Decisions about sustaining life, allowing it to end or even hastening death are among the most difficult choices terminally ill patients and their families can face. Such decisions also are at the heart of a debate about what is commonly called "physician-assisted suicide" -- or "aid-in-dying" by supporters. Oregon and Washington -- and now likely Vermont -- allow physicians to write a prescription for lethal drugs if requested by someone who is terminally ill and mentally competent. A Montana court also has allowed the procedure. Supporters of assisted suicide say it allows the terminally ill to avoid unnecessary suffering and meet death on their own terms, and they say safeguards in the laws prevent abuse of the procedure. But opponents say assisted suicide devalues life, opens patients to exploitation by relatives or others and could lead to widespread euthanasia of the sick and vulnerable.

Reed Karaim, a freelance writer living in Tuscon, Arizona, has written for The Washington Post, U.S. News and World Report, Smithsonian, American Scholar, USA Weekend and other publications. He is the author of the novel, If Men Were Angels, which was selected for the Barnes and Noble Discover Great New Writers series. He is also the winner of the Robin Goldstein Award for Outstanding Regional Reporting and other journalism awards. Karaim is a graduate of North Dakota State University in Fargo, North Dakota.