This letter to the editor discusses the apparent balance of choice of suicide for terminally ill patients under Oregon’s Death with Dignity Act. It is noted that during the course of a year 15 patients died by physician-assisted suicide, while 6 others who qualified continued with palliative care. The author notes that this seems to indicate that palliative care may be even more effective if patients can be assured that they have the option of doctor-assisted suicide. (1 ref) (SC)