US lawmakers urge stricter monitoring of medically assisted suicide in hospices

Bipartisan group warns HHS that older adults and people with disabilities risk being pressured to end their lives

Lawmakers urged the health and human services (HHS) secretary, Robert F Kennedy Jr , on Thursday to establish strict hospice reporting rules to prevent discrimination and coercion in medically assisted suicide.

The bipartisan group of members of Congress warned that older adults, people with disabilities, or those with disaffected caregivers face a particular risk of being pressured to end their lives.

“Every person has inherent worth and dignity, including those facing their final days,” said the Republican senator James Lankford in a statement. “Hospice should be a place of compassion, comfort, and care, where the suffering are surrounded by loved ones and quality health care, not a place where they feel quietly pressured to end their lives through assisted suicide.”

Lankford, as well as the Democratic senator Tim Kaine, Republican representative Greg Murphy and Jose Luis Correa, a Democratic representative, signed a joint letter asking HHS and the Centers for Medicare & Medicaid Services (CMS) to monitor the practice.

The members of Congress specifically requested that the monitoring cover discriminatory practices, whether insurance companies deny life-sustaining medical care but offer to cover physician-assisted suicide drugs instead, compliance with federal restrictions that ban using federal funds for physician-assisted suicide items or services, among other investigations.

While federal funds are legally barred from supporting medically assisted suicide, 13 states – including New York and California – and the District of Columbia allow it. Eligible patients are generally adults diagnosed with a terminal illness and a prognosis of six months or less, who self-administer prescribed lethal medication.

“Many individuals with disabilities warn that states legalizing physician-assisted suicide send the message that the lives of persons with disabilities are less valued in society,” reads the letter.

Lawmakers expressed concern that the witness requirement for assisted suicide may fail to protect elderly patients from financial abuse, as witnesses could benefit financially from the patient’s death through wills or life insurance.

The non-profit organization Aging With Dignity reported in March that at least 14,446 Americans have died by physician-assisted suicide since 1997.