Legal Issues
This chapter clarifies the legality of VSED for patients, families, and clinicians. Both clinicians and medical societies widely perceive VSED to be legal. While there continues to be variability, particularly in long-term care settings, legal uncertainty is generally not a significant barrier when the patient has decision-making capacity. Courts have repeatedly authorized VSED, and VSED falls squarely within broader, well-settled rights to refuse treatment and care. After establishing a patient’s right to VSED and a clinician’s correlative duty to honor that choice, the chapter explains why VSED probably does not constitute (1) the crime of assisted suicide, (2) the neglect of a vulnerable adult, or (3) a basis to invalidate life insurance policies. The chapter concludes by noting that while clinicians may have affirmative duties to discuss VSED, they also have rights to conscientiously object to participating.