# Amicus Curiae Brief — Vacco v. Quill

> Briefs, arguments, decisions, and more.

URL: https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385013_0768%3A27

## Record

- **Collection:** Supreme Court brief
- **Document type:** Amicus Curiae Brief
- **Published:** January 1, 1997
- **Citation:** 521 U.S. 793

## Text

= @ j
ated J

Nos. 95-1858 and 96-110

urt, U.S.
E D

.

IN THE

FIL
Supreme Court of the United ateg, .

OCTOBER TERM, 1996

CLERK

Dennis C. Vacco, Attorney General of the State
of New York, et al.,

~ Petitioners,

TimoTny E. Quit, M.D., et al.,
Respondents.

On Writ of Certiorari to the
United States Court of Appeals
for the Second Circuit

STATE OF WASHINGTON, et al.,

. Petitioners,

HAROLD GLUCKSBERG, M.D., et al.,
Respondents.

On Writ of Certiorari to the
United States Court of Appeals
for the Ninth Circuit

BRIEF AMICUS CURIAE ON BEHALF OF
MEMBERS OF THE NEW YORK
AND WASHINGTON STATE LEGISLATURES
IN SUPPORT OF PETITIONERS

PAUL BENJAMIN LINTON *
CLARKE D. FORSYTHE
AMERICANS UNITED FOR LIFE
343 S. Dearborn Street Suite 1804
Chicago, Illinois 60604
(312) 786-9494
November 7, 1996 * Counsel of Record

WILSON - Eres Printinc Co., Inc. - 789-0096 - WASHINGTON, D.C. 20001

wo

TABLE OF CONTENTS

TABLE OF AUTHORITIES .20002000.......c.ccccccesceseseseeeoee

INTEREST OF THE AMICT 2000002 .....-ccccccccccsceenmeneeees

SUMMARY OF ARGUMENT 0000

ee

I,

II,

ITT.

THE LIBERTY LANGUAGE OF THE DUE
PROCESS CLAUSE OF THE FOURTEENTH
AMENDMENT PROTECTS ONLY THAT
CONDUCT WHICH IS IMPLICIT IN THE
CONCEPT OF ORDERED LIBERTY AND
WHICH, HISTORICALLY AND TRADITION-
ALLY, IS CONSIDERED BEYOND 7HE
POWER OF THE STATE TO PROHIBIT ..........

THE COMMON LAW OF ENGLAND, AS
RECEIVED BY THE AMERICAN COLONIES,
PROHIBITED SUICIDE AND ATTEMPTED
Se

ALTHOUGH THE PENALTIES FOR SUICIDE
AND ATTEMPTED SUICIDE ULTIMATELY
FELL INTO DISFAVOR IN AMERICAN
LAW, THE STATES HAVE RETAINED A
STRONG AND COMPELLING INTEREST IN
THE PRESERVATION OF HUMAN LIFE
AND IN THE PREVENTION OF SUICIDE...

BOTH THE SECOND CIRCUIT AND THE
NINTH CIRCUIT ERRED IN EQUATING
SUICIDE WITH THE REFUSAL OF UN-
WANTED LIFE-SUSTAINING MEDICAL
TEEEUTE octiccsncepsncctsitintiiieennssiienpeselinascnetiipeenstinies

Page

15

23
30

la

ii
TABLE OF AUTHORITIES

Cases: Page
Barber v. Superior Court, 195-Cal. Rptr. 484 (Ct.

ADD. 19BB) ..--2--22e-2--0-200 SS8ks5 ise

SRS

21

20

14

xiv
TABLE OF AUTHORITIES—Continued
Page
R.I. Pub. Act 96-113, to be codified as R.1. GEN.
Re Ei a ee 20
R.I. GEN. LAWS § 23-4.10-9(f) (Supp. 1995) -............. 25
R.I. GEN. LAws § 23-4.11-10(f) (Supp. 1995) _...... + 24
South Carolina:
1 THE EARLIEST PRINTED LAWS OF SOUTH CARO-
LINA 1692-1734 (John D. Cushing ed. 1978) _..... 17
S.C. Acts, No. 253, § VI (Apr. 9, 1706), reprinted
in 1 THE EARLIEST PRINTED LAWS OF SOUTH
CAROLINA, 1692-1734 (John D. Cushing ed.
reece nee eee Cen em aee 14
S.C. Cope ANN. § 16-1-110 (Law. Co-op. Supp
ET ORS + OF LE eee eh S 20
S.C. CopE ANN. § 44-77-130 (Law. Co-op. Supp.
ee sctesldierihasiacilndineiilieinaliailanteiniilattisaasitibics 24
South Dakota:
G. Hand, REV. CODES OF THE TERRITORY OF DAKOTA,
Penal Code §§ 230, 236 (1877), recodified as S.D.
CopE § 13.1903 (1939), repealed by an Act of
Feb. 17, 1968, ch. 31, § 1, § 13.1901, 1968 S.D.
NE FBR Bee Oe a 15
S.D. CopirFreD LAWS ANN. § 22-16-37 (Michie
RSPR Ee Pa ek, ek 20
S.D. CODIFIED LAWs ANN. § 34-12D-20 (Michie
ED incoditeipitiishackiisstiedtinesiiibinensitittigebiviintinteacinittibaiitibiien 24
Tennessee:
TENN. CopE ANN. § 39-11-613 (1991) —.......-.... 21
TENN. CoDE ANN. § 39-13-216 (Supp. 1995) —........... 20
Texas:
Tex. HEALTH & SAFETY CODE ANN. § 672.020
ES Te ene nee 24
TEx. PENAL CoDE ANN. § 9.34(a) (West 1994) ........ 21
TEX. PENAL CoDE ANN. § 22.08 (West 1994) —.......... 20
Utah:

UTAH CopE ANN. § 75-2-1118 (1993) ............ 24

xv
TABLE OF AUTHORITIES—Continued

Page
Vermont:
VT. STAT. ANN. tit. 1, § 271 (1996) .....00000 0. 20
Virginia:
Act of Mar. 14, 1848 (Criminal Code), tit. II, ch.
XI, §§ 23, 25, 1847-48 Va. Laws 124... 14
VA. CoDE ANN. § 18.2-16 (Michie 1996)... 19
VA. CopE ANN. § 54.1-2990 (Michie 1994) ....... 24
Washington:

CRIM. CODE, ch. 249, § 134, 1909 Wash. Laws 11th

Sess. 890, 929, codified as REM. & BAL. CopE

§ 2386 (1910), repealed by WASH. CRIM. Cope,

1975, ch. 260, § 94.92.010(213)-(217) Wash.

Laws 817, 866, codified as REV. WASH. CopE

§ 9A.92.010(213)-(217) (1977) ......000 0. 15
WASH. REV. CopE ANN. § 9A.36.060 (West 1988) .. 20
WASH. REV. CoDE ANN. § 70.122.100(West Supp.

ANE EGS a a eT a ae 24
WASH. REv. CopE ANN. § 71.05.020 (West 1992). 22
West Virginia:
W. VA. CopE § 16-30-10 (1995) 20 24
Wisconsin:

REVISED STAT. OF THE STATE OF WIs. ch. 133, $9
(Albany, N.Y. 1849), codified as REV. STAT. OF

SG Fee 17
Wis. STAT. ANN. § 154.11(6) (West 1989)... 24
Wis. STAT. ANN. § 939.48(5) (West 1996) 21
Wis. STAT. ANN. § 940.12 (West 1996) 0. 20

Wyoming:
Wyo. STAT. § 3-5-211 (Michie Supp. 1996) ............ 25
Wyo. STAT. § 35-22-109 (Michie 1994) 0000000000. 24
Other Authorities:
4 Wm. Blackstone, COMMENTARIES ON THE LAWS

Br EY SII etiddilal cont inccdikeesgntoceniotembioess 12
Booth, Woodruff, Mather, Baldwin & Turrill, Pre-

face to CONN. GEN. STAT. (1875) 00... 13, 17

2 H. de Bracton (c. 1250), ON THE LAWS OF ENG-
LAND (S. Thorne trans. 1968) —..........00.000000000.000... 9

xvi

TABLE OF AUTHORITIES—Continued

Page
I BRITTON, Bk. I, ch. VIII (F. Nicols trans. 1865)
(reprinted 1983, W.W. Gaunt) —............................. 9-10
E. Coke, THIRD INSTITUTE OF THE LAWS OF ENG-
LAND (1644 ed.) a aw SIO sl 10-11
Note, Criminal Liability of Participants in Sui-
cide: State v. Williams, 5 Mp. L. REv. 324
(BBER) nnccnccccrersssucsncunsonndeaneialassincamnaiaas ann 13, 18
E. East, 1 PLEAS OF THE CROWN (1803) (1972
| eS ie ln NE 11

Fleta (c. 1290), Bk. I, ch. XXXIV, “Of Suicides,”

Publications of the Selden Society, Vol. 72

> sae ee 10
THE GENERAL LAWS AND LIBERTIES OF MASSACHU-

SETTS COLONY (1672), repinted in THE COLONIAL

LAWS OF MASSACHUSETTS (W. Whitmore ed.

| ee ee ee 13
Edward R. Grant and Paul Benjamin Linton, Re-

lief or Reproach? Euthanasia Rights in the Wake

of Measure 16, 74 OREGON L. REV. 449 (1995)... 29
M. Hale, 1 HISTORY OF THE PLEAS OF THE CROWN

CRTEBD onccccccssisvictenesstingrenatatinenia ne 11
Wm. Hawkins, 1 A TREATISE OF THE PLEAS OF THE

+) by) | ne Se en 11

Thomas J. Marzen, Mary K. O’Dowd, Daniel Crone
and Thomas J. Balch, Suicide: A Constitutional

Right? 24 DUQUESNE L. REV. 1 (1986) ................ 8-9
MODEL PENAL CODE § 210.5 (2) .....0.cccccccccceeececeeeeeee 22
A. Scott, CRIMINAL LAW IN COLONIAL VIRGINIA

6, NG: SN aN, eR 14, 19
2 Z. Swift, A DIGEST OF THE LAWS OF THE STATE

OF CONNECTICUT (New Haven 1823) ................... 18
2 Z. Swift, A SYSTEM OF LAWS OF THE STATE OF

CONNECTICUT (n.p. 1796) (reprinted 1972) ......... 13
Wall Street Journal, May 1, 1996 ...0000.00000000000000. 21

WHEN DEATH Is SOUGHT[ :] ASSISTED SUICIDE AND
EHTHANASIA IN THE MEDICAL CONTEXT, New
York State Task Force on Life and the Law
(2. | a ee 1, 27-28

INTEREST OF THE AMICI

Amici curiae are New York and Washington state legis-
lators who strongly support the public policy expressed
in their state laws prohibiting assisted suicide and who
vigorously oppose efforts to legalize assisted suicide in the
legislatures or the courts. Amici firmly believe that there
is no social, economic or medical need to permit physician-
assisted suicide under any circumstances, and that to allow
suicide assistance, even for mentally competent, termi-
nally ill adults, would lead to grave abuses and exploita-
tion of the most vulnerable members of our community,
as it already has in the Netherlands. Amici fully concur
with the warning of the New York State Task Force on
Life and the Law that creation of a right to suicide “would
carry us into new terrain.”

