On Tuesday, November 6, 2012, Massachusetts citizens voted on a measure (Question 2) that would have permitted doctor-prescribed suicide.
The ballot question cannot be put before voters again until 2018, however proponents indicate that they may try to address the issue in the legislature.
STUNNING UPSET IN MASSACHUSETTS
November 7, 2012
A late September poll sponsored by the Boston Globe and conducted by the University of New Hampshire showed 68% of Massachusetts voters in favor with just 19% opposed to Question 2. But, when the votes were counted, the measure was defeated.
“Tonight was a huge victory for those of us in the disability rights community that have worked for so long against assisted suicide,” noted John Kelly, Director of Second Thoughts — People with Disabilities Opposing Question 2.
“BACKERS OF DOCTOR-ASSISTED SUICIDE CONCEDE”
(Boston Herald, November 7, 2012)
Supporters of a ballot question legalizing physician-assisted suicide for the terminally ill in Massachusetts have conceded defeat, even though the vote is too close to call.A spokesman for the Death with Dignity Act campaign said in a statement early Wednesday that “regrettably, we fell short.”
Discussion of Massachusetts Medical Society opposition to Question 2.
Scroll down for news articles about the Question 2 campaign.
In Massachusetts, more people die annually from suicide than from motor vehicle accidents. [CDC National Vital Statistics Reports, Apr. 24, 2008] In 2007, the state’s suicide rate (8.0 per 100,000 people) was almost three times higher than the homicide rate (2.9 per 100,000 people).
According to Elder Abuse Daily, more than 1 in 10 Massachusetts elder are victims of abuse.
Current law regarding assisted suicide
Assisted suicide, including doctor-prescribed suicide, is a common law crime in Massachusetts.
INITIATIVE PETITION TO PLACE DOCTOR-PRESCRIBED SUICIDE ON 2012 BALLOT (The Initiative Petition was Initiative 11-12. Now that the initiative has qualified for the ballot, it is called Question 2. The measure’s language is that which is contained in this petition.)
On August 2, 2011, supporters of doctor-prescribed suicide filed a petition seeking to put a measure called the Massachusetts “Death With Dignity Act” on the 2012 ballot. The proposal is virtually identical to their previous legislative attempts and mirrors the Oregon and Washington laws by the same name. The process for the measure actually reaching the voters requires several steps:
- The legal language on the petition must be approved by Attorney General Martha Coakley.
- The signatures of at least 68,911 registered voters must be obtained by mid-November.
- If the signature drive is successful, lawmakers have until May 2012 to either back the proposal, offer an alternative proposal, or permit the measure to go onto the November 2012 ballot.
- If the measure gets the go ahead to be placed on the November 2012 ballot, an addition 11,485 signatures must be collected.
INITIATIVE LANGUAGE CHALLENGED
On May 17, 2012, the disability rights group, Second Thoughts, challenged the language for the proposed 2012 ballot initiative. “The ballot language is clearly misleading,” said Second Thoughts director John Kelly of Boston. “We want the voters of Massachusetts to know exactly what they are voting on this November,” he said.
The motion was denied.
Analysis of Initiative 11-12, (now called Question 2) the Massachusetts “Death with Dignity Act”
Legislative attempts to permit doctor-prescribed suicide
Bills were proposed in:
1995 (H 3173)
1997 (H 1543)
2009 (H 1468)
2011 (H 2233)
“Backers of doctor-assisted suicide concede”
(Boston Herald, November 7, 2012)
Supporters of a ballot question legalizing physician-assisted suicide for the terminally ill in Massachusetts have conceded defeat, even though the vote is too close to call.
A spokesman for the Death with Dignity Act campaign said in a statement early Wednesday that “regrettably, we fell short.”
With 93 percent of precincts reporting early Wednesday, opponents of the measure were ahead by about 38,000 votes.
“Question 2: End of life measure prompts fierce debate”
(Dorchester Reporter — November 5, 2012)
According to Second Thoughts: People with Disabilities Opposing the Legalization of Assisted Suicide, the only way to make a proposal like Question 2 acceptable would be to make the safeguards “so onerous, so strict” that it would be unfeasible, according to John Kelly, the group’s director.
