In June 1997, the Supreme Court of the United States found that the Co
nstitution does not guarantee a right to physician-assisted suicide, t
hereby allowing states the opportunity to variously prohibit or permit
such practice. The Court's findings notwithstanding, physician-assist
ed death remains a topic of intense medical, legal and philosophical d
iscussion. Principled discourse variously supports both an ethical pro
hibition against assisted death and an ethical obligation to help some
patients achieve death. Both theoretical and practical concerns are r
aised by the practice of physician-assisted death. This essay reviews
recent events and developments concerning assisted suicide and euthana
sia. The discussion which follows was generated by the members of the
Committee on Bioethical Issues of the Medical Society of the State of
New York and builds upon a previous Committee report.