American society has never sanctioned suicide or
mercy killing. We believe that the practices would
be profoundly dangerous for large segments of the
population, especially in light of the widespread fail-
ure of American medicine to treat pain adequately
or to diagnose and treat depression in many cases.
The risks would extend to all individuals who are
ill. They would be most severe for those whose
autonomy and well-being are already compromised
by poverty, lack of access to good medical care, or
membership in a stigmatized social group. The risks
of legalizing assisted suicide and euthanasia for these
individuals, in a health care system and society tha:
cannot effectively protect against the impact of in-
adequate resources and ingrained social disadvantage,
are likely to be extraordinary.

WuHen Deatu Is Soucut[:] ASSISTED SUICIDE AND

1994). This Court should heed their warning and not
recognize a right to suicide or suicide assistance.*

* This Brief is filed with the consent of the parties. Letters of
consent have been lodged with the Clerk of the Court.

2
SUMMARY OF ARGUMENT

In a pair of unprecedented opinions, the Second Cir-
cuit and the Ninth Circuit have held that New York
and Washington are powerless to prevent mentally com-
petent, terminally ill patients from intentionally ending
their lives with the assistance of physicians who are willing
to prescribe lethal drugs for them. Quill v. Vacco, 80
F.3d 716 (2d Cir. 1996); Compassion in Dying v. State
of Washington, 79 F.3d 790 (9th Cir. 1996). In recog-
nizing a right to commit suicide with the assistance of
third parties, the en banc majority in Compassion in Dy-
ing swept aside a uniform tradition of legal and societal
opposition to suicide and assisted suicide that dates back
to the earliest days of the common law. Contrary to the
Ninth Circuit's opinion, nothing in Planned Parenthood v.
Casey, 505 U.S. 833 (1992), required or allowed the
court of appeals to ignore this history in evaluating plain-
tiffs’ wholly novel constitutional claim.

Compounding this error, both the Ninth Circuit and the
Second Circuit seriously misread this Court’s decision in
Cruzan v. Director, Missouri Dep't of Health, 497 US.
261 (1990). Both courts attempted to derive an interest
in deliberately inducing death, which the law always has
treated as a crime, from the interest in refusing unwanted
medical treatment, which the law traditionally has pro-
tected out of respect for the inviolability of the human
person. Disregarding critical distinctions between iniend-
ing a result and knowing that a result is likely, and be-
tween causing death artificially and allowing death to
occur naturally, the lower courts reasoned that because
refusing life-sustaining treatment and intentionally in-
gesting a fatal dose of drugs both result in a person's
death, the right to do the former necessarily entails the
right to do the latter. Quill, 80 F.3d at 725-31; Com-
passion in Dying, 79 F.3d at 820-24. “But constitutional
law does not work that way.” Cruzan, 497 U.S. at 280.

3

At the outset, amici note that this Court has never
held that “a competent person has a constitutionally pro-
tected liberty interest” in refusing “life-sustaining medical
treatment.” Cruzan, 497 U.S. at 278, 279. In Cruzan,
the Court assumed, for purposes of deciding the case,
that the Constitution “would grant a competent person
a constitutionally protected right to refuse lifesaving hy-
dration and nutrition.” Jd. at 279. Nevertheless, the Court
cautioned that “the dramatic consequences involved in the
refusal of such treatment would inform the inquiry as to
whether the deprivation of that interest is constitutionally
permissible,” id., thereby implying that the State’s “in-
terest in the protection and preservation of human
life,” id. at 280, might be sufficient to outweigh the pa-
tient’s interest in refusing unwanted treatment. That im-
plication was made explicit when the Court said, “We
do not think that a State is required to remain neutral
in the face of an informed and voluntary decision by a
physically able adult to starve to death.” /d.

Even if it is assumed that a competent person has
a constitutionally protected liberty interest in refusing
life-sustaining treatment, that interest has its origins in
the law of battery and the doctrine of informed consent
(see Cruzan, 497 U.S. at 269-77) which both define
its nature and limit its scope. The interest restricts “gov-
ernmental power to mandate medical treatment or bar its
rejection,” Casey, 505 U.S. at 857, but does not confer
a right to insist upon a particular form of treatment, much
less one that will cause, and is intended to cause, the
person’s death. See United States v. Rutiverford, 442 US.
544 (1979) (FDA had authority to proscribe laetrile,
even for terminally ill cancer patients). It is the source
and the nature of the interest that determine its ultimate
reach. Whether the constitutionally protected interest in
refusing unwanted medical treatment extends to life-
sustaining treatment, a question this Court need not an-
swer here, that interest clearly has reached its furthest

4

limit when all treatment—life-sustaining or otherwise—
has been withheld or withdrawn.

Beyond their multiple errors in analysis, however, the
decisions in both Compassion in Dying and Quill are, in
principle, illimitable. If the right to refuse unwanted
medical treatment is the doctrinal source of a right to
assistance in committing suicide, it is apparent that the
latter right cannot be confined to mentally competent,
terminally ill patients, as the Ninth Circuit admitted. See
79 F.3d at 816, 831-32 & n.120. The lower court deci-
sions, if affirmed, would plunge the country into a gen-
eration of constitutional conflict over the nature and
extent of the “right,” a conflict which would cause irrep-
arable damage to the Nation, to the American People and
to this Court. Amici ask the Court not to take this

precipitous step.
ARGUMENT

I. THE LIBERTY LANGUAGE OF THE DUE PROC-
ESS CLAUSE OF THE FOURTEENTH AMEND-
MENT PROTECTS ONLY THAT CONDUCT WHICH
IS IMPLICIT IN THE CONCEPT OF ORDERED
LIBERTY AND WHICH, HISTORICALLY AND
TRADITIONALLY, IS CONSIDERED BEYOND
THE POWER OF THE STATE TO PROHIBIT.

The Ninth Circuit held that there is “a constitutionally-
protected liberty interest in determining the time and
manner of one’s own death,” or, “in common parlance,
. . . @ right to die.” Compassion in Dying, 79 F.3d at
793, 799. The court held further that, in the case of
mentally competent, terminally ill patients who wish to
end their lives by taking a fatal dose of drugs, this liberty
interest outweighs the State’s “legitimate and counter-
vailing interests, [including] those that relate to the pres-
ervation of human life.” Jd. at 793-94. Conceding that
there is no “liberty interest in receiving ‘aid in killing
oneself,” as such, the court couched the issue in wider
terms, whether there is “a right to die,” to determine “the

5

time and manner of one’s death” or to “hasten[] one’s
death,” because “it is the end and not the means that
defines the liberty interest.” /d. at 801-02.

The circuit court’s phrasing of the issue disregards this
Court’s admonition that “ ‘[s]ubstantive due process’ analy-
sis must begin with a careful description of the asserted
right, for ‘[t}he doctrine of judicial self-restraint requires
us to exercise the utmost care whenever we are asked to
break new ground in this field.” Reno v. Flores, 507
U.S. 292, 302 (1993) (quoting Justice Stevens’ opinion
for a unanimous Court in Collins v. City of Harker
Heights, Texas, 503 U.S. 115, 125 (1992)). In Cruzan,
this Court declined to answer the broad question as to
whether there is a “right to die,” focusing instead on the
narrower question of whether “a competent person has a
constitutionally protected liberty interest in refusing un-
wanted medical treatment.” 497 U.S. at 277-78.

Precision in defining the issue is also required here.
The issue is not whether there is “a right to die,” or “a
liberty interest in determining the time and manner of
one’s death” or in “hastening one’s death,” Compassion
in Dying, 79 F.3d at 801-02, but “whether the consti-
tution encompasses a right to commit suicide and, if so,
whether it includes a right to assistance.” People vy.
Kevorkian, 527 N.W.2d 714, 730 n.47 (Mich. 1994)
(rejectir: «ight to suicide), cert. denied sub nom. Kevor-
kian +. *iichigan, 115 S.Ct. 1795 (1995), Hobbins vy.
Kelley, 115 S.Ct. 1795 (1995).

This Court has enunciated various standards for eval-
uating both substantive and procedural due process claims.
Due process protects those rights which are “so rooted in
the traditions and conscience of our people as to be ranked
as fundamental.” Snyder v. Massachusetts, 291 U.S. 97,

1“... the common definition of ‘suicide’ is the intentional killing
of oneself by any means, and the temporal proximity of death is
irrelevant to the threshold inquiry into whether the constitution
encompasses such a right.” Jd. at 726 ».27.

6

105 (1934). Alternatively, due process secures those
rights which are “implicit in the concept of ordered lib-
erty” such that “neither liberty nor justice would exist if
they were sacrificed.” Palko v. Connecticut, 302 US.
319, 525, 326 (1937). In another frequently cited formu-
lation, Justice Powell described fundamental liberties as
those liberties which are “deeply rooted in this Nation’s
history and tradition.” Moore v. City of East Cleveland,
Ohio, 431 U.S. 494, 503 (1977).

Regardless of the precise wording, each of these tests
requires an examination of our history and traditions to
assess whether the right (or interest) being asserted has
enjoyed legal and societal protection. Compare Roe v.
Wade, 410 U.S. 113, 140-41 (1973) (recognizing right
to abortion where, in the Court’s view, there was no un-
ambiguous tradition of legal and social opposition to
abortion in English and American law), with Bowers v.
Hardwick, 478 U.S. 186, 192-94 & nn. 5-7 (1986) (re-
fusing to recognize fundamental right of adult homosex-
uals to engage in consensual acts of sodomy where both
English and American law clearly prohibited such con-
duct for centuries). The Court’s reliance on historical
tradition in Bowers coincided with a less expansive view
of its authority “to discover new fundamental rights im-
bedded in the Due Process Clause.” 478 U.S. at 194.

As this Brief demonstrates, there has never been a
period in English or American history when suicide (or
suicide assistance) was regarded as a “fundamental right,”
a “protected liberty interest” or even a socially tolerated
practice. Perhaps anticipating that its historical survey,
79 F.3d at 806-10, would fail to convince this Court that
a right to (or an interest in) suicide (or suicide assist-
ance) can be derived from our history and traditions, the
Ninth Circuit, citing Planned Parenthood v. Casey, con-
cluded that these factors are no longer controlling or even
persuasive in evaluating substantive due process claims.
79 F.3d at 804-06. But that conclusion is unwarranted.

7

First, in reaffirming Roe, the Court in Casey stressed
the importance of the rule of stare decisis and the integ-
rity of the Supreme Court as an institution in the consti-
tutional order. 505 U.S. at 845-46, 854-69. Neither con-
sideration lends any support to the establishment of a
heretofore unrecognized constitutional right. Moreover,
in reaffirming Roe, the Court sought to end the “national
controversy” over whether abortion should remain a pro-
tected right, id. at 867, not to begin an entirely new debate
on the nature and extent of a previously unheard of right.’

Second, in Casey, the Court referred to abortion as “a
unique act,” and said that “the liberty of the woman is at
stake in a sense unique to the human condition and so
unique to the law.” 505 U.S. at 852. If abortion is a
“unique act” and “so unique to the law,” then Casey
cannot be cited in support of a liberty interest in com-
mitting suicide, which has no affinity with this Court's
decisions “afford[ing] constitutional protection to per-
sonal decisions relating to marriage, procreation, contra-
ception, family relationships, child rearing and education,”
id. at 851, which are “deeply rooted in this Nation’s
history and tradition.” Moore, 431 U.S. at 503.

Third, in Casey, the Court stated that “the essential
holding of Roe forbids a State from interfering with a
woman’s choice to undergo an abortion procedure if con-
tinuing her pregnancy would constitute a threat to her
health.” 505 U.S. at 880. But protection of that core
interest differs radically from an asserted interest in self-
destruction where not health, but death, is the desideratum.

Fourth, in Roe, the Court was able to recognize a right
to abortion only after holding that the unborn child is
not a person within the meaning of the Fourteenth
Amendment. 410 U.S. at 156-59. Nothing in Roe, how-

® The Court’s reluctance to state in Casey whether Roe had been
correctly decided as an original matter, 505 U.S. at 869, 871,
severely limits the usefulness of looking to either Roe or Casey as
an unexplored source of unenumerated rights.

ever, Or in any other decision of this Court remotely
Suggests that a seriously ill patient, regardless of condi-
tion and prognosis, is not a constitutional “person” whose
life the State has the right to protect. See Cruzan, 497
U.S. at 282 n.10 (recognizing State’s interest).

Finally, an examination of Casey's analysis of how
substantive due process claims are to be reviewed re-
veals that history and tradition remain critical. “[A]dju-
dication of substantive due process claims may call upon
the Court in interpreting the Constitution to exercise that
same capacity which by tradition courts always have ex-
ercised: reasoned judgment.” 505 U.S. at 849. But
exercise of that judgment does not allow the Justices “to
invalidate state policy choices with which [they] dis-
agree.” /d. The Court’s reliance in Casey on Justice Har-
lan’s dissent in Poe v. Ullman, 367 U.S. 497, 542 (1961)
(Harlan, J., dissenting from dismissal on jurisdictional
grounds), Casey 505 U.S. at 849-50, makes it clear that
in evaluating original claims of constitutional right, re-
course to our history and traditions is still necessary.
Thus, this Court must decide whether “the asserted right
to commit suicide arises from a rational evolution of tradi-
tion. or whether recognition of such a right would be a
radical departure from historical precepts.” People vy.
Kevorkian, 527 N.W.2d at 730.

Il. THE COMMON LAW OF ENGLAND, AS RECEIVED
BY THE AMERICAN COLONIES, PROHIBITED
SUICIDE AND ATTEMPTED SUICIDE.

An understanding of the development of the common
law crime of suicide in England is critical to any analysis
of the status of suicide in American colonial law." More

* Much of what follows in this and the following argument draws
upon the research set forth in Thomas J. Marzen, Mary K. O'Dowd,
Daniel Crone and Thomas J. Balch, Su‘cide: A Constitutiona/
Right?, 24 Duquesne L. REV. 1 (1986) (hereinafter, Marzen).
Although the Ninth Circuit repeatedly cited the Marzen article in
its historical survey (79 F.3d at 807-10 & nn. 23-24, 27, 33-37, 39-40,

9

than 700 years ago, the thirtenth-century commentator
Bracton wrote, “Just as a man may commit felony by
slaying another so he may do so by slaying himself, the
felony is said to be done to himself [felo de se].” 2 H.
de Bracton (c. 1250), ON THE LAWs AND CUSTOMS OF
ENGLAND (S. Thorne trans. 1968) 423 (Bracton). If
the suicide was committed to avoid punishment for a
crime he had committed, all of his property—real and
personal—was forfeited to the King. /d. at 366, 423-24.
But if “a man slays himself in weariness of life or because
he is unwilling to endure further bodily pain . . . he may
have a successor, but his movable goods are confiscated.
He does not lose his inheritance, only his movable goods.”
Id. at 424. His heirs could inherit his real property (be-
cause he had not committed suicide to avoid punishment
for committing a crime) but his personal property was
confiscated by the Crown. “The principle that suicide of
a sane person, for whatever reason, was a punishable
felony was thus introduced into English common law.”
Marzen, 24 Duquesne L. Rev. at 59. But no penalty
applied to the suicide of one who was not cane. “[A]
madman bereft of reason[,]” “the deranged, the delirious
and the mentally retarded” or “one labouring under a
high fever” do not commit felony de se “nor do such
persons forfeit their inheritance or their chattels, since
they are without sense and reason and can no more
commit an injuria or a felony than a brute animal.”
BRACTON at 424.

Bracton’s contemporaries agreed that suicide was a
crime at common law. The commentator known as Brit-

42-44), it misstated many of its findings and ignored its conclusion
that “the weight of authority in the United States, from colonial
days through at least the 1970’s[,] has demonstrated that the pre-
dominant attitude of society and the law has been one of opposition
to suicide,” Marzen, 24 DUQUESNE L. REV. at 100. See Compassion
in Dying, 85 F.3d 1440, 1445 & n.14 (9th Cir. 1996) (O’Scanniain,
J., dissenting from order rejecting request for rehearing en banc
by the full court).

ea

10

ton wrote that “where a man is a felon of himself, his
chattels shall be adjudged ours [the King’s], as the chattels
of a felon, but his inheritance shall descend entire to his
heirs.” I Britton, Bk. I, ch. VIII (F. Nicols trans. 1865)
(reprinted 1983 W.W. Gaunt) 39. Fleta, writing near
the end of the thirteenth century, provided a fuller treat-
ment of the subject:

Just as a man may commit felony in slaying an-
other, so he may in slaying himself; for if one who
has lately slain a man or has committed some like
act whence felonies arise, conscious of his crime and
in fear of judgement, slay himself in any fashion, his
goods accrue to the Crown nor may he have any
other heir than the lord of the fee. But should
anyone slay himself in weariness of life or because
he is unable to support some bodily pain, he shall
have his son for his heir, but his movable goods
will be confiscate. Those, too, who cast themselves
down from a height or drown themselves likewise
have heirs, provided they have committed no felony.
Similarly, madmen and those who are frenzied, child-
ish, deranged or are suffering from high fever, al-
though they kill themselves, do not commit felony or
forfeit their inheritance or chattels, because they lack
sense and reason. Their wives, moreover, should
receive their dowers.

Fleta (c. 1290), Bk. I, ch. XXXIV, “Of Suicides,” Pub-
lications of the Selden Society, Vol. 72, p. 89 (1955).

In-1628, Sir Edward Coke published his classic IN-
STITUTES. In his THiRD INsTiTUTE, Coke classified sui-
cide as a form of murder. “Felo de se is a man or woman,
which being compos mentis, of sound memory, and of
the age of discretion, killeth himself, which being lawfully
found by the oath of twelve men, all the goods and chat-
tels of the party so offending are forfeited” E. Coke,
THIRD INSTSTUTE OF THE LAWS OF ENGLAND 54 (1644
ed.). Like his predecessors, Coke noted an exception for
persons who had killed themselves while insane. “If a
man lose his memory by the rage of sickness or infirmity,

11

or otherwise, and kill himself while he is not compos
mentis, he is not felo de se: for as he cannot commit
murder upon another, so in that case he cannot commit
murder upon himself.” Jd. According to Coke, a felo
de se forfeited only his goods and chattels /d. at 55.

In 1716, the first edition of William Hawkins’ A TRrEa-
TISE OF THE PLEAS OF THE CROWN was published. Noting
that “our Laws have always had .. . an Abhorrence of
this Crime,” Hawkins’ analysis of “Homicide against a
Man’s own Life” largely followed Coke. Wm. Hawkins,
1 A TREATISE OF THE PLEAS OF THE CROWN (1716)
67-68. Hawkins rejected the prevailing “Notion” that
anyone who kills himself must be mentally incompetent,
id. at 67, and condemned the killing of another person
with his consent or at his request, as well as suicide pacts.
Id. at 68.

In 1736, Sir Matthew Hale’s work, HISTORY OF THE
PLEAS OF THE CROWN, was published. Like Hawkins,
Hale reflected Coke’s views on the criminality of suicide at
common law. M. Hale, 1 History OF THE PLEAS OF THE
Crown, Ch. XXXI, “Concerning homicide and first of
Self-killing or felo de se,” (1736) at 411-12. In accord
with the earlier commentators, Hale stated, “If he lose his
memory by sickness, infirmity, or accident, and kills him-
self he is not felo de se, neither can he be said to commit
murder upon himself or any other.” /d. at 412. But Hale
doubted whether every suicide could be treated as an
insane act. /d.

In 1803, Sir Edward East published his PLEAS OF THE
Crown. East described anyone “who wilfully . . . causes
his own death” as a “felo de se.” E. East, 1 PLEAS OF THE
Crown (1803), ch. V, § 5, at 219 (1972 reprint). Call-
ing suicide “an heinous offence,” East said that “he who
voluntarily kills himself is with respect to the public as
criminal as one who kills another. It is equally an of-
fence against the fundamental law of society, which is
protection.” Jd.

12

Sir William Blackstone summarized the law of felo
de se in his classic eighteenth century commentaries.
Characterizing suicide as “[s]elf-murder,” Blackstone reit-
erated the common law’s condemnation of suicide as
“among the highest crimes, making it a peculiar species of
felony, a felony committed on one’s self.” 4 Blackstone,
COMMENTARIES ON THE LAWS OF ENGLAND 189 (1769).
Like Hawkins and Hale, Blackstone criticized the tend-
ency of coroner’s juries to find “that the very act of
suicide is an evidence of insanity; as if every man who
acts contrary to reason, had no reason at all: for the
same argument would prove every other criminal non
compos, as well as the self-murderer.” Id. Blackstone
noted that the punishment for suicide at common law
was forfeiture of all of the suicide’s personal property
and ignominious burial in the public way. Id. at 190.
These punishments were threatened in the hope that a
potential suicide’s “care for either his own reputation, or
the welfare of his family, would be some motive to re-
strain him from so desperate and wicked an act.” /d.
Nevertheless, Blackstone recommended that the severity
of the law be tempered by the power of the sovereign “to
execute mercy in judgment.” Id.