“Bioethicist Endorses Mass. Assisted Suicide Bill in a Sloppy and Intellectually Lazy Essay”
(Not Dead Yet — November 2, 2012)
The organizations pushing legalization of assisted suicide are sophisticated and well-funded. And, like many advocacy organizations, they are following an incrementalist strategy in terms of their policy goals. Through polling, focus groups and experience, they’ve developed a vocabulary about these topics that draws a favorable response from the public. And, for the moment, the more “respectable” groups are sticking to policy that is allegedly limited to people who are “terminally ill.”
“Will Massachusetts Legalize Assisted Suicide?”
(PBS — November 1, 2012)
Contains link to video, “The Suicide Plan Preview”
“Question 2 Brings Contentious Campaign in Complex, Morality Issue”
(Chelsea Record — November 1, 2012)
As a disabled person, it’s scary to see people proposing a law where people will want to kill themselves to avoid the life I lead.
“Starr: Vote No on Question 2″
(MetroWest Daily News — November 1, 2012)
Question 2 would provide “death with pressure.” A prescription for life-ending drugs is certainly a lot cheaper than…
Question 2 would provide “death with lies.” According to the proposed law the death certificate “would list the underlying terminal disease as the cause of death.” Why? Isn’t this provision a clue that we inwardly cringe at the idea of suicide, which goes against our nature, against what we think is true, noble and good?
“Liberals should be wary of assisted suicide”
(Washington Post — November 1, 2012)
Many liberals and progressives with whom I agree on many questions support the Death with Dignity idea….
And, in any event, my strongest objections to physician-assisted suicide do not rest on my philosophical inclinations, but on worries that many others, including liberals, might share: …. (3) a worry about how physician-assisted suicide would interact with the need to curb costs in our medical system.
“Grace Ross: What Physician-Assisted Suicide Means to You”
(Go Local Worcester — October 31, 2012)
I don’t know about you, but the term “Physician Assisted” conjures in my mind the presence of a doctor overseeing each step in the process.
Here’s the problem. This law does not require an ongoing relationship with a physician – a relationship where the physician would know a history, say, of depression. You could shop around, find a physician who will give you the drugs, get a prescription for the drugs…and gives you enough of a narcotic to kill yourself, guaranteed, if you take it in one dose.
“Suicide by Choice? Not So Fast”
(New York Times — October 31, 2012)
My problem, ultimately, is this: I’ve lived so close to death for so long that I know how thin and porous the border between coercion and free choice is, how easy it is for someone to inadvertently influence you to feel devalued and hopeless — to pressure you ever so slightly but decidedly into being “reasonable.” to unburdening others, to “letting go.”
“By Any Other Name: Physician-Assisted Suicide”
(Over 65 blog — Daniel Callahan — October 31, 2012)
“The Patient [may obtain from a physician] medication that the patient may self-administer to end his or her life in a humane and dignified manner.” Well, that sounds suspiciously identical to the dictionary definition of suicide: “the action of killing oneself deliberately.”
“Our view: No on Question 2, Yes on Question 3″
(Gloucester Times — October 31, 2012)
While certainly arguable, Question 2 is not the answer. The law would allow doctors to prescribe a lethal dose of medication to terminally ill adult patients given six months or less to live. On the surface, it’s a reasonable approach to the issue of patients and physician-assisted suicide. Dig a little deeper however, and serious flaws appear.
“Ted Kennedy’s wife comes out against assisted suicide in Massachusetts”
(Daily Called — October 30, 2012)
The widow of longtime Democratic Sen. Ted Kennedy has emerged as a leading opponent of a Massachusetts ballot initiative that would legalize physician-assisted suicide.
“Most of us wish for a good and happy death, with as little pain as possible, surrounded by loved ones, perhaps with a doctor and/or clergyman at our bedside,” Kennedy wrote. “But under Question 2, what you get instead is a prescription for up to 100 capsules, dispensed by a pharmacist, taken without medical supervision, followed by death, perhaps alone.”
“Poll: Shift on ‘death with dignity’”
(Sentinel and Enterprise — October 30, 2012)
While auto repair information access and medical marijuana ballot questions continue to enjoy voter support, a proposal to allow chronically ill residents to take life-ending medications appears to be losing support.
According to Suffolk University/7News poll results released Tuesday, the life-ending medication proposal is favored by 47 percent and opposed by 41 percent, a considerably closer margin than the 37-point spread shown in a poll taken in September.
