Repeated polling by Gallup has found since 1973 majorities in favor of legal doctor-assisted dying, with widespread preference for state regulation and disfavor for any patient/doctor's private agreement to quietly increment pain relief to life-shortening doses. The Economist and Ipsos MORI have recently confirmed this attitude across Western Europe and the US economist.com/assisted-dying. State legislations have proposed bills, some of which introduce a default presumption in patients lacking capacity in the absence of unambiguous evidence stating otherwise [1].