One of the most controversial end-of-life decisions is “physician-assisted suicide” (PAS). This method of suicide involves a doctor providing the patient, at his request, with a lethal dose of drug, which the patient self-administers. The ethical acceptability and desirability of legalization of this practice both continue to cause controversy (Raus, Sterckx, Mortier 1). Vaco v. Quill and Washington v. Glucksberg were landmark decisions on the issue of physician-assisted suicide and the presumed constitutional right to commit suicide with the assistance of another. In the case of Washington v. Glucksberg, the Supreme Court ruled unanimously that Washington state's ban on physician-assisted suicide was not unconstitutional. The judges noted that while terminally ill patients on life support have the legal right to refuse any treatment, terminally ill patients who are not on life support do not have this right. Although the United States Supreme Court ruled that the ban on physician-assisted suicide was not unconstitutional, individual states were free to enact laws allowing physician-assisted suicide. Not long after this ruling, Oregon adopted the Death with Dignity Act (DWDA) which allows physician-assisted suicide under certain conditions (State of Oregon 1995). More recently, Oregon's neighboring state, Washington, also enacted a law allowing physician-assisted suicide: the Washington Death with Dignity Act (Washington State 2008) (Raus, Sterckx, Mortier 2). Some European countries, such as the Netherlands and Luxembourg, have laws legalizing medically assisted suicide and euthanasia. Belgium has also legalized euthanasia, but has not explicitly legalized medically assisted suicide. The Swiss penal code prohibits killing on…… means of paper……if. It can also be said that, in general, people with moderate or strong religious beliefs are less likely to be in favor of self-determination at the end of life (Rerup, Onquteaka-Philipsen, van der Wal, Heide, van der Maas 531). As you can see, medically assisted suicide has a long and complicated history. Recent developments in the United States have brought issues associated with end-of-life decisions under the microscope. The morality and ethics associated with voluntarily assisting someone while they commit suicide have touched the hearts of individuals, organizations, and in the political and medical sectors. The Hippocratic Oath and the Pharmaceutical Oath have become the subject of scrutiny with the growing popularity and legalization of terminally ill patients seeking dignity in death. More and more people support the difficult decisions made by patients.