The condemnation of suicide at common law was not
limited to the commentators; it was also expressed by the
courts. In a case decided more than 400 years ago, an
English court described the “quality of the offence” com-
mitted by the suicide as “a degree of murder.” Hales v.
Petit, 1 Plowd, 253, 261, 75 Eng. Rep. 387, 399-400
(Queen’s Bench 1561-1562). English courts treated both
assisted suicide and suicide pacts as forms of homicide.*

4 See Vauz's Case, 4 Co. Rep. 44a, 76 Eng. Rep. 992 (1591);
Rex v. Dyson, Russ. & Ry. 523, 168 Eng. Rep. 930 (1823) ; Regina
v. Alison, 8 Car. & P. 418, 173 Eng. Rep. 557 (1838) ; Regina v.
Jessop, 16 Cox Cr. Cas. 204 (1887) ; Regina v. Stormonth, 61 J.P.
729 (1897); Rex v. Abbott, 67 J.P. 151 (1903). See also Regina
v. Gaylor, 1 Dears. & B. 288, 169 Eng. Rep. 1011 (1857).

13

And at common law, attempted suicide was a misde-
meanor, punishable by fine and imprisonment.*

The sparse records available indicate that this was also
the law in colonial America. At least nine of the original
thirteen colonies prohibited, and in some cases punished,
suicide and attempted suicide,’ though the common law

5 See Regina v. Moore, 3 Car. & K. 319, 175 Eng. Rep. 571 (1852) ;
Regina v. Doody, 6 Cox. Crim. Cas. 463 (1854) ; Regina v. * soma
9 Cox Crim. Cas. 247, 169 Eng. Rep. 1387 (1862); Rex v. Mann,
2 K.B. 107, 83 L.J.K.B. 648 (1914). In its survey of English law,
the Ninth Circuit minimized the clear condemnation of suicide (by
the mentally competent) enunciated by Bracton and Coke, 79 F.3d
at 808-09, relegated Blackstone to an obscure footnote, id. at 809
n.38, ignored the other great commentators who unequivocally con-
demned suicide as criminal and overlooked at least a dozen English
cases expressing the law’s (and society's) disapproval of suicide.
Although, in the case of completed suicides, juries may have been
reluctant to return a verdict that would result in a property forfei-
ture that would punish only innocent survivors, the guilty verdicts
returned against persons who attempted suicide, assisted suicide or
survived suicide pacts strongly suggest that English juries expe-

rienced no comparable difficulty in applying the law where no for-
feiture was at stake.

* Connecticut: 2 Z. Swift, A SysTem or LAWS OF THE STATE OF
CONNECTICUT 304 (n.p. 1796) (reprinted 1972) (noting early in-
stances of ignominious burials) ; Booth, Woodruff, Mather, Baldwin
& Turrill, Preface to ConNN. GEN. STAT. at vi (1875) (noting
State’s adoption of common law of England).

Georgia: Life Ass’n of America v. Waller, 57 Ga. 53
(1876) (suicide “a species of crime or Rafe Fe
wrong; a kind of self-murder” at common law).

Maryland: Pope v. State, 396 A.2d 1054, 1072-74 (Md. 1978)
(adoption of common law) ; Note, Criminal Liability of Participants
in Suicide: State v. Williams, 5 Mp. L. Rev. 324, 325-26 (1941)
(reporting unappealed trial court decision treating suicide as a
common law crime).

Massachusetts: THE GENERAL LAWS AND LIBERTIES OF MASSA-
CHUSETTS COLONY (1672), reprinted in THE COLONIAL LAWS OF
MASSACHUSETTS 137 (W. Whitmore ed. 1887) (statute mandating
ignominious burial for suicide).

North Carolina: State v. Willis, 121 S.E.2d 854 (N.C. 1961)
(suicide a criminal act at common law, attempted suicide punishable

14

penalties generally were abolished after the Revolution.’
The penalties were abolished, not because society no
longer regarded suicide as a wrong (much less as a right),
but because of an awareness that punishment could not
reach the suicide and a moral sense that it was unfair to
punish the suicide’s innocent survivors. See Cruzan, 497
U.S. at 294 (Scalia, J., concurring).

as a misdemeanor). See also N.C. Laws, ch. XXXI, § VI (1715),
reprinted in 1 THE First LAWS OF THE STATE OF NORTH CAROLINA
18 (John D. Cushing ed. 1984) (adopting common law).

Pennsylvania: Connecticut Mut. Life Ins. Co. v. Groom, 86 Pa.
92, 97 (1878) (describing suicide as “the crime of self-murder’) ;
Commonwealth v. Wright, 11 Pa. D. 144 (Ct. Quarter Sess., Phil.
County 1902) (criticizing practice of indicting persons “for the
common law offence of attempting to commit suicide”) ; Elwood v.
New England Mut. Life Ins. Co., 158 A. 257, 259 (Pa. 1981)
(classifying attempted suicide as “a crime infamous at common
law,” and a successful suicide as “a species of felony’).

Rhode Island: THE EARLIEST ACTS AND LAWS OF THE COLONY
OF RHODE ISLAND AND PROVIDENCE PLANTATIONS, 1647-1719, at 19,
59 (John D. Cushing ed. 1977) (adopting common law punishments
for suicide).

South Carolina: §.C. Acts, No. 258, § VI (Apr. 9, 1706), re-
printed in 1 THE EARLIEST PRINTED LAWS OF SOUTH CAROLINA,
1692-1734, at 192 (John D. Cushing ed. 1978), (recognizing crimi-
nality of suicide at common law).

Virginia: A. Scott, CRIMINAL LAW IN COLONIAL VIRGINIA 108
n.198, 198-99 nn.15-16 (1980) (noting instances of ignominious
burial and forfeiture of property).

7 See, e.g., DEL. CONST. art. 1, § 16 (1792); Mp. Const., Declara-
tion of Rights § 24 (1776); N.H. Const. pt. 2, art. 89 (adopted
1789) ; N.J. Const. of 1776, art. 17; N.C. Laws, ch. XXXI (1787),
reprinted in 2 THE First LAWS OF THE STATE OF NORTH CAROLINA
626 (John D. Cushing ed. 1984); an Act to reform the penal Laws,
§53 (1798), reprinted in 2 THe First Laws oF THE STATE OF
RHODE ISLAND 604 (John D. Cushing ed. 1983); Act of Mar. 14,
1848 (Criminal Code), tit. Il, ch. XI, §§ 23, 25, 1847-48 Va. Laws
124. Contrary to the understanding of the Ninth Circuit, 79 F.3d
at 809, the abolition of common law
suicide had been decriminalized. See Potts v. be
Chem. & Dye Corp., 1388 A.2d 574, 580 (NJ. Super. 1958) ;

v. Willis, 121 S.B.2d 854 (N.C. 1961); Wackwitz v. Roy, 418 S.E.2d
861, 864 (Va. 1992).

15

Ill, ALTHOUGH THE PENALTIES FOR SUICIDE AND
ATTEMPTED SUICIDE ULTIMATELY FELL INTO
DISFAVOR IN AMERICAN LAW, THE STATES
HAVE RETAINED A STRONG AND COMPELLING
INTEREST IN THE PRESERVATION OF HUMAN
LIFE AND IN THE PREVENTION OF SUICIDE.

The common law penalties for suicide were aban-
doned after the Revolutionary War, and attempted
suicide was seldom prohibited* and more rarely pun-
ised.” Nevertheless, suicide was regarded as “malum in
se” and was often referred to as a “crime,” a “wrongful

* At one time or snother, eight States prohibited attempted
suicide: Minnesota: MINN. PENAL Cope, §§ 148, 147 (1885), codi-
fied as MINN. GEN. STAT. §§ 6428, 6432 (1894), recodified as MINN.
Rev. Laws, § 4870, repealed by an Act of Apr. 20, 1911, ch. 293,
§ 1, 1911 Minn. Laws 409, 409; Nevada: Crimes & Punishments
Act of 1911, § 115, codified Nev. Rev. Laws § 6380 (1912),
repealed by an Act 25, 1913, ch. § 1, 1913 Nev. Star.
362, 362; Act of Mar. 4, 1957, ch. 35, § 1, 1956-57 Nev. Star. 59,
59-60, repealed by an Act of Mar. 31, 1961, ch. 256, § 1, 1961 Nev.
Stat. 416, 416; New Jersey: Act of May 9, 1957, ch. 34, ) i, 1
N.J. Laws 63, 67 (1957), codified as N.J. Rev. Stat. § 2A:170-25.6
(Supp. 1967), repealed by an Act of Act of Feb. 16, 1972, ch. 450,
§ 3, 1971 N.J. Laws 1984; New York: Act of July 26, 1881, ch. 676,
§§ 174, 178, 1881 N.Y. Laws (Vol. 3 Penal Code) at 42-43, repealed
by an Act of May 5, 1919, ch. 414, § 1, 1919 N.Y. Laws 1198, 1193;
North Dakota: G. Hand, Rev. Copes oF THE TERRITORY OF DAKOTA,
PENAL Cope §§ 230, 236 (1877), repealed by an Act of Mar. 4, 1967,
ch. 108, § 1, 1967 N.D. Sess. Laws 215, 8300; Oklahoma: Okla. Terr.
Stat. 2076 (1890), repealed by an Act of Jan. 30, 1976, ch. 6, § 2,
1976 Okla. Sess. Laws 7; South Dakota: G. Hand, Rev. Copes or
THE TERRITORY OF DAKOTA, PENAL Cope §§ 230, 236 (1877), recodi-
fied as S.D. Cope, § 13.1908 (1939), repealed by an Act of Feb. 17,
1968, ch. 31, § 1, § 13.1901, 1968 S.D. Sess. Laws 47, 47; Washing-
ton: Crim. Cope, ch. 249, § 134, 1909 Wash. Laws 11th Sess. 890,
929, codified at Rem. & BAL. Cope § 2386 (1910), repealed by WasH.
Crim. Cope, 1975, ch. 260, § 9A.92.010(213)-(217) Wash. Laws 817,
866, codified as Rev. WasH. Cope § 9A.92.010(218)-(217) (1977).

* Three courts held that attempted suicide could be charged as
a common law crime. See State v. Carney, 55 A. 44 (NJ. 1908);
State v. Lafayette, 188 A. 918 (N.J. Common Pleas 1987) ; State v.
Willis, 121 S.E.2d 854 (N.C. 1961).

