It works really well in Switzerland, because all the safety precautions are there to ensure NO pressure is born to bear on the person making the choice- with several interviews with trained volunteers, with the patient alone- any hesitation or doubt, and it just won't go ahead- and reflection time and further 1 to 1 interviews done at a later stage- with EXIT. With EXIT, people can die in their own home, bed, lounge, garden if private, with or without family and friends, with the music you choose, or silence... just how YOU and aou alone choose. Although the doctor/s is consulted and kept informed, they do not take any rôle in the deed- and I think this is much better. The Law has just been changed so that nursing homes cannot refuse if a resident decides to ask for help there. When my mother asked, the OAP home refused. I was going to move her back to our home after our move- but she died 2 weeks before we arrived- having lived a miserable life she hated for years.
This happens with Dignitas too (eg private interviews to ensure so pressure is being put on a patient).
One of the wonderful thing about EXIT- is that once the person knows they will be able to end their life should it become unbearable- can this relax and enjoy the days, weeks and months they have left- peaceful in the knowledge the choice will be theirs. Tragically, as in Mr Spector's case- he had to do the deed much earlier than needed- in order to ensure he was able to travel. Tragic and so so sad. My heart goes to his family.