Final Exit Network: Ethics and End-of-Life Choices

The concept of choice permeates every aspect of our lives, but it is essential to acknowledge the challenging decisions that we face at the end of our journeys. The Final Exit Network (FEN) has emerged as a beacon of discussion and a source of support for those seeking an alternative to conventional end-of-life experiences.

As a death doula who supports a person’s agency and autonomy at the end of life, I’m going to delve into the origins of the Final Exit Network, the services it provides, and the opportunities for individuals to engage with it.

Origins and Motivations

The history of FEN is rooted in the broader context of the right-to-die movement. This movement advocates for the legal and ethical right of individuals to choose when and how to end their lives, especially in cases of terminal illness or unbearable suffering. FEN emerged as a distinct organization with its own approach and philosophy within this movement.

Here’s a more detailed overview of its history:

Founding and Early Years

The Final Exit Network was founded in 2004 by a group of activists and advocates who were inspired by the works of Derek Humphry, author of “Final Exit,” and other proponents of the right-to-die movement. These individuals recognized a gap in support and resources for those seeking a more compassionate and self-determined end to their lives. This is true, particularly in cases where traditional medical options were inadequate or non-existent.

Philosophical Approach

Unlike some other organizations in the right-to-die movement, FEN doesn’t focus solely on advocating for changes in legislation or the legalization of medical aid in dying. Instead, it centers on providing specific services to individuals facing terminal illnesses or intolerable suffering who consider hastening their deaths.

Education and Outreach

FEN has always been committed to raising awareness about end-of-life choices. It also fosters open discussions about the complex issues surrounding death and dying. The organization conducts seminars, workshops, and presentations. They educate the public, healthcare professionals, and policymakers about the various aspects of end-of-life decisions.

Legal Challenges

Throughout its history, FEN has faced legal challenges due to its involvement in assisting individuals with hastening their deaths. The organization’s heroic stance often puts it in a legally precarious position, especially in jurisdictions where end-of-life options remain illegal. These legal challenges have shaped FEN’s approach and prompted ongoing discussions about the balance between personal autonomy, medical ethics, and legal boundaries.

Evolution and Adaptation

Over the years, FEN has evolved its practices and protocols based on changing legal landscapes and ethical considerations. The organization has refined its volunteer training programs, guidelines for ethical conduct, and strategies for providing emotional support while adhering to legal restrictions.

Global Impact

While FEN is based in the United States, its influence has reached a global scale. It inspires discussions and debates in many countries about the right to die with dignity and autonomy.

Public Perception and Controversy

The Final Exit Network’s approach has sparked controversy and polarized public opinion. While some criticize it for potentