Defining assisted suicide is difficult

ATLANTA (AP) — An undercover agent describes the setup this way: A person seeking to commit suicide places an “exit hood” over his head and inflates it by turning on a tank of helium as the gas fills his bloodstream. After a few breaths, he loses consciousness. Ten to 15 minutes later, he dies.

The question now is whether four members of an assisted suicide ring facing criminal charges in a Georgia man’s death actively helped him kill himself that way or merely gave him guidance about how to end his life on his own.

The distinction is still being hammered out by state, district and federal courts, legal experts say.

“There’s not a big body of case law that distinguishes between the two,” said William Colby, an attorney who is a fellow with the Center for Practical Bioethics.

“The reason society set up criminal laws was to stop behavior that many of us find inappropriate for civilized society. That’s very clear in a murder. But it’s far less clear in a situation where medical technology is deeply involved in sustaining our lives.”

The U.S. Supreme Court ruled in 2006 that it was up to states to regulate medical practice, including assisted suicide.

Rules vary from state to state — Oregon and Washington both allow doctors to help terminally ill people kill themselves, while other states impose penalties, up to five years in prison in Georgia’s case. A judge in Montana has ruled that doctor-assisted suicide is legal there, though that could be overturned by the state Supreme Court.

Georgia authorities charged four members of a group known as the Final Exit Network with assisted suicide Wednesday in the death of John Celmer, 58, who suffocated himself north of Atlanta in June. A state law passed in 1994 defines assisted suicide as anyone publicly advertising or offering to “intentionally and actively assist another person” in ending their life.

John Bankhead, a spokesman for the Georgia Bureau of Investigation, says the network may have been involved in as many as 200 other deaths across the country since it was founded in 2004. Fourteen sites in nine states have been searched as part of the investigation.

Georgia authorities say assisted suicide cases are often difficult to prove, but the network is different because it’s an organized group with clear guidelines and policies that an undercover agent was able to infiltrate.