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The editorial by Shaw et al in the July edition discussing decision-making capacity to request assisted suicide follows on from a previous report from Belgium also published in the journal entitled ‘When unbearable suffering incites psychiatric patients to request euthanasia: qualitative study.’1,2 There seem to have been no balancing editorials or reports on the merits of effective palliative care in individuals who are terminally ill or in those suffering unbearably. This must be the hand of the editor because it definitely is not the hand of God! Assisted suicide and euthanasia are legal in a minority of jurisdictions. They are illegal in the UK. Everyone knows there is a concerted drive by some to foist death by design on those that will not die...