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Edmund Pellegrino, MD, Professor Emeritus of Medicine and Medical Ethics at Georgetown University Medical Center, wrote in the chapter "The False Promise of Beneficent Killing," that appeared in his 1998 book Regulating How We Die:

“Most often, the request for euthanasia or assisted suicide is a plea for help in dealing with suffering as much as pain… The combined and integrated relief of pain and suffering shaped to suit the peculiarities of their manifestation in each person is the aim of comprehensive palliative care and the more sophisticated hospice regimens. Patients treated this way usually do not ask for termination of their lives; when they do ask for it, they tend to change their minds later. It is an injustice to offer these patients assisted suicide or euthanasia as options when so much more can be offered in the way of sophisticated treatment.”

1998