Merits, Demands, and Challenges of VSED.

VSED demands willful determination from those who do it. The requisite willfulness is an ethical strength, providing greater assurance of voluntariness. Dying by VSED has another major merit: its pace provides time for the person and loved ones to embrace death in a shared appreciation of life. Support from professional caregivers is important in making dying by VSED comfortable. If acknowledged by its providers, this need for professional support has ancillary benefits: accurate information is more likely to be communicated to patients, and professional caregivers help normalize VSED and minimize abuses. VSED faces a moral challenge when it is categorized as suicide. In an obvious sense, VSED is suicide: the person's intention is to die, and the means employed assuredly causes death. Being a form of suicide does not imply that VSED is morally impermissible. Pursued to hasten death in a last stage of life, it is a response to "terminal" situations. This contributes greatly to VSED's moral acceptability when perceived as suicide.