“State Rep. Scaccia Opposed to Question 2 – to Legalize Physician-Assisted Suicide”
(Roslindale Patch — October 29, 2012)
Individuals could be sent home with life-killing medications.
State Rep. Angelo Scaccia [D - Readville] said, “As vice-chair of the Joint Committee on Mental Health and Substance Abuse, I am deeply concerned with Question 2 and, specifically, its lacking of a psychiatric evaluation for terminally ill patients.”
“Physician-Assisted Suicide Is Not Progressive”
(The Atlantic — Ira Byock — October 2012)
In today’s “Newspeak” the Hemlock Society morphed into Compassion and Choices, which promotes “death with dignity” and objects to the word “suicide,” preferring “aid-in-dying” and “self-deliverance.” These terms sound more wholesome, but the undisguised act is a morally primitive, socially regressive, response to basic human needs.
“Four Myths About Doctor-Assisted Suicide”
(New York Times – Ezekiel Emanuel — October 27, 2012)
In a little more than a week voters in Massachusetts will decide whether to allow doctors to “prescribe medication, at the request of a terminally ill patient meeting certain conditions, to end that person’s life.” A similar bill is being debated in New Jersey. Unfortunately, like so many health care questions, the debate about physician-assisted suicide is confused, characterized by four major falsehoods.
Whom does legalizing assisted suicide really benefit? Well-off, well-educated people, typically suffering from cancer, who are used to controlling everything in their lives — the top 0.2 percent. And who are the people most likely to be abused if assisted suicide is legalized? The poor, poorly educated, dying patients who pose a burden to their relatives.
“Driscoll: There’s no ‘dignity’ in suicide”
(MetroWest Daily News — October 28, 2012)
As we enable those dying, who fear losing control, or becoming a burden upon our loved ones, to take their own lives, might we blindly, collectively be encouraging them, too? I wonder if we aren’t mistaking as compassion what should really be seen as a sad grim concession, a signal of surrender to expedience. I’m suggesting we stop and give these questions some though before we answer Question 2.
“Vicki Kennedy speaks out against physician-assisted suicide”
(South Coast Today — October 27, 2012)
The widow of Sen. Edward Kennedy is speaking out against a question on the Nov. 6 ballot legalizing physician-assisted suicide for terminally ill patients…
Kennedy takes issue with the ballot question’s specification that it apply to those with a life expectancy of six months or less.
“When my husband was first diagnosed with cancer, he was told he had only two to four months to live, that he’d never get back to the United States Senate, that he should get his affairs in order….But the prognosis was wrong. Teddy lived 15 more productive months.
“Column: Vote no on dangerous Question 2″
(Wicked Somerville — October 27, 2012)
Question 2 safeguards are hollow, unenforceable, and easily circumvented. Patients can be coerced, defrauded, psychologically abused, or financially exploited by heirs and others. For example….
No witnesses are required at death. There is no means of determining whether the patient willingly took the drugs.
“Physician-assisted suicide up for vote in Mass.”
(CBS News — October 27, 2012)
Dr. Marcia Angell, a medical ethicist at Harvard Medical School and former editor-in-chief of the New England Journal of Medicine, support the bill. Dr. Richard Aghababian, president of the Massachusetts Medical Society which also owns and publishes the New England Journal, said in a statement, he opposes the bill.
“HMS Panel Considers ‘Death with Dignity’ Ballot Question”
(The Harvard Crimson — October 26, 2012)
At Thursday afternoon’s public forum at the Harvard Medical School, a panel of two medical and two legal experts explained the issues surrounding Question 2 on this November’s general election ballot for Massachusetts, known as the “Death with Dignity” Initiative. All four panelists at the forum supported the initiative.
“Assisted Suicide Goes To Vote In Massachusetts”
(NPR — October 25, 2012)
Disability rights activist John Kelly says legalized suicide sends a damaging message that certain lives aren’t worth living. He’s also concerned that death by prescription will appeal to a health care system focused on the bottom line. “With cost controls, hospitals losing money, profit-making insurance companies, we’re always hearing about the incredible expense in the last year of life, And this is a way to save that money,” Kelly said.
“Waltham mayor, councilors say they will all vote ‘no’ to physician-assisted suicide ballot question”
(Boston.com — October 24, 2012)
Waltham’s leaders said in a statement that they oppose the bill’s language, which allows for physician-assisted suicide without consulting a psychiatrist, notifying family members, or having a doctor present during the act.
