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Insurance companies may not give these people the money needed to sustain their lives. In an era of concern over escalating medical costs, "unproductive" consumers of medical services are increasingly made to see themselves as drains on society and the economy. When suicide is promoted as a socially acceptable "option," the pressure to avail oneself of it is immense...

Even for those who have adequate financial and social resources, having physician-assisted suicide available could create a troubling new situation.

1. Seriously ill and disabled persons could feel that they have to justify a choice to stay alive.

2. They could feel that suicide is, in some sense, "expected" by family or friends

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