Ms. Bluestein is diagnosed with stage IIIc3 cancer. Medical aid in dying is not authorized in her home state and she would like the option to access medical aid in dying in Vermont should her suffering become unbearable.

Act 39, like similar laws in other states across the country, makes end-of-life choice available only to residents of Vermont. PCV agrees with the plaintiffs in the lawsuit who state that this restriction is unconstitutional, and that it improperly restricts people from crossing state lines to receive the medical services they seek. Medical aid in dying is the only medical service that is subject to such a restriction.
A recent lawsuit settlement in Oregon creates an important precedent for deleting the residency requirement in Vermont. The Oregon settlement requires officials there to 1) issue directives halting enforcement of the unconstitutional residency provision, and 2) initiate a legislative request to permanently remove the residency language from the law. 
We look forward to to the day when all individuals seeking end-of-life choice can access the services they want.
The PCV Helpline and website resources will be augmented to assist out-of-state residents once they can legally access medical aid in dying in Vermont.

Dr. Barnard was recognized in 2019 by the Madison Dean Education Fund award entitled "Excellence in End of Life Care." She has served on the Ethics and Palliative Care Committees and Board of Directors of Porter Hospital and also on the board of Hospice Volunteer Services of Addison County. Dr. Barnard was honored by the UVM Larner College of Medicine with the 2020 Service to Medicine and Community Award. 
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In 2021, Dr. Barnard was named Vermont Family Physician of the Year. She is the Vermont liaison to the American Clinicians Academy for Medical Aid in Dying. Prior to her present position, was the Medical Director and a board member of Helen Porter Healthcare and Rehabilitation Center. She is a passionate advocate for holistic, comprehensive and patient directed care at the end of life. Dr. Barnard was instrumental in the passage of Act 39 as one of the few practicing physicians who testified for the need for medical aid in dying. She has worked tirelessly to educate medical professionals and serves as the primary resource for clinicians who call PCV or contact her directly for information on aid in dying.  

Like many Vermonters, I have been distraught over the U.S. Supreme Court decision to reverse Roe vs Wade. As a lawyer, I am keenly aware that this reversal of a half-century of legal precedent is tied to legal and political theories that pose broader threats to our rights to bodily autonomy.
 
We are not immune to threats here in Vermont. In 2016, PCV intervened in a lawsuit brought by the Christian Medical and Dental Association (CMDA) claiming that Vermont doctors who have religious objections should not have to discuss medical aid in dying with their patients. The lawsuit was dismissed, but the CMDA continues to look for ways to limit access to medical aid in dying across the country. In California, they sued claiming that doctors who object to medical aid in dying should not have to transfer patient medical records to a new doctor who stands ready to help that patient. 
 
Medical aid in dying laws and the laws requiring that an individual's advance directives be followed are grounded in the concept of bodily autonomy – the idea that people have the right to determine how to care for their own bodies and what decisions best serve their lives.
 
With the recent Supreme Court case on abortion, we are concerned that aid-in-dying opponents will be emboldened to attack end-of-life choice. These people already have tied their opposition to abortion together with end-of-life choice. For example, in thirty states (not Vermont), when a person is pregnant, her advance directives are void by state law. 
 
The basic right to bodily autonomy is at stake. We view attacks on patient-directed care as potentially undermining a patient’s agency in a wide range of medical decision-making.
 
At PCV we are watching events at the national level, and we are prepared to act if end-of-life choice is threatened in Vermont.

PCV stands ready to defend our right to bodily autonomy.

Or mail a check to:
Patient Choices Vermont
PO Box 671
Shelburne, VT 05482

​PCV Welcomes former State Senator Claire Ayer to the Board of Directors

Claire Ayer brings extensive political and medical practice expertise to the PCV team. She was instrumental in the adoption of Act 39 in 2013, when she served as Chair of the Senate Committee on Health and Welfare. Ms. Ayer has served for the past year on the PCV Advisory Board where she provided strategic advice on educating stakeholders about the improvements that were needed in Act 39. We look forward to her closer involvement in PCV's mission.

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PCV stands solid in our commitment to educate across all sectors of our community. PCV workshops help individuals to have knowledgeable discussions with their medical teams about end-of-life choices. Our education for medical professionals emphasizes the importance of providing patients with full information about their options, including medical aid in dying and how to engage patients in decision-making.

​S.74 Education

PCV has been making sure that members of the community are up-to-date on the new provisions of S.74, improving Act 39. We recently:

• Published a summary of the S.74 amendments to Act 39 and distributed these to doctors.
• Encouraged the Vermont Medical Society to provide a similar update, resulting in “Cultural Considerations,” a webinar and feature story published on June 30, 2022.
• Held seven training sessions for medical personnel and the community at large.
• Provided article content for Central Vermont Council on Aging's newsletter update on S.74.

​"Books about medical aid in dying are beginning to appear with frequency," says PCV Board Member Susan Gillotti.
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"It’s as if everyone now--doctors and patients alike--has recognized that we can’t keep pretending that we don’t die. Anita Hannig is a cultural anthropologist at Brandeis University where she teaches classes on the cultural dimensions of medicine and the end of life. She spent five years in Oregon and Washington meeting families in living rooms and hospital suites, listening to proceedings in courtrooms and at public hearings, and visiting state archives. For eight months, she worked as a hospice volunteer and accompanied patients during the final weeks of their lives."

Hannig writes movingly of how medical aid in dying can soften grief. It allows time for reconciliation with loved ones. “Assisted dying,” she writes, “is much larger than swallowing a lethal dose of medication: it changes how we live, how we die, and how we envision our future…It introduces new possibilities for human beings to direct the end of their lives…(and) to think about how they want to leave things with their loved ones, repair relationships, and plan for a personalized departure… Loved ones didn’t feel as blindsided.”

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