Freakonomics Radio

Snapshot · Freakonomics Radio

678. Who Gets to Choose a “Good Death”?

Explore episode Jun 19, 2026

Where this was said

The History of MAID: Hemlock Society to Kevorkian to Oregon

At 9:58 · chapter starts 9:40

This chapter provides the historical scaffolding for the rest of the episode. Dubner notes that 12 US states plus D.C. now permit some form of assisted dying, with Oregon the pioneer in 1997. The modern movement traces back to Switzerland, where it has been legal since 1942, and which is where Kahneman traveled to die. Roth then recounts the American origins: the Hemlock Society, which published a frank how-to guide called 'Let Me Die Before I Wake,' and the problem it exposed — people who stockpiled pills but couldn't swallow them when gravely ill. Enter Jack Kevorkian, 'Dr. Death,' who built machines allowing patients to self-administer lethal drugs, filmed their consent, and deliberately informed police to challenge the law. He was tried for murder multiple times before being convicted on the one case where he administered the drug himself rather than letting the patient do it. Roth notes the movement stalled after Kevorkian: the caution around distinguishing 'help in stopping living' from 'aid in dying' has made progress slow.

History
Jack Kevorkian and the Origins of MAID in America

678. Who Gets to Choose a “Good Death”? · Jun 19, 2026 History

Jack Kevorkian built a machine to allow patients to self-administer lethal drugs, filmed their decisions, informed police, and was tried for murder multiple times before being convicted and imprisoned. His public advocacy — controversial and confrontational — planted the seed for a movement that took decades to gain legal footing.

Government
The Guardrails in New York's MAID Law

678. Who Gets to Choose a “Good Death”? · Jun 19, 2026 Government

New York's MAID law, effective August 2025, requires a terminal prognosis of 6 months or less, a mandatory mental health evaluation, an in-person physician visit, a 5-day waiting period, and a video or audio recording of the patient's request. Hochul insisted on these guardrails as the price of her signature.

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