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The legal landscape for medical aid-in-dying (AID) in theUSA has shifted dramatically over the past 5 years. Vermont(2013), California (2015), Colorado (2016), the District ofColumbia (2016), and Hawaii (2018) have joined Oregon(1997), Washington (2008), and Montana (2009) in permittingphysicians to prescribe a lethal dose of medication to a termi-nally ill adult patient, provided that certain conditions are met.With the extension of this option to over 39 million people inCalifornia, almost 20% of the US population now lives in ajurisdiction in which AID is permitted.