2
E

in a case decided 120 years ago, this Court characterized
suicide as “self-murder,” and referred to the suicide of a
sane person as “an act of criminal self-destruction.” Bige-
low v. Berkshire Life Ins. Co., 93 U.S. 284, 286 (1876).

1929) ; Life Ass'n of America v. Waller, 57 Ga. 533, 536 (1876);
Grand Lodge of Illinois, Indep. Order of Mut. Aid v. Wieting, 48
N.E. 59, 61-62 (Ill. 1897); Dickerson v. Northwestern Mut. Life
Ins. Co., 65 N.E. 694, 696 (Ill. 1902) ; Wallace v. State, 116 N.E.2d
100, 101 (Ind. 1953); Brown v. Metropolitan Life Ins. Co., 7
N.W.2d 21, 24 (lowa 1943) ; Manhattan Life. Ins. Co. v. Beard, 66
S.W. 35, 37 (Ky. 1902) ; Dugan v. Commonwealth, 333 S.W.2d 755,
756 (Ky. 1960) ; Commonwealth v. Mink, 123 Mass. 422, 426, 428-29
(1877) ; Bohaker v. Travelers Ins. Co., 102 N.W. 342, 344 (Mass.
1913); Hale v. Life Indem. & Inv. Co., 68 N.W. 1

1895) ; Shipman v. Protected Home Circle, 67 N.E. 83, 85 (N.Y.
1908) ; Benard v. Protected Home Circle, 146 N.Y.S. 232, 235 (App.
Div. 1914); State v. Willis, 121 S.E.2d

Wyckoff v. Mut. Life Ins. Co. of N.Y., 147 P.2d 227, 229 (Or. 1944) ;
Elwood v. New England Mut. Life Ins. Co., 158 A.

(Pa. 1981) ; State v. Levelle, 13 S.E. 319, 321 (S.C. 1891), overruled
on other grounds, State v. Torrence, 406 S.E.2d 315 (S.C. 1991);
Phadenhauer v. Germania Life Ins. Co., 54 Tenn. (7 Heisk.) 567,
576 (1872) ; State ex rel. Swann v. Pack, 527 S.W.2d 99, 113 (Tenn.
1975), cert. denied, 424 U.S. 954 (1975) ; Plunkett v. Supreme Con-
clave, Improved Order of Heptasophs, 55 S.E. 9, 10-11 (Va. 1906) ;
Patterson v. Natural Premium Mut. Life Ins. Co., 75 N.W. 980, 983

'
|
:

10 (quoting Campbell v. Supreme Conclave Improved Order
Heptasophs, 49 A. 550, 553 (N.J.L. 1901)). The court failed to
note that later New Jersey opinions expressly rejected Campbell's
approbation of suicide. See State v. Carney, 55 A. 44 (N.J. 1903) ;

(NJ. Super. 1958).

1 Arkansas: Act of Feb. 16, 1838, printed as ARK. Rev. STat.
XLIV, div. art. II, §4, at 240 (1838); Flerida: Act of

s

ch. 100, § 9, 493
Act of Feb. 15, 1839, ch. 66, tit. 3, § 7, 1839 Miss. Laws 102, 112,
codified as Miss. Cope ch. 64, art. 12, tit. 3, § 7, at 958 (Hutchinson
1849) ; Missouri: Act of Mar. 20, 1835, art. Il, codified as Mo. Rev.

f
Stat. Crimes & PUNISHMENTS, art. II, § 8, at 168 (1835); New
I, tit. 1, art. 1, $7 at 661

Cushing ed. 1978) (statute condemning suicide as a felony and,
by implication. assisted suicide); Wisconsin: Revisep STAT. oF
THE Stave or Wis. ch. 133, §9 (Albany, N.Y. 1849), codified as
Rev. Stat. or Wis. ch. 164, § 9 (1858).

12 Alabama: Alabama adopted the common law of crimes, includ-
ing the law of homicide. ALA. Dicest, tit. 17, ch. 1, § 45, at 214
(H. Toulmin ed. 1823); Pena Cope, No. 138, ch. 3, § 2, 1840-41
ALA. ACTs 122 (codified as Supplement to AIKEN’s DicestT PENAL
Cope, ch. 3, § 2, at 210 (A. Meek ed. 1836-41)). For the modern
statutory codification of common law crimes, see ALA. Cope § 13A-
6-3 (1994) and Commentary. Since “[e]very murder at common
law is murder under our statutes,” McMahan v. State, 53 So. 89,
90 (Ala. 1910), suicide was a felony even though no punishment
could be attached. Jd. at 90-91 (“intentional self-destruction” is
“felo de se”). Accordingly, assisted suicide would have been crimi-
nal, also. See also Crook v. State, 160 So.2d 884, 893 (Ala. 1963):
“Suicide is murder at Common Law. ... An agreement compassing
it is a criminal conspiracy. If one of the conspirators dies . . . the
survivor—if he contributed to the suicide whether present or not—
can legitimately be tried for murder.”

Connecticut: Connecticut also adopted the common law of crimes.
See Booth, Woodruff, Mather, Baldwin & Turrill, Preface to Conn.
Gen. Stat. at vi (1875). Persuading, provoking or counseling

18

tionale for prohibiting suicide, the States have retained a
strong interest in protecting the lives of their citizens. That
interest is currently manifested in several ways.

another to commit suicide was treated as murder. 2 Z. Swift, A
DIGEST oF THE LAWs OF THE STATE oF CONNECTICUT 270 (New
Haven 1823).

Georgia: A post-Reconstruction case referred to suicide as “some-
thing more than self-sought and self-inflicted death. It is a species
of crime or wickedness—something wrong; a kind of self-murder.”
Life Ass'n of America v. Waller, 57 Ga. 583, 536 (1876). This
language suggests that assisted suicide would have been criminal,
too.
Kentucky: In 1904, the Kentucky Court of Appeals held that
suicide was a common law felony and that one could be charged
and convicted for advising or assisting in the commission of a
suicide. Commonwealth v. Hicks, 82 S.W. 265 (Ky. 1904).

Maryland: From its earliest days, Maryland adopted the common
law of crimes. See Pope v. State, 396 A.2d 1054, 1072-74 (Md.
1978) (recognizing common law crime of misprision of felony) ;
Gladden v. State, 330 A.2d 176 (Md. 1974) (adopting common law
“transferred intent” rule) ; State v. Buchanan, 5 H. & J. 317 (1821)
(adopting common law crime of conspiracy). Both suicide and as-
sisted suicide were crimes at common law. An unappealed trial
court decision in 1940 upheld the conviction of the survivor of a
suicide pact for second-degree murder, essentially holding that
active assistance in ccmmitting suicide is a form of homicide. See
Note, Criminal Liability of Participants in Suicide: State v. Wil-

19

First, almost all of the States (forty-six States) forbid
assisted suicide, either by an express statute™ or by ap-

-—eo_

Mich. 41, 45 (1876). In People v. Roberts, 178 N.W. 690 (Mich.
1920), overruled in part, People v. Kevorkian, 527 N.W.2d at 783-
39, the Michigan Supreme Court upheld a murder conviction of a

North Carolina: In 1961, the North Carolina
noting that the State had adopted the common law of crimes (
N.C. GEN. STAT. § 14-1(1) (1998) ), held that attempted suicide was
an indictable misdemeanor. State v. Willis,

After independence, North Carolina readopted the common law.
See N.C. Laws, ch. V, § II (1778), reprinted in 1 Tue
OF THE STATE OF NORTH CAROLINA 3561 (John D. Cushing ed. 1984).
Pennsylvania: In 1878, the Pennsylvania Supreme Court defined
suicides as “the crime of self-murder” in “legal acceptation and in
popular use.” Connecticut Mut. Life Ins. Co. v. Groom, 8 Pa. 92,
97 (1878). As a State that adopted common law crimes, assisting
suicide would have been a criminal! offense.

Tennessee: Tennessee adopted the common lav. See State v.
Alley, 594 S.W.2d 381, 382 (Tenn. 1980). In 1872, the Tennessee
Supreme Court referred to suicide “a crime of the highest grade.”
Phadenhauer v. Germania Life Ins. Co., 54 Tenn. (7 Heisk.) 567,
576 (1872). Thus, assisted suicide also would have been unlawful.

Virginia: Virginia adopted the common law of crimes. See A.
Scott, CRIMINAL LAW IN COLONIAL VimcINIA 27 (1930); Va. Cope
ANN. § 18.2-16 (1996); Plunkett v. Supreme Conclave, Improved
Order of Heptasophs, 55 S.E. 9, 11 (Va. 1906) (referring to suicide
as a “crime”). See also Wackwitz v. Roy, 418 S.E.2d 861, 864 (Va.
1992) (“[(s)uicide . . . remains a common law crime in Virginia as
it does in a number of other common-law states’’).

% Thirty-five States have enacted statutes banning assisted sui-
cide. ALASKA STAT. §11.41.120(a)(2) (Michie 1989); Ariz. Rev.
STaT. ANN. § 13-1103(A) (3) (West Supp. 1995); Ark. Cope ANN.
§ 5-10-104(a)(2) (Michie 1993); CaL. PeNaL Cope §401 (Weat
1988); Coto. Rev. Stat. § 18-3-104(1)(b) (Supp. 1995); Conn.
GEN. STAT. ANN. § 53a-56(a) (2) (West 1994) ; Det. Cope ANw. tit.
11, §645 (1995); FLa. STAT. ANN. § 782.08 (West 1992); Ga.
Cope ANN. § 16-5-5(b) (1996); ILL. Comp. STAT. ANN. CH. 720,

20

plication of general homicide or common law principles."
Although suicide assistance is not as common as suicide

§65/12-81(a) (2) (Smith-Hurd Supp. 1996); IND. CODE ANN.
§ 35-42-1-2.5(b) (Michie Supp. 1996); lowa S.F. 2066, to be codi-
fied as 1owA Cope §707A.2 (Supp. 1996); KAN. STAT. ANN.
§ 21-8406 (1995); Ky. Rev. Stat. ANN. § 216.302 (Michie 1995) ;
La. Rev. STAT. ANN. §14:32.12 (West Supp. 1996); ME. REV.
STAT. ANN. tit. 17-A, §204 (West 1983); MINN. STAT. ANN.
§ 609.215 (West 1987 and Supp. 1996) ; Miss. Cope ANN. § 97-3-49
(1994) ; Mo. ANN. STAT. § 565.023.1(2) (West Supp. 1996) ; Monr.
Cope ANN. § 45-5-105 (1995); Nes. Rev. Stat. ANN. § 28-307
(Michie 1995); N.H. Rev. STaT. ANN. § 630.4 (1996); NJ. Stat.
ANN. § 2C:11-6 (West 1995); N.M. Stat. ANN. §30-2-4 (Michie
1994); N.Y. Pena Law §§ 120.30, 125.15(3) (McKinney 1987) ;
N.D. CENT. Cope § 12.1-16-04 (Supp. 1995); OKLA. Stat. ANN. tit.
21, §§ 813, 814, 815 (West 1983) ; Or. Rev. STaT. § 163.125(1) (b)
(1993) (although Oregon allows physician-assisted suicide under
certain circumstances, see Orn. Rev. STAT. § 127.800 et seq. (1996),
assisted suicide remains generally illegal); Pa. Cons. STAT. ANN.
tit. 18, § 2505(b) (West 1983); R.I. Pub, Act 96-133, to be codified
as RJ. Gen. Stat. tit. 11, ch. 60; S.D. Copirmp Laws ANN.
§ 22-16-37 (Michie 1988); TENN. Cope ANN. § 39-13-216 (Supp.
1995): Tex. PENAL Cope ANN. § 22.08 (West 1994); WASH. Rev.
Cope ANN. § 9A.86.060 (West 1988); Wis. Stat. ANN, § 940.12

(West 1996).
14 Idaho: IDAHO Cope § 18-803 (1987) (adopting common law

crimes).