“Senator Richard Moore Urges ‘No’ Vote on Physician-Assisted Suicide”
(Milford Patch — October 23, 2012)
Sen. Richard Moore (D-Uxbridge) is urging constituents to vote no on Question 2. Moore is joining a rapidly expanding list of lawmakers, medical community organizations, clergy and other groups who say Question 2 is deeply flawed and lacks critical safeguards for protecting patients.
“No on Question 2″
(Boston Herald — October 22, 2012)
It is tempting to consider support for Question 2, the so-called “Death with Dignity” act which seeks to ease the final days of terminally ill patients…But the ballot initiative is deeply flawed. The Herald recommends voting NO.
“Vote ‘no’ on Question 2″
(Telegram — Worcester, MA — October 21, 2012)
Although the measure is touted as voluntary, so no doctor or health-care facility that objects would be required to participate, establishing a “right” to kill oneself could conceivable bring us closer to a legal battle over whether such a “right” is one that no physician could legally refuse to extend to his or her patients.
“Too many flaws in Question 2″
(Sentinel & Enterprise — October 19, 2012)
Question 2 advocates say that it is all about “choice,” but in reality Question 2 will limit choice, because it incentivizes insurers to restrict, or even deny, coverage. In today’s cost-cutting environment, where health-care-options are limited, many people already struggle with this.
“What about do no harm? Suicide is not health care and prescribing death is not a doctor’s role”
(Boston Globe — October 17, 2012)
Question 2′s provisions are highly arbitrary, as even its proponents acknowledge… Why such capricious line-drawing? Because, says Angell, that is the only way to make assisted suicide “politically acceptable.”
“Question 2 sponsors say measure isn’t “assisted suicide”
(Patriot Ledger — October 16, 2012)
“This is not about life versus death,” Dr. Marcia Angell of Dignity 2012 said Tuesday in a Patriot Ledger editorial board interview. “This is about the manner of death.”
“Column: Vote no on Questions 2″
(The Salem News — October 13, 2012)
Finally, if Death with Dignity passes, patients will be at greater risk to predatory insurance practices…. Given the option of assisted suicide, insurance companies may limit other treatments to cut cost. That means that patients, when weighing treatment options, may be influenced to commit suicide bt insurance providers.
“Physician-Assisted Suicide: Why Medical Ethics Must Sometimes Trump the Patient’s Choice”
(Psych Central — October 7, 2012)
Followup to the September 30, 2012 Psych Central article by the same author.
“Doctors’ group opposes end-of-life ballot question”
(Wicked Local — Statehouse News Service — October 2, 2012)
The Massachusetts Academy of Family Physicians on Tuesday announced its opposition to a ballot question allowing certain terminally ill patients to take life-ending medication. More than 1,000 family doctors are part of the academy, which joins the Mass Medical Society and the Mass. Osteopathic Society in opposition to Question 2.
“Merciful Assistance or Physician-Assisted Killing?”
(Psych Central — September 30, 2012)
Imagine that your father, age 85, has been diagnosed with a terminal illness and given only three months to live. Fortunately, he is still well enough to walk, and finds himself one night near a tall bridge…Suddenly, he sees his very own physician, Dr. Jones, walking by. He begs Dr. Jones to help him climb atop the railing, adding,”Don’t worry Doc, it will be my decision to jump”….From a strictly ethical perspective, I believe physicians have no more business helping patients kill themselves with lethal drugs than they do helping patients jump off bridges — regardless of how “voluntary” the patient’s decision may be.
“Social workers support ‘Death with Dignity’ ballot question”
(Wicked Local — Wareham, MA — September 24, 2012)
The Massachusetts chapter [of the National Association of Social Workers] board members met with proponents and opponents of Question 2 and decided to express “strong support” for the initiative petition after their deliberations.
“Discussing the ‘Death with Dignity’ Law”
(Sharon Patch — Sharon, MA — September 21, 2012)
An old friend of mine relates the story of a doctor that told him six years ago that his mother had, at most, “six months to live.” My friend, and his father, didn’t buy it. They changed doctors and moved the woman to a different facility. Yesterday, my friend joined his mother for lunch over a plate of Chinese food.
