This document includes 5 Letters to the Editor on the subject article by Miller et al as well as a reply by Miller. Callahan describes the proposals as a regulatory charade. Feucht et al question the ethical basis of the authors’ position. Lynn stresses the need to ensure good supportive & palliative care before consideration is given to removing legal barriers. Finlay et al note palliative medicine already exists as a distinct specialty in Great Britain & Ireland.