The advocates for Physician Aid in Dying, while laudatory in their goal, fail to inform the public of the real life application of the law’s so called “safe guards”. Anyone who cannot speak, or cannot write, or who cannot swallow is excluded from the mercy the law intends. Terms that most likely violate the American’s with Disabilities Act. They simply cannot make the required contemporaneous request for the medicine. In addition, anyone who lacks mental capacity is also excluded and the use of a prior directive, or health care proxy is not permitted. Anyone with late stage ALS, Alzheimer’s, Huntington’s or other neurodegenerative disease is excluded. The Alzheimer’s Association has announced that one in six women over the age of 60 will get that disease. The Oregon model is best suited for a person dying of cancer and in fact about 80% of the people in Oregon who make the request for aid in dying have cancer. The people who need it the most, long term suffers of pain and indignity are excluded.