“Question 2: Prescribing Medication to End Life”
(Massachusetts Medical Society — September 14, 2012)
The Massachusetts Medical Society opposes this ballot question. We are opposed to Question 2 because….
Additional discussion of Massachusetts Medical Society opposition to Question 2.
“A New Battleground in ‘Right to Die’ Battleground”
(Pew Center on the States — September 2012)
Dr. Marcia Angell, a signer of the petition to get Question 2 on the ballot said, “This will be a big, big advance in compassionate medicine, I think, and then probably there will be dominoes around the country….A state-based coalition called Dignity 2012 is backing Question 2 and national groups such as Compassion & Choices and the Death with Dignity National Center are lending support as well. Those two groups have a history of partnering with state-based activists in supporting physician-assisted suicide laws, and have been working in Massachusetts for a number of years.
“With profits down, future of Mass. hospitals questioned”
(Boston Globe — September 8, 2012)
With the state’s intensified focus on affordable care and additional cuts projected for Medicaid and Medicare, the government health insurance programs for low-income residents and seniors, the future of many hospitals across the state is uncertain. In some cases, their survival may be in doubt.
“Disabilities group has ‘Second Thoughts’ on assisted suicide”
(Boston Pilot — August 31, 2012)
A group of Massachusetts residents with disabilities opposing legalized assisted suicide are asking Massachusetts voters to have “second thoughts” when they vote on Question 2 in November.
Second Thoughts says it encourages voters “to look at assisted suicide in the real world” which it says is one “where insurance companies and other organizations try to limit spending on health care.”
“Jack Kevorkian comes to town. Should Mass voters approve physician-assisted suicide?”
(Boston Globe — August 26, 2012)
The late Jack Kevorkian, as saint to some and a demon to others was the controversial proponent of physician-assisted suicide for the dying and ill. This November, Kevorkian comes to the Commonwealth, or the spirit of the man at least, in the form of Question 2. The ballot measure, neutrally titled, “Prescribing Medication to End Life,” would allow doctors to help the terminally ill kill themselves.
“Leading Massachusetts doctors go mano a mano over assisted suicide”
(BioEdge — August 4, 2012)|
The clock in the Bay State is important. If voters approve the referendum, other New England states could follow suit. The state has a strong medical tradition. The Massachusetts Medical Society is the oldest of its kind in the US. Ironically, it is the publisher of the New England Journal of Medicine, which supports assisted suicide and is the country’s leading medical journal.
“Dr. Barbara Rockett: Physician-assisted suicide ‘in direct conflict’ with doctor’s role”
(Boston Globe — July 31, 2012)
“One of the most difficult and often inadequate determinations that a physician has to make is the attempt to predict when a patient might die. An example of this occurred when my husband, a neurosurgeon, saw a patient who had been operated on by the renowned neurosurgeon, Dr. Harvey Cushing for the most malignant type of brain tumor…He was told that he had six months to live, so he spent his savings doing all the things he had hoped to do in life….That was 40 years before my husband saw him.
“Death panels on steroids”
(Daily Caller — July 25, 2012)
On its pages, the NEJM has long featured articles favoring euthanasia and assisted suicide as well as health care rationing. Indeed, two of its former editors, Dr. Arnold Relman and Dr, Marcia Angell are vocal advocates of eliminating the private health system and replacing it with a single-payer, government-controlled health system. And both are among the 14 subscribing petitioners on a doctor-prescribed suicide initiative that will appear on the November 2012 ballot in Massachusetts.
“Push for ‘death with dignity’ in Massachusetts picks up steam”
(American Medical News — July 16, 2012)
The American Medical Association and the Massachusetts Medical Society oppose physician-assisted suicide….In testimony before the Legislature’s Joint Committee on the Judiciary, Lynda Young, MD, then-president of the Massachusetts Medical Society, noted that the society’s house of delegates reaffirmed its opposition to doctor-assisted suicide by an “overwhelming” majority.
“Assisted dying, without the doctor?”
(Boston Globe — July 12, 2012)
Dr. Linda Yong former president of the Massachusetts Medical Society, speaking in March to a legislative committee considering assisted suicide, cited the American Medical Association’s long standing policy opposing assisted suicide.
In an article published Wednesday by the New England Journal of Medicine, Dr. Lisa Soleymani Lehmann and research assistant Julian Prokopetz propose a policy they say could distance doctors from the process.
