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claudregnard@stoswaldsuk.org Hurley and colleagues’ promotion of the proposed assisted dying bill in England and Wales ignores the obstacles.1 In last year’s BMA survey, a majority of doctors were unwilling to prescribe the necessary drugs.2 Will we end up like Oregon, where a tiny proportion of doctors prescribe (one writing 31 prescriptions in 2020)?3 Every legislature has shortened or removed cooling off periods and expanded their criteria beyond a six month prognosis, some allowing or currently discussing assisted deaths in people with mental illness, learning disability, and autism and in children. Updated 14 Sep 2021. https://www.bma.org.uk/advice-and-support/ethics/end-of-life/physician-assisted-dying/physician-assisted-dying-survey 3 Oregon Health Authority. Oregon Death with Dignity Act annual reports. https://www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EVALUATIONRESEARCH/DEATHWITHDIGNITYACT/Pages/ar-index.aspx 4 Willis D George R. Conscientious objection and physician-assisted suicide: a viable option in the UK?