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They grapple over cases where pain might be alleviated by money, adequate housing or social connection, and express deep discomfort with ending lives of people whose deaths were avoidable.
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The Vermont law allows physicians to prescribe lethal medication to only state residents with an incurable illness that is expected to kill them within six months.
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Some patient groups, including the American Cancer Society Cancer Action Network and the American Lung Association opposed the bill because they said it could do more harm than good.
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States and federal lawmakers want patients to be able to request access to treatments that haven't been approved for wider use.