“‘Death with Dignity’ in Massachusetts”
(National Review Online — June 4, 2012)
Abdelbaset a-Megrahi, the Libyan convicted of the 1988 bombing of a Pan Am flight over Lockerbie, Scotland, died of prostate cancer on May 20. Nearly three years earlier, on August 20, 2009, Scottish authorities had released him on compassionate grounds so he could return home to die. At that time, he was thought to have three months to live…. Referring to the proposed Massachusetts bill that would permit doctor-prescribed suicide, John Kelly, director of the disability rights group Second Thoughts, said, “People will be encouraged to assume that being ‘terminally ill’ is a biological fact rather that a human guess.”
“Massachusetts Debates ‘Death with Dignity’”
(New York Times — May 29, 2012)
The memorial service for Michael Southerland recently drew more than 200 people to the Unitarian Society where friends, neighbors and co-workers offered funny and moving stories, sand, cried and hugged his family. They also circulated petitions to put a “death with dignity” law on the Massachusetts ballot. The forms awaited signatures at the back of the hall, next to the guest book. His widow said, “People suffering from A.L.S. provide a good talking point” for the campaign to pass the law.
“‘Death with Dignity’ on the Massachusetts Ballot”
(American Thinker — May 6, 2012)
One of the organizers recounted events surrounding her father’s assisted suicide death in Oregon: “They served him haystack Bread, from a Cannon Beach bakery, topped with his wife’s homemade raspberry jam. Around 8:30 that night, after everyone had said their goodbyes, he drank the Seconal solution from one of his favorite Scotch glasses.”
“‘Second Thoughts’ Grow on Assisted Suicide”
(Wall Street Journal — April 2, 2012)
In Massachusetts, the disability advocates call their opposition group “Second Thoughts.” They say that assisted suicide may sound like a good idea at first, but on second thought the risks of mistake, coercion and abuse are too great to warrant legal immunity for doctors or others who assisted suicide.
“Massachusetts Voters Want their Parents to Die with Dignity”
(Boston Daily — March 30, 2012)
Voters want their parents to die with dignity. The parents? Not so much. Those with elderly parents think physician-assisted suicide should be OK, while those elderly parents themselves don’t want the option to pick when they see the reaper. Interesting dynamic. We’ll see how it plays out in November.
“Doctor-prescribed suicide draws ire: Life-ending drugs on 2012 Nov. ballot”
(WWLP Radio — December 8, 2011)
John Kelly was 25-years old when he got into a near-death accident that injured his spinal cord and left him disabled…Today he is the director of Second Thoughts, an organization that champions the rights of disabled persons. “I’m so glad that no one was suggesting that suicide might be a possibility for me,” he said.
Massachusetts Medical Society reaffirms opposition to physician-assisted suicide
(WBUR Radio — December 6, 2011)
This weekend, delegates at a major meeting of the Massachusetts Medical Society voted to reaffirm their opposition to physician-assisted suicide. The policy was approved by more than 75 percent of the Society’s delegates.
“She pushed for legal right to die, and — thankfully — was rebuffed”
(Boston Globe — October 4, 2011)
I am a retired person living in Oregon, where assisted suicide is legal. Our law was enacted through a ballot initiative that I voted for…. If my doctor had believed in assisted suicide, I would be dead. I thank him and all my doctors for helping me choose “life with dignity.” Assisted suicide should not be legal. I hope Massachusetts does not make this terrible mistake.
(Boston Herald — August 15, 2011)
Many successful advocates simply use ballot measures to backstop their legislative efforts, upping the pressure on lawmakers who’d rather not deal with an issue unless they absolutely have to.
“Drive begins to put assisted suicide law on the ballot next year”
(Boston Globe — August 4, 2011)
Backers of assisted suicide for certain terminally ill patients filed paperwork yesterday with Attorney General Martha Coakley to begin the process of bringing their plan, dubbed the Death with Dignity Act to the 2012 ballot.
“Backers of assisted suicide want 2012 ballot question in Mass.”
(Milford Daily News — August 4, 2011)
A ballot question that would pave the way for assisted suicide for some terminally ill patients in Massachusetts could land in front of voters next year. Rep. Louis Kafka, D-Stoughton, who filed a bill earlier this year that resembles the assisted suicide ballot proposal, said the ballot initiative could draw more attention to the issue.