legal framework surrounding assisted suicide in the United States.
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Frequently asked questions
Assisted suicide is currently legal in 12 US jurisdictions: California, Colorado, Delaware, the District of Columbia, Hawaii, Maine, Montana, New Jersey, New Mexico, Oregon, Vermont, and Washington.
The US Supreme Court has ruled that there is no constitutional right to assisted suicide, and that individual states have the right to permit or ban the practice. The Court has also ruled that laws prohibiting assisted suicide do not violate the Due Process or Equal Protection Clauses of the US Constitution.
Advocates of assisted suicide argue that it is a liberty interest protected by the Due Process Clause of the 14th Amendment. They also argue that banning assisted suicide violates the right to life, as it forces people to endure unceasing pain before their imminent death.
Opponents of assisted suicide argue that it is not a fundamental liberty interest and that it has no place in the country's traditions or history. They also argue that the government's interest in protecting life outweighs the patient's interest in choosing to die.
Assisted suicide, or physician-assisted suicide (PAS), differs from euthanasia in that the patient self-administers the drugs that end their life. With euthanasia, another individual takes the patient's life.

























