Hugh Pickens writes "Lewis M. Cohen reports that this Election Day, Massachusetts is poised to approve the Death With Dignity Act, a modernized, sanitized, politically palatable term that replaces the now-antiquated expression 'physician-assisted suicide.' Oregon's Death With Dignity Act has been in effect for the past 14 years, and the state of Washington followed suit with a similar law in 2008. But the Massachusetts ballot question has the potential to turn death with dignity from a legislative experiment into the new national norm, because the state is the home of America's leading medical publication (the New England Journal of Medicine), hospital (Massachusetts General), and four medical schools (Harvard, Boston University, University of Massachusetts, and Tufts). If the act passes in Massachusetts, other states that have previously had unsuccessful campaigns will certainly be emboldened to revisit this subject. The initiative would allow terminally ill patients with six months or less to live to request from their doctor a prescription for a lethal dose of a drug. Doctors do not have to offer the option at all, and patients must make three requests, two verbal and one written. They must self-administer the drug, which would be ingested. The patients must be deemed capable of making an informed decision. 'It's all about choice,' says George Eighmey, a key player in instituting the Oregon law, defending it against repeal and shepherding it into reality. 'You decide. No one else can decide for you. No can can force you into it, coerce you into it or even suggest it to you unless you make a statement: "I don't want to live like this any more" or "I'm interested in that law out there, doctor, can you give me something to alleviate this pain and suffering."'"