A deeply disturbing investigative report in UnHerd last week uncovered rampant violations of physician-assisted suicide practices in states with the oldest and largest programs. The 11 states that have legalized assisted suicide require clinicians to submit compliance forms shortly after the “patient’s” death. But the chaotic assisted-suicide bureaucracy rarely follows regulations, and clinicians put people to death with little to no oversight.

Between 2009 and 2023, 515 compliance forms and 293 “written request” documents were missing in the state of Washington . In all, one-third of the state’s assisted suicides were improperly reported. In Colorado , which passed its End of Life Options Act in 2016, almost 1,800 compliance forms are missing. And in New Mexico , where annual

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