A fuller editorial guide to assisted dying organizations is coming soon. For now, the ranking below compares every country we have assessed on it — open a country's report for the cited detail behind its score.
Epidaurus · Treatment Guide · End-of-Life Services
Going abroad for —
Assisted Dying Organizations
Established organizations providing assisted dying (Dignitas, Exit, etc.)
The country comparison
Which countries are best for assisted dying organizations
The destinations ranked high→low under this lens — each with the reasoning behind its score, the cited evidence one click down, and its full report. The verdict is free; the report is the depth.
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1
Colombia
CO
3.0/5
Moderate
Colombia has a legally established assisted dying system with nearly 30 years of operational history and professional regulatory oversight through Scientific-Interdisciplinary Committees in 124 contracted IPS institut...
Full report
The evidence behind this score 5 cited points
- 1,044 total euthanasia procedures since 2015 (352 in 2024), performed through 124 contracted IPS institutions with Scientific-Interdisciplinary Committees of medical specialist, lawyer, and psychiatrist/psychologist
- Resolution 0813 (2026) conditions foreign national access on one year of continuous documented domicile in Colombia—not a medical tourism visa arrangement, effectively excluding short-stay visitors
- Only 53 of 124 contracted IPS (42.7%) actively process requests; 85.5% of procedures concentrated in Bogotá and Antioquia; no public pricing, language support, or international patient pathways offered by any IPS
- Systemic operational issues: committee response times exceeded the 24-hour legal requirement (averaged 33.5 hours in 2024); approval rate only 30.1% of 2024 requests; high-profile Martha Sepúlveda case required court order to proceed
- Fundación Pro Derecho a Morir Dignamente (DMD) operates since 1979 with WFRTDS membership and provides guidance services; DescLAB publishes comprehensive aggregate data and legal consultation, demonstrating professional civil society infrastructure
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2
Germany
DE
3.0/5
Moderate
Germany has six well-established organizations with substantial domestic track records, professional recognition through WFRTDS membership, and transparent pricing (€4,000-€8,950). However, the infrastructure is funda...
Full report
The evidence behind this score 6 cited points
- No German organizations have published policies specifically designed for international medical tourists; zero language accommodation, housing coordination, or international liaison staff documented
- Active 2025 Cologne prosecutor investigation into DGHS for systematically violating internal standards (6-month membership bypassed, mandatory in-person consultation replaced with video call, acute mental health concerns inadequately addressed); DGHS president acknowledged institutional failures
- 2024: Essen neurologist sentenced to 3 years for manslaughter after assisting a patient with schizophrenia lacking free decision-making capacity, demonstrating capacity assessment vulnerabilities
- Multiple established organizations (DGHS 45 years, Dignitas Deutschland 20 years, Verein Sterbehilfe 16 years) with 1,288 assisted deaths in 2025 and WFRTDS recognition
- Transparent, reasonable cost structure (€4,000-€8,950) without residency requirement in law
- Research found substantial standardization gaps: medication protocols varied, capacity assessments sometimes performed by same practitioner providing assistance, palliative care discussions absent in majority of documented cases
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3
United States
US
2.0/5
Poor
The United States does not have dedicated assisted dying organizations comparable to international models like Dignitas. While physician-provided medical aid in dying exists in 12 jurisdictions, only Oregon and Vermon...
Full report
The evidence behind this score 6 cited points
- Only Oregon and Vermont of 12 MAID jurisdictions allow non-resident access; all other states maintain strict residency requirements
- Out-of-state usage minimal: only 23 prescription recipients (4%) in Oregon lived outside the state in 2024
- Vermont physicians report inability to keep up with demand, limiting new consults to one per week due to patient overload
- No dedicated assisted dying organizations exist; support organizations provide advocacy and referral services only, not direct service delivery
- Medication costs approximately $700, but patients must cover physician fees, travel, housing, and associated logistical expenses while terminally ill
- Patients must physically remain in the prescribing state for all appointments, formal requests, medication receipt, and medication administration
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4
United Kingdom
GB
1.0/5
Poor
The United Kingdom has zero established organizations providing assisted dying services to any patients, domestic or international. Assisted dying is illegal under the Suicide Act 1961 across all UK jurisdictions, mak...