Ohio: Blackburn v. State, 23 Ohio St. 146 (1872) (man con-
victed of murder for preparing poisonous concoction and giving
it to his wife, who drank it intending to kill herself).

South Carolina: State v. Levelle, 13 S.E. 819, 321 (S.C. 1891)
(“suicide is an unlawful act, an act malum in se, and is a felony”).
Since suicide was a felony, assisted suicide would have been crim-
inal, also. See also State v. Jones, 67 S.E. 160, 162, 165 (S.C.
1910). For the modern statutory codification of common law
crimes, see S.C. Cope ANN. § 16-1-110 (Law Co-op. Supp. 1995).

Vermont: VT. STAT. ANN. tit. 1, § 271 (1996) (adopting common
law). See State v. Stanislaw, 573 A.2d 286, 289 (Vt. 1990) (recog-
nizing common law crimes) .

West Virginia: State v. General Daniel Morgan Post No. 548,
107 S.E.2d 353, 357 (W. Va. 1959) (adopting common law crimes).
For Alabama, Maryland, Massachusetts, Michigan, North Carolina
and Virginia, see the authorities cited in n.12, supra.

21

itself, the States do enforce their assisted suicide laws.”
Moreover, suicide assistance is often prosecuted as a form
of homicide, independent of any assisted suicide statute,
where am” person actively assists another in killing

Second, nearly one-half of the States allow both pri-

vate and public actors to use nondeadly force to thwart
suicide attempts.” Third, all States provide for the tem-

1 See, e.g., Hinson v. State, 709 S.W.2d 106 (Ark. 1 ;
In re Joseph G., 667 P.2d 1176 (Cal. 1988); In re Pr dois “
Keddie, 1990 WESTLAW 96595 (Del. Super. 1990) (noting plea of
guilty to promoting a suicide); State v. Bauer, 471 N.W.2d 363
(Minn. App. 1991) ; Commonwealth v. Swartzentruver, 389 A.2d 181
(Pa. Super. 1978); Chanslor v. State, 697 S.W.2d 398 (Tex. Cr.
App. 1985) (noting that defendant could have been charged with
assisted suicide in obtaining poison to give to his wife). See also
pr yey dewy — 1, 1996, Al8 (reporting man’s plea of

ytoa manslau
mae “1 ghter for assisting his wife in commit-

1 See, e.g., People v. Cleaves, 280 Cal. Rptr. 146 (Ct. App. 1991)
(second degree murder) ; State v. Marti, 290 N.W.2d 570 (la. 1980)
(involuntary manslaughter); Persampieri v. Commonwealth, 175
N.E.2d 387 (Mass. 1961) (involuntary manslaughter); State v.
a ty Ay ory 1979) (negligent homicide); State +.

280N, } (N.M. 1994) (murder); People v.

N.E.2d 814 (N.Y. 1992) (manslaughter). ' - econo

17 See ALA. Cope § 13A-8-24(4) (1994) ; ALASKA STAT. § 11.81.4-
30(a)(4) (Michie Supp. 1989); Ariz. Rev. STAT. ANN. § 13-408(4)
(West 1989); Ark. Cope ANN. § 5-2-605(4) (Michie 1993); CoLo.
Rev. STAT. § 18-1-703(1) (d) (West 1990); Conn. GEN. STAT. ANN.
§ 568a-18(4) (West 1994) ; DEL. Cope ANN. tit. 11, § 467(e) (1995) ;
Haw. Rev. Stat. § 703-308(1) (1985); Ky. Rev. Stat. § 503.100
(1) (a) (Michie 1990); Me. Rev. Stat. ANN. tit, 17-A, § 106(6)
(West 1983); MINN. STAT. ANN. § 609.06(8) (West 1987); Mo.
ANN. STAT. § 563.061(5) (West 1979); Nesp. Rev. Stat. § 28-
1412(7) (Michie 1995); N.H. Rev. Stat. §627:6(VI) (1996):
N.J. Stat. ANN. §2C:3-7(e) (West 1995); N.Y. Penan Law
§ 35.10(4) (McKinney 1987); N.D. Cent. Cope § 12.1-05-05(5)
(1985); OKLA. STaT. ANN. tit. 21, §643(6) (West 1996); Or.
Rev. Stat. § 161.205(4) (1993); Pa. Cons. STAT. ANN. tit. 18,
§ 508(d) (West 1983) ; TENN. Cope ANN. § 39-11-6183 (1991); Tex.
PENAL CoDE ANN. §9.34(a) (West 1994); Wis. STAT. ANN.
§ 939.4815) (West 1996).

22

porary involuntary commitment of individuals who, as a
result of mental disease or illness, may harm themselves.
Finally, despite occasional instances of jury nullification
or discretionary decisions not to prosecute, acts of “mercy-
killing” or active voluntary euthanasia always have been
considered as homicide. The law does not accept the con-
sent of the victim as a defense to a charge of homicide,
nor benevolent motive as an excuse.”

In light of this overwhelming legislative and judicial
consensus,” which the Ninth Circuit largely ignored, it

18 See, e.g., N.Y. MENTAL Hyc. Law, § 9.01 ef seq. (McKinney
1996) ; WasH. Rev. Cope ANN. § 71.05.020 et seq. (West 1992).

19 See, e.g., Gospodareck v. Stat, 666 So.2d 835, 842 (Ala. Cr.
App. 5908) ; People v. Matlock, 336 P.2d 505 (Cal. 1959); In re
Thomas C., 228 Cal. Rptr. 430 (Ct. App. 1986); Ragan v. State,
599 So.2d 276 (Fla. Dist. Ct. 1992); Gentry v. State, 625 N.E.2d
1268 (Ind. App. 1994) ; State v. Cobb, 625 P.2d 1133, 1135-36 (Kan.
1981); State v. Ludwig, 70 Mo. 412, 415 (1879); State v. Fuller,
278 N.W.2d 756, 761 (Neb. 1979); Edinburgh v. State, 896 P.2d
1176, 1178-80 (Okla. Cr. App. 1995); State v. Bouse, 264 P.2d 800,
812 (Or. 1953), overruled on other grounds, State v. Fischer, 876
P.2d 418 (Or. 1962), State v. Brewton, 395 P.2d 874 (Or. 1964) ;
Turner v. State, 108 S.W. 1139, 1141 (Tenn. 1907) ; Goodin v. State,
726 S.W.2d 956, 957-58 (Tex. Cr. App. 1987); Martin v. Common-
wealth, 37 S.E.2d 43, 47 (Va. 1946). See also State v. Mays, 307
S.E.2d 655 (W. Va. 1983).

2 People v. Conley, 411 P.2d 911, 998 (Cal. 1966) (“one who
commits euthanasia bears no ill will tow.<u his victim and believes
[that] his act is morally justified . . . ncaetheless acts with malice
if he is able to comprehend that society prohibits his act regardless
of his personal belief”) ; Gilbert v. State, 487 So.2d 1185, 1190 (Fla.
Dist. Ct. App. 1986), rev. denied, 494 So.2d 1150 (Fla. 1986) ;
Eichner v. Dillon, 426 N.Y.S.2d 517, 583 (App. Div. 1980), aff'd
as modified sub nom. In re Storar, 420 N.E.2d 64 (N.Y. 1981).
Anecdotal evidence and polling data that some physicians may assist
their patients in killing themselves, Compassion in Dying, 79 F.3d
at 811 & nn.54-59, does not reflect societal acceptance of such con-
duct, especially where the conduct is difficult to detect and prosecute.

21 The Model Penal Code prohibits assisted suicide, even though
the Code does not criminalize either suicide or attempted suicide.
See MopEL PENAL Copx § 210.5(2). In their Comment, the drafters
said that “the interests in the sanctity of life that are represented

23

cannot plausibly be argued that a right to commit suicide
(or suicide assistance) under any circumstances is “deeply
rooted in this Nation’s history and traditions,” Moore v.
City of East Cleveland, Ohio, 431 U.S. at 503, or that
it is “implicit in the concept of ordered liberty,” Palko v.
Connecticut, 302 U.S. at 325. It would be “an imper-
missibly radical departure from existing tradition, and
from the principles that underlie that tradition, to declare
that there is such a fundamental right protected by the
Due Process Clause.” Kevorkian, 527 N.W.2d it 733.

IV. BOTH THE SECOND CIRCUIT AND THE
NINTH CIRCUIT ERRED IN EQUATING SUICIDE
WITH THE REFUSAL OF UNWANTED LIFE-
SUSTAINING MEDICAL TREATMENT.

The key error of both tlie Second Circuit's equal pro-
tection analysis and the Ninth Circuit's due process analy-
sis was to equate suicide, a crime at common law, with
the refusal of unwanted medical care, a right protected by
the common law and the Constitution. See Quill, 80 F.3d
at 725-31; Compassion in Dying, 79 F.3d at 820-24.
They are not equivalent.

[Whereas suicide involves an affirmative act to
end a life, the refusal or cessation of life-sustaining
treatment simply permits life to run its course, unen-
cumbered by contrived intervention. Put another
way, suicide frustrates the natural course by intro-
ducing an outside agent to accelerate death, whereas
the refusal or withdrawal of life-sustaining medical
treatment allows nature to proceed, i.e., death occurs
because of the underlying condition.

co * ok *

[P]ersons who opt to discontinue life-sustaining
medical treatment are not, in effect, committing
suicide. There is a difference between choosing a
natural death summoned by an uninvited illness or

by the criminal homicide laws are threatened by one who expresses
a willingness to participate in taking the life of another, even

though the act may be accomplished with the consent, or at the
request, of the suicide victim.” Jd. at 100.

24

calamity, and deliberately seeking to terminate one’s
life by resorting to death-inducing measures unrelated
to the natural process of dying.

People v. Kevorkian, 527 N.W.2d at 728-29.

Virtually without exception, state legislators and both
state and federal courts have recognized the distinction
between directly causing death by an affirmative act end-
ing life and allowing death to occur by withholding or
withdrawing life-sustaining medical treatment. Forty-seven
States expressly disapprove of mercy killing, suicide and
assisted suicide in either their natural death acts/living
will statutes,” or their durable power of attorney for

22 ALA. Cope § 22-8A-10 (1990); ALASKA STaT. § 18.12.080(f)
(Michie 1994); Ariz. Rev. STAT. ANN. § 36-3210 (West. Supp
1995); ARK. CopE ANN. § 20-17-210(g) (Michie 1991); CAL.
HEALTH & SAFETY Cope §7191.5(g) (West Sup». 1996); CoLo.
Rev. STAT. § 15-18-112(1) (West 1987) ; Fia. Stat. ANN. § 765.309
(1) (West Supp. 1996); Ga. Cope ANN. §31-32-11(b) (1996);
Haw. Rev. Stat. § 8327D-13 (Supp. 1992); ILL. Comp. STAT. ANN.
ch. 755, § 35/9(f) (Smith-Hurd 1992) ; IND. Cope ANN. § 16-36-4-19
(Michie 1998); Iowa Cope ANN. § 144A.11.6 (West 1989); KAN.
Stat. ANN. § 65-28,109 (1992); Ky. Rev. Stat. ANN. § 311.639
(Michie 1995); La. Rev. STaT. ANN. § 40:1299.58.10(A) (West
1992); Me. Rev. STaT. ANN. tit. 18-A, §5-813(c) (West Supp.
1995); Mp. HEALTH-GEN. CopE ANN. §5-611(c) (1994); MINN.
STaT. ANN. § 145B.14 (West Supp. 1996); Miss. Cope ANN. § 41-
41-117(2) (1998); Mo. ANN. Stat. § 459.055(5) (West 1992);
Mont. Cope ANN. § 50-9-205(7) (1995); Nes. Rev. STAT. ANN.
§ 20-412(7) (Michie 1995); Nev. Rev. Stat. ANN. § 449.670(2)
(Michie 1991); N.H. Rev. ANN. §187-H:13 (1996); N.C. GEN.
STAT. § 90-820(b) (1998); N.D. Cent. Cope § 23-06.4-01 (1991) ;
OuI0 REv. Cope ANN. § 2188.12(D) (Anderson Supp. 1995) ; OKLA.
STaT. ANN. tit. 63, §3101.12(G) (West Supp. 1996); Pa. Cons.
Stat. ANN. tit. 20, §5402(b) (West Supp. 1996); R.I. Gen. Laws
§ 23.4.11-10(f) (Supp. 1995); S.C. Cope ANN. § 44-77-130 (Law.
Co-op. Supp. 1996) ; S.D. Copirrep Law ANN. § 32-12D-20 (Michie
1994); Tex. HEALTH & SAFETY CoDE ANN. § 672.020 (West 1992) ;
UTAH Cope ANN. § 75-2-1118 (1993); Va. CopE ANN. § 54.1-2990
(Michie 1994) ; WasH. REv. Cope ANN. § 70.122-100 (West Supp.
1996): W. VA. Cope § 16-30-10 (1995); Wis. STaT. ANN. § 154.11

(6) (West 1989); Wyo. Stat. § 35-22-109 (Michie 1994).

25
health care acts “ or both.

Moreover, the majority's conclusion in Compassion in
Dying “that there is no constitutionally permissible dis-
tinction between suicide and refusing medical treatment
. » » ignores a long line of judicial decisions that recognize
the distinction.” 85 F.3d at 1444 (O’Scannlain, J., dis-
senting from order rejecting request for rehearing en banc
by the full court). In Jn re Quinlan, 355 A.2d 647 (N.J.
1976), cert. denied sub nom. Garger v. New Jersey, 429
U.S. 922 (1976), the landmark “right-to-die” case, the
New Jersey Supreme Court, in authorizing the parents of
Karen Ann Quinlan to remove her from a ventilator, was
careful to distinguish withdrawal of life support from
homicide and suicide “We would see a real distinction
between the self-infliction of deadly harm and a self-
determination against artificial life support or radical
surgery, in the fact of irreversible, painful and certain
imminent death.” Id. at 665. The court noted further that
“there would be no criminal homicide” in removing the
ventilator, explaining that “the ensuing death would not
be homicide but rather expiration from existing natural
causes.” Id. at 669-70. In Superintendent of Belcher-
town State School v. Saikewicz, 370 N.E.2d 417 (Mass.
1977), the Massachusetts Supreme Judicial Court con-
curred:

8 Act of July 12, 1982, §3, 63 Del. Laws 821 (1981): IDAHO
Cope § 39-152 (Supp. 1996) (DNR orders) ; Itt.. Comp. STAT. ANN.
ch. 755, § 40/50 (Smith-Hurd 1992); IND. Cope ANN. §§ 16-36-1-
12(c), 16-36-1-13 (Michie 1993), see also § 30-5-5-17(b) (Michie
Supp. 1996); Iowa Cope ANN. § 144B.12.2 (West Supp. 1996) ;
MAss. GEN. Laws ANN. ch. 201D, § 12 (West Supp. 1996) ; MICH.
Comp. LAws ANN. § 700.496(20) (West 1995); N.Y. Pus. HEALTH
Law § 2989(3) (McKinney 1993); N.D. CENT. Cope § 23-06.5-01
(1991); R.I. GEN. Laws 23-4.10-9(f) (Supp. 1995); Wyo. Start.
§ 3-5-211 (Michie Supp. 1996).

4 See notes 22 and 23, supra. See also CONN. GEN. STAT. ANN.
§ 19a-575 (West Supp. 1996) (form declaration) ; N.J. STAT. ANN.
§ 26:2H-54(d), -(e) (West 1996) (legislative findings); N.M.
STaT. ANN. § 24-7A-13(C) (Michie Supp. 1995).

26

In the case of the competent adult’s refusing medical
treatment such an act does not necessarily constitute
suicide since (1) in refusing treatment the patient
may not have the specific intent to die, and (2) even
if he did, to the extent that the cause of death was
from natural causes, the patient did not set the
death producing agent in motion with the intent
of causing his own death.

Id. at 426 n.11. See also Thor v. Superior Court, 855
P.2d 375, 385 (Cal. 1993) (“a necessary distinction
exists between a person suffering from a life-threatening
disease or debilitating injury who rejects medical interven-
tion that only rrolongs but never cures the affliction and
an individual who deliberately sets in motion a course of
events aimed at his or her demise and attempts to enlist
the assistance of others); Fosmire v. Nicoleau, 551
N.E.2d 77, 82 (N.Y. 1990) (“merely declining medical
care, even essential treatment, is not considered a suicidal
act”); In re Colyer, 660 P.2d 738, 743 (Wash. 1983)
(“{a] death which occurs after the removal of life sus-
taining systems is from natural causes, neither set in
motion nor intended by the patient”).

Almost every court recognizing a right to refuse med-
ical treatment has expressly distinguished removal of life
support from suicide, and has drawn a clear distinction
between allowing death to occur by passive means (re-
fusing life-sustaining treatment) and causing death by
active means (killing the patient by a direct act that ends
his life). No court, with the exception of those couris

25 See also Rasmussen v. Fleming, 741 P.2d 674, 685 (Ariz. 1987) ;
Bouvia v. Superior Court, 225 Cal. Rptr. 297, 306 (Ct. App. 1986)
(quadriplegic’s “decision to let nature take its course is not equiv-
alent to an election to commit suicide with real parties aiding and
abetting therein”) ; Bartling v. Superior Court, 209 Cal. Rptr. 220,
225 (Ct. App. 1984): Barber v. Superior Court, 195 Cal. Rptr. 484,
487 (Ct. App. 1988); McConnell v. Beverly Enterprises, Inc., 553
A.2d 596, 605 (Conn. 1989); In re Guardianship of Browning, 568
So.2d 4, 14 (Fla. 1990) (“suicide is not an issue when . . . the
discontinuance of life support ‘in fact will merely result in [the
patient’s] death, if at all, from natural causes’”) (citing Satz v.

27

whose decisions are under review here, has held other-
wise. As” these cases demonstrate, suicide cannot be
equated with the refusal of medical treatment. They are
different in two key respects: First, in the case of remov-
ing life-sustaining treatment, there is no intent to end
life, but only the knowledge that death may result. Second,
regardless of whether there is an intent to end life. the
removal of life support is not the actual cause of death:
rather, death results from natural causes (é.g., an under-
lying pathology that renders a patient unable to breathe
or eat without mechanical assistance). These distinctions
fully justify treating assisted suicide differently from the
refusal of unwanted life-sustaining medical treatment. See
FCC v. Beach Communications, Inc., 508 U.S. 307,

313-16 (1993). As the New York State F eport
on Life and the Law noted: yeas

The imposition of life-sustaining medical treatment
against a patient’s will requires a direct invasion of
bodily integrity and, in some cases, the use of physi-
cal restraints, both of which are flatly inconsistent

Perlmutter, 362 So.2d 160, 162 (Fla. Dist. Ct. App. 1978), aff'd,
879 So.2d 359 (Fla. 1980); In re Estate of Longeway, 549 N.E.2d
292, 296 (Ill. 1989); In re Lawrance, 579 N.E.2d 82, 40 n.4 (Ind.
1991); De Grella by and through Parrent v. Elston, 858 S.W.2d
698, 707 (Ky. 1993) (“‘[mJercy killing’ and ‘euthanasia’ or any
other ‘affirmative or deliberate act to end life’ are fundamental
violations of the common law”) (citation omitted); In re P.V.W.,
424 So.2d 1915, 1022 (La. 1982); In re Gardner, 534 \.24 947, 955-
56 (Me. 1987) ; Guardianship of Doe, 583 N.E.2d 1263, 1270 (Mass.
1992), cert. denied sub nom. Doe v. Gross, 505 U.S. 950 (1992) ;
Brophy v. New England Sinai Hospital, Inc., 497 N.E.2d 626, 638
(Mass. 1986); Jn re Rosebush, 491 N.W.2d 683, 636 n.2 (Mich.
App. 1992); McKay v. Bergstedt, 801 P.2d 617, 627 (Nev. 1990)
(“there is a substantial difference between the attitude of a person
desiring non-interference with the natural consequences of his or
her condition and the individual who desires to terminate his or
her life by some deadly means either self-inflicted or through the
agency of another”); Jn re Farrell, 529 A.2d 40, 411 (N.J. 1987);
Leach v, Akron General Medical Center, 68 Ohio Misc. 1, 10 (1980) ;
In re Fiori, 673 A.2d 905, 910 (Pa. 1996); In re Guardianship of
Grant, 747 P.2d 445, 455 (Wash. 1987), modified, 757 P.2d 584
(Wash. 1988) ; In re L.W., 482 N.W.2d 60, 71 (Wis. 1992).

28

with society’s basic conception of personal dignity.
_.. It is this right against intrusion—not a general
right to control the timing and manner of death—
that forms the basis of the constitutional right to
refuse life-sustaining treatment. Restrictions on sui-
cide, by contrast, entail no such intrusions, but simply
prevent individuals from intervening in the natural
process of dying.
WHEN DeatH Is SouGut 71.

The decision respondents urge upon this Court not only
would overturn the assisted suicide statutes throughout the
States, but also would undermine the right of public and
private actors to intervene to prevent suicide and jeop-
ardize the authority of public health officials to institu-
tionalize for treatment persons who attempt suicide. More-
over, recognition of a right to suicide assistance could
easily lead to the legalization of “homicide by consent.”
The Ninth Circuit views this possible development with
complete equanimity. Compassion in Dying, 79 F.3d at
831-32.

Notwithstanding their disclaimers, the right respond-
ents ask this Court to recognize could not be limited to
mentally competent, terminally ill patients. This is appar-
ent from respondents’ reliance upon this Court's abortion
jurisprudence and the extensive case law that has developed
in support of the right to refuse medical treatment. If
abortion jurisprudence is the source of a right to suicide,
the States would be powerless to examine the reasons per-
sons would want to kill themselves and then, based on that
examination, permit some suicides (the “rational” ones)
and forbid others (the irrational ones). See Casey, 505
U.S. at 879 (“[the] State may not prohibit any woman
from making the ultimate decision to terminate her preg-
nancy before viability” ).

The case law recognizing a right to refuse treatment
offers even less reason to believe that a right to suicide
(or suicide assistance) could be contained. The right to
refuse unwanted medical treatment, including life-sustain-

29

ing medical treatment, may be exercised by persons who
are not terminally ill and for persons who are not com-
petent. See Edward R. Grant and Paul Benjamin Linton,
Relief or Reproach? Euthanasia Rights in the Wake of
Measure 16, 74 OREGON L. REv. 449, 459-61 & nn. 36-
39 (1995) (listing cases). A right to assistance in com-
miting suicide, once established, would inevitably expand
to include the incompetent and those who are not termi-
nally ill, as the Ninth Circuit freely acknowledged.” See
generally Grant and Linton, Relief or Reproach?, 74
OREGON L. REV. ai 516-25 & nn. 293-328,

Only three years ago, the Supreme Court of

was asked to legalize the ume wantin of Prem oey
assisted suicide that respondents urge upon this Court.
See Rodriguez v. British Columbia, [1993] 3 S.C.R. 519.
The Court refused to do so in an opinion that bears
careful reading. The prohibition of assisted suicide, the
Court stated, “is valid and desirable legislation which ful-
fills the government's objectives of preserving life and pro-
tecting the vulnerable.” /d. at 590. A “blanket prohibi-
tion” of assisted suicide is neither arbitrary nor unfair in
the sense of being “unrelated to the state’s interest in
protecting the vulnerable.” /d. at 595.

[The law against assisted suicide] has as its pur-
pose the protection of the vulnerable who might be
induced in moments of weakness to commit suicide.
This purpose is grounded in the state interest in
protecting life and reflects the policy of the state
that human life should not be depreciated by allow-
ing life to be taken. This policy finds expression . . .
in the provisions of our Criminal Code which prohibit

* See Compassion in Dying, 79 F.3d at 816: “ j
is strongly influenced by, but not limited to, the wma, ——
competent, terminally ill adults. We are influenced as well by the
plight of others, such as those whose existence is reduced to a
vegetative state or a permanent and irreversible state of uncon-
sciousness.” /d. at 832 n. 120 (“we should make clear that a deci-
sion of a duly-appointed surrogate decision maker is for all legal
purposes the decision of the patient himself’).

30

murder and other violent acts against others notwith-

standing the consent of the victim, ... .
Id. The Court declined to sanction assisted suicide, even
for the terminally ill, because “the active participation by
one individual in the death of another is intrinsically
morally and legally wrong” and “there is no certainty
that abuses can be prevented by anything less than a com-
plete prohibition.” Jd. at 601. “Creating an exception
for the terminally {11 might . . . frustrate the purpose of
the legislation of protecting the vulnerable because ade-
quate guidelines to control abuse are difficult or impos-
sible to develop.” Jd. The law against assisted suicide
“may discourage those who consider that life is unbear-
able at a particular moment, or who perceive themselves
to be a burden upon others, from committing suicide.” /d.
at 608.

To confirm the right of the States to preserve and
protect human life, and to prevent the abuses that would
arise if assisted suicide were legalized, amici ask the Court
to uphold the New York and Washington statutes banning
assisted suicide.

CONCLUSION

For the foregoing reasons, amici curiae respectfully re-
quest this Honorable Court to reverse the judgments in
Cases 95-1858 and 96-110.

Respectfully submitted,

PAUL BENJAMIN LINTON *
CLARKE D. FORSYTHE
AMERICANS UNITED For LIFE

343 S. Dearborn Street Suite 1804
Chicago, Illinois 60604

(312) 786-9494

November 7, 1996 * Counsel of Record

APPENDIX

Ai 7
ile ils ni i |

in

if
:

List of Amici from the New York General Assembly

Hi Hi

2a

Senator Dale M. Volker (Rep.)
Chairman, Codes Committee

Assemblyman Robert C. Wertz (Rep.Conserv.)
Assemblyman Thomas F. Barraga (Rep.)
Ranking Minority Member
Education Committee
Assemblyman John J. Flanagan (Rep.-Conserv.)
Assemblyman James D. Conte (Rep.)
Ranking Minority Member,
Governmental Employees Committee
Assemblyman Philip B. Healey (Rep.)
Assembly Deputy Minority Leader
Assemblyman William Scarborough (Dem.)
Assemblyman Denis J. Butler (Dem.)
Assistant Speaker Pro Tem
Assemblywoman Catherine Nolan (Dem.)
Chairwoman, Labor Committee
Assemblyman Anthony S. Seminerio (Dem.)
Majority Whip
Assemblyman Anthony J. Genovesi (Dem.)
Chairman, Oversight, Analysis &
Investigation Committee
Assemblyman Jules Polonetsky (Dem.)
Assemblywoman Elizabeth A. Connelly (Dem.)
Speaker Pro Tem
Assemblyman Eric N. Vitaliano (Dem.)
Chairman,
Governmental Employees Committee
Assemblywoman Aurelia Greene (Dem.)
Chairwoman, Banks Committee
Assemblyman Sam Colman ( Dem.)
Chairman, Majority Program Committee
Assemblyman Patrick R. Manning
(Rep. Freedom)
Ranking Minority Member,
Correction Committee
Assemblyman Robert A. D’Andrea (Rep.)
Assemblyman James N. Tedisco (Rep.)
Assemblyman John J. M Tneny (Dem.)
Assemblyman Robert G. Prentiss ( Rep.)
Ranking Minority Member,
Veterans Affairs Committee
Assemblyman David R. Townsend, Jr.
(Rep.-Conserv. )
Ranking Minority Member,
Labor Committee

59th District

6th District
7th District

9th District
10th District
12th District

29th District
36th District

87th District
38th District
39th District
46th District
59th District

60th District

77th District
93rd District

99th District

100th District
103rd District
104th District
107th District

115th District

3a

Assemblyman Bernard J. Mahoney (Rep.)
Assemblyman Daniel J. Fressenden (Rep.)

Ranking Minority Member,

Environmental Conservation Committee
Assemblyman Joseph T. Pillittere (Dem.)

Chairman, Tourism, Arts &

Sports Development Committee
Assemblyman David E. Seaman (Rep.)
Assemblyman Paul A. Tokasz (Dem.)

Chairman, Election Law Committee
Assemblyman Richard J. Keane (Dem. )
Assemblyperson Sandra Lee Wirth (Rep.)

120th District
125th District

138th District

139th District
143rd District

145th District
148th District

4a

List of Amici from the Washington General Assembly

Senator John Moyer, M.D. (Rep.)
Senator James E. West (Rep.)
Rep. Assistant Floor Leader
Senator Alex Duccio (Rep.)
Rep. Deputy Floor Leader
Senator Joseph P. Zarelli (Rep.)
Senator Daniel P. Swecker (Rep.)
Senator Jim Hargrove (Dem.)
Senator Bob Oke (Rep.)
Senator Pam Roach (Rep.)
Senator Gary Strannigan (Rep.)
Senator Emilio Cantu (Rep.)
Senator Jeanine Long (Rep.)
Representative Mike Sherstad (Rep.)
Representative Tom Campbell (Rep.)
Representative Scott Smith (Rep.)
Representative Duane Sommers ( Rep.)
Representative Cathy McMorris (Rep.)
Representative Larry Sheahan (Rep.)
Chairman, House Law & Justice Committee
Representative Mark G. Schoesler (Rep.)
Assistant Majority Floor Leader
Representative Barney Beeksma (Rep.)
Representative Joyce Mulliken (Rep.)
Representative Jim Honeyford (Rep.)
Representative Steve Hargrove (Rep.)
Representative Jim Buck (Rep.)
Representative Grant O. Pelesky (Rep.)
Representative Sarah M. Casada (Rep.)
Representative Lois McMahan (Rep.)
Assistant Majority Whip
Representative Gigi Talcott (Rep.)
Majority Whip
Representative Mike Carrell (Rep.)
Representative Tim Hickel (Rep.)
Representative Les Thomas (Rep.)
Representative Peggy Johnson (Rep.)
Representative Tim Sheldon (Dem.)
Representative John Koster (Rep)
Representative Val Stevens (Rep.)
Assistant Majority Floor Leader
Representative Chery] Hymes (Rep.)
Representative Eugene Goldsmith (Rep.)
Republican Caucus Vice Chair
Representative Kathy Lambert (Rep.)
Representative Bill Backlund (Rep.)

3rd District
6th District

14th District

18th District
20th District
24th District
26th District
31st District
838th District
41st District
44th District
1st District
2nd District
2nd District
6th District
7th District
9th District

9th District

10th District
13th District
15th District
23rd District
24th District
25th District
25th District
26th District

28th District

26th District
30th District
31st District
35th District
35th District
39th District
39th District

40th District
42nd District

45th District
45th District

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385013_0768%3A27. Public record. Not legal advice.
