Having read George Sisson’s recent letter to the editor about the Maryland End-of-Life Option Act, I feel compelled to respond to his unfounded concerns. Medical aid in dying is an option for mentally capable, terminally ill adults who have six months or less to live. With this option, those whose suffering has become unendurable can request medication to allow them to die peacefully, surrounded by loved ones in the comfort of their own homes. This option is available only to adults who are already dying from an incurable disease. In fact, helping someone to die who is not both mentally capable and terminally ill is illegal in states where medical aid in dying is authorized. In states where medical aid in dying is authorized, patients are more aware, and make greater use, of all end-of-life care options, including hospice and palliative care. The Maryland bill specifically requires doctors to inform anyone who requests medical aid in dying about all other end-of-life care options. In every state where medical aid in dying is place, medication prescribed is subject to strict Drug Enforcement Administration/Food and Drug Administration regulations to safeguard its use. There is no evidence whatsoever of medication misuse in more than 40 years of experience with medical aid in dying. Medical aid in dying offers a compassionate option for terminally ill people when no other treatment can relieve their suffering. I would certainly want this option to be available to me. Both my father, a general surgeon, and my mother, who died after two years of unbearable pain, would have wanted the autonomy to choose when and with whom to die, and, above all, to die with dignity and in peace.