Full report
The evidence behind this score 6 cited points
- No domestic assisted dying organizations exist; the service is illegal under Suicide Act 1961 across England, Wales, Northern Ireland, and Scotland
- UK residents seeking assisted dying must travel abroad to Switzerland at average cost of £15,000, with no insurance coverage or financial assistance available
- Advocacy organizations (Dignity in Dying, Compassion in Dying, My Death My Decision, Friends at the End) provide information only; they do not provide assisted dying services
- No support infrastructure exists for international patients in the UK; foreign nationals cannot access this service in the country
- Sean Davison arrest case demonstrates criminal risks: facilitation of travel to Swiss clinics can constitute encouraging suicide, exposing helpers to prosecution
- Pegasos controversy shows lack of UK regulatory oversight of Swiss alternatives that UK residents use, with documented cases of clients dying without family notification
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5
Hungary
HU
1.0/5
Poor
Hungary has no established assisted dying organizations of any kind. Act C of 2012 criminalizes assisted suicide with 1–5 years imprisonment, with no medical exceptions and extraterritorial reach—even helping a Hungar...
Full report
The evidence behind this score 6 cited points
- Zero established assisted dying organizations: Act C of 2012 criminalizes all forms of assisted suicide with no exceptions [Act C of 2012 on the Criminal Code - Hungarian Government - 2012 - https://njt.hu/jogszabaly/en/2012-100-00-00]
- Extraterritorial enforcement: Assisting a Hungarian national to access assisted dying abroad (e.g., Dignitas) is prosecutable as a criminal offense [CASE OF DÁNIEL KARSAI v. HUNGARY - HUDOC - 2024 - https://hudoc.echr.coe.int/eng?i=001-234151]
- ECHR ruling upholds ban: 6-to-1 majority confirmed Hungary's comprehensive prohibition does not violate European Convention on Human Rights [European Court Upholds Hungary's Ban on 'Assisted Suicide' - The European Conservative - June 2024 - https://europeanconservative.com/articles/commentary/european-court-upholds-hungarys-ban-on-assisted-suicide/]
- No regulatory framework: Hungary has no accreditation, oversight, or quality assurance mechanisms for assisted dying—the activity is criminalized at root [Countries Cannot Be Forced to Introduce Assisted Suicide - ADF International - June 2024 - https://adfinternational.org/news/echr-confirms-protection-from-euthanasia]
- No WFRTDS member: World Federation of Right to Die Societies has identified no Hungarian member organization [WFRTDS Member Societies - wfrtds.org - 2024 - https://wfrtds.org/]
- No legislative reform prospects: Parliament has refused to debate reform and government opposition is firm [Politicizing Assisted Suicide Does Not Serve the Protection of Society - Hungary Today - 2024 - https://hungarytoday.hu/politicizing-assisted-suicide-does-not-serve-the-protection-of-society/]
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6
Israel
IL
1.0/5
Poor
Israel has no established assisted dying organizations whatsoever. Active euthanasia and physician-assisted suicide are criminal offenses under Israeli law with no exceptions. LILACH, the only relevant domestic entity...
Full report
The evidence behind this score 5 cited points
- Zero active organizations providing assisted dying services; LILACH is advocacy-only, not a provider
- Active euthanasia and physician-assisted suicide are criminal offenses under Israeli law regardless of patient consent
- Dying Patient Law (2005) explicitly prohibits any action designed to kill or likely to cause death
- No domestic support infrastructure exists; Israelis seeking assisted death must travel to Switzerland (Dignitas or Pegasos)
- Approximately 34 Israeli nationals used Dignitas in 2024 (outbound tourism only; no inbound medical tourists)
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7
India
IN
1.0/5
Poor
India receives the lowest score because no established organizations provide assisted dying services, as active euthanasia and physician-assisted suicide remain illegal under criminal law (Bharatiya Nyaya Sanhita Sect...
Full report
The evidence behind this score 5 cited points
- Active euthanasia and physician-assisted suicide are illegal under Bharatiya Nyaya Sanhita Sections 103, 105, and 108 and Indian Penal Code Sections 302, 304, and 306
- No established organizations exist that provide assisted dying services to either domestic residents or international patients
- Medical Council of India explicitly states that practicing euthanasia constitutes unethical conduct
- Only passive euthanasia is permitted under strict judicial oversight through hospital-based medical boards, not through dedicated organizations
- Advocacy organizations such as the Society for Right to Die with Dignity exist but provide no direct assisted dying services
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8
United Arab Emirates
AE
1.0/5
Poor
The United Arab Emirates comprehensively prohibits all forms of assisted dying under federal law and actively enforces this prohibition through criminal penalties, resulting in zero established organizations providing...
Full report
The evidence behind this score 6 cited points
- Federal Law No. 4 of 2016 on Medical Liability imposes absolute ban on mercy killing under any circumstances with penalties of 2–10 years imprisonment and fines of AED 10,000–1 million
- Dr. Eugen Adelsmayr sentenced to life imprisonment for mercy killing at Rashid Hospital Dubai, demonstrating active enforcement of the prohibition
- UAE Penal Code Article 335 (Federal Decree Law No. 15 of 2020) criminalizes assisting or abetting suicide with up to 5 years detention
- No assisted dying organizations exist in the UAE—no registry, no documentation, no organizational infrastructure of any kind
- Islamic legal foundation: all Islamic legal schools prohibit euthanasia and physician-assisted suicide, which directly informs UAE law and constitutional framework
- UAE's position mirrors all other GCC member states, with no reform movement, parliamentary debate, or civil society advocacy for change
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9
Japan
JP
1.0/5
Poor
Japan presents the lowest possible score on this factor: there are zero established organizations providing assisted dying services to any patient, domestic or international. Assisted dying is criminalized under Penal...
Full report
The evidence behind this score 6 cited points
- Zero organizations in Japan provide, facilitate, or legally enable active euthanasia or physician-assisted suicide for any patient
- Article 202 of Japan's Penal Code criminalizes assisted suicide and consensual killing with 6 months to 7 years imprisonment; courts have consistently upheld prosecutions
- Osaka High Court upheld an 18-year sentence for Dr. Okubo in November 2024 for administering lethal drugs to an ALS patient, rejecting constitutional right-to-die arguments
- The Japan Society for Dying with Dignity (JSDD), Japan's sole right-to-die organization, explicitly opposes active euthanasia and limits services to living will registration and education
- Only 2% of Japanese physicians support voluntary active euthanasia and 1% support physician-assisted suicide, far below Western comparators
- Japanese patients seeking active assisted dying travel to Switzerland through organizations like Lifecircle; no domestic pathway exists
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10
South Korea
KR
1.0/5
Poor
South Korea has absolutely no established organizations providing assisted dying services, with both euthanasia and physician-assisted suicide prohibited by law and classified as crimes. The country offers zero infras...
Full report
The evidence behind this score 3 cited points
- No assisted dying service organizations exist in South Korea; the only relevant domestic entity is KARD, an advocacy group established in 2022 without service delivery capacity
- South Korea's legal framework explicitly criminalizes all forms of assisted dying and euthanasia, with family members who accompany patients abroad facing prosecution for 'aiding in suicide'
- South Koreans seeking assisted dying must travel to Switzerland at costs exceeding $10,000 USD with 3-4 month wait times, with at least 204 Koreans obtaining Swiss organization memberships and only 10 confirmed to have completed the process
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11
Mexico
MX
1.0/5
Poor
Mexico has no established organizations providing assisted dying services, as active euthanasia and assisted suicide remain criminalized with penalties of 1-12 years imprisonment. Only advocacy groups exist for legisl...
Full report
The evidence behind this score 5 cited points
- No organizations legally provide assisted dying services in Mexico—only advocacy groups (DMD México and Libertad para Morir) exist to promote legislative change
- Active euthanasia and assisted suicide are criminalized under Article 312 of the Federal Penal Code with penalties of 1-12 years imprisonment
- Constitutional amendments in at least 19 states explicitly protect life 'from the moment of conception until natural death,' creating structural barriers to legalization
- Any assisted dying occurring is clandestine and informal, with no medical oversight, transparency, or safeguards
- Historical 'pentobarbital suicide tourism' was never an organized service but illegal drug networks subject to federal indictment
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12
Malaysia
MY
1.0/5
Poor
Malaysia receives a score of 1 because no established organizations provide assisted dying services to any patients, and assisted dying is criminally prohibited under the Penal Code (Act 574). The country has explicit...
Full report
The evidence behind this score 6 cited points
- Penal Code (Act 574) Sections 299–306 criminalize all forms of intentional killing; Section 306 prescribes up to 10 years imprisonment for abetting suicide
- Academic literature explicitly confirms zero pro-euthanasia organizations operating in Malaysia
- National Fatwa Council (December 2011) declared all forms of euthanasia forbidden under Islamic law
- 81.3% of 481 surveyed Malaysian healthcare professionals opposed euthanasia legalization
- No legal framework recognizes advance directives as binding for end-of-life decisions requesting assisted dying
- 2023 Penal Code amendments strengthened abetment of suicide provisions, extending liability to attempted (not just completed) suicide
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13
Poland
PL
1.0/5
Poor
Poland has zero established organizations providing assisted dying services to domestic residents or international medical tourists. Criminal law (Articles 150 and 151) prohibits both euthanasia and physician-assisted...
Full report
The evidence behind this score 7 cited points
- Poland has zero established organizations providing assisted dying services; World Federation of Right to Die Societies lists no Polish member organization
- Articles 150 and 151 of Polish Penal Code criminalize euthanasia and physician-assisted suicide as criminal offences carrying 3 months to 5 years imprisonment
- Polish Medical Chamber (NRL) Code of Medical Ethics explicitly prohibits euthanasia and physician-assisted suicide; physicians face prosecution and disbarment
- Only advocacy entity (Fundacja Godne Życie Godna Śmierć, KRS 1109478) provides information and lobbying only; does not provide, facilitate, or refer patients for assisted dying
- No domestic infrastructure, no support services, no accommodation or language services for international patients exist
- Polish nationals seeking assisted dying must travel to Switzerland (Dignitas, Pegasos) at costs of approximately USD 19,000-20,000 including all fees and travel
- No assisted dying legislation has been tabled in the Polish Sejm under current government; political outlook offers no near-term change
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14
Singapore
SG
1.0/5
Poor
Singapore has zero established assisted dying organizations and comprehensively prohibits euthanasia and physician-assisted suicide under Penal Code Sections 305–306, with criminal penalties of up to 10 years imprison...
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The evidence behind this score 8 cited points
- Zero established assisted dying organizations exist or can legally operate in Singapore
- Penal Code Sections 305–306 criminalize assisted suicide and euthanasia with penalties up to 10 years imprisonment with no exemptions for medical professionals
- Ministry of Health explicitly states it does not support euthanasia and promotes palliative care and Advance Medical Directives instead
- Singapore Medical Association and its Centre for Medical Ethics oppose legalization, stating palliative care expansion is the appropriate response
- No international assisted dying organizations (Dignitas, Exit International, Pegasos) maintain Singapore operations or partnerships
- A funeral director was convicted and sentenced to over six years imprisonment for assisting a suicide, demonstrating active prosecution
- No parliamentary bills are pending to legalize assisted dying as of 2026
- Singapore's government has consistently maintained its position against euthanasia since the 1990s, with no indication of imminent legislative change
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15
Thailand
TH
1.0/5
Poor
Thailand has no established assisted dying organizations and completely prohibits euthanasia and physician-assisted suicide under law, making services unavailable to both residents and international patients. Any pers...
Full report
The evidence behind this score 5 cited points
- Active euthanasia and physician-assisted suicide are illegal in Thailand with criminal penalties for those assisting
- No established organizations provide assisted dying services domestically or to international patients
- Thai citizens seeking assisted dying must travel abroad, with approximately 18 Thais reported as members of Dignitas in Switzerland
- Strong cultural and religious opposition from Buddhism makes future legalization unlikely
- Only passive euthanasia through living wills is legally permitted, which does not constitute assisted dying
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16
Turkey
TR
1.0/5
Poor
Turkey receives the lowest possible score because no assisted dying organizations exist or can legally operate within the country. Both euthanasia and assisted suicide are classified as serious criminal offenses punis...
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The evidence behind this score 3 cited points
- Zero assisted dying organizations operate legally in Turkey due to complete legal prohibition on euthanasia and assisted suicide
- Active euthanasia and assisted suicide are criminal offenses under Turkish Penal Code Articles 81 and 84, with penalties ranging from 2-10 years imprisonment
- Official religious authorities and medical associations have declared euthanasia as unacceptable, with Turkish physicians indicating no belief that euthanasia will become legal within the next decade
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17
Jordan
JO
1.0/5
Poor
Jordan has no established organizations providing assisted dying services and actively criminalizes both euthanasia and suicide. Medical Liability Law Article 17 explicitly forbids termination of life regardless of re...
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The evidence behind this score 6 cited points
- Zero assisted dying organizations operating in Jordan, with no organizations in international databases or World Federation of Right to Die Societies membership from any Arab state.
- Medical Liability Law Article 17 (2018) explicitly forbids 'termination of life irrespective of the reasons, even if requested by the patient or their guardians.'
- Suicide is criminalized under Jordan's Penal Code No. 16 of 1960, with 2022 amendment penalizing attempted suicide in public places with up to six months imprisonment.
- No referral networks, waiting lists, language accommodations, or documented international patients for assisted dying services in Jordan.
- Islamic scholarly consensus and WHO Islamic Code of Medical and Health Ethics categorically prohibit all forms of voluntary euthanasia and physician-assisted suicide.
- Even palliative care alternatives remain unavailable to approximately 90% of those who need them in Jordan, reflecting broader underdevelopment of end-of-life care infrastructure.
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18
Brazil
BR
1.0/5
Poor
Brazil has zero established organizations providing assisted dying services. Both euthanasia and physician-assisted suicide are criminal offenses under the Brazilian Penal Code carrying prison sentences of 2–20 years....
Full report
The evidence behind this score 5 cited points
- Zero organizations in Brazil provide assisted dying services to any patient population, domestic or international
- Euthanasia criminalized under Article 121 (6–20 years imprisonment) and physician-assisted suicide under Article 122 (2–6 years imprisonment) of the Brazilian Penal Code
- Eu Decido, the sole domestic organization engaging with assisted dying, is a civil advocacy association founded May 23, 2025, that explicitly does not provide services and functions only for legislative reform advocacy
- Federal Council of Medicine (CFM) Resolution 2.217/2018 categorically prohibits physicians from participating in euthanasia
- No support infrastructure, facility standards, language services, or regulatory oversight framework exists for assisted dying; Brazilians seeking services must travel abroad to Switzerland at estimated cost of USD 27,000–35,000
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19
Spain
ES
1.0/5
Poor
Spain has no established organizations providing assisted dying services to international patients. While the country legalized euthanasia in 2021, the service is delivered exclusively through the National Health Syst...
Full report
The evidence behind this score 5 cited points
- Spain has zero independent assisted dying organizations analogous to Dignitas; the service is exclusively embedded in the SNS and regulated healthcare system
- DMD (founded 1984, 7,500+ members, WFRTDS-affiliated) provides advocacy and information counseling but does NOT perform or directly facilitate euthanasia procedures
- Spanish law requires 12 months' legal residency, categorically barring all foreign visitors from access
- Spain is entirely unavailable as an assisted dying medical tourism destination
- No Spanish organization provides international patient services for assisted dying; service delivery is through patients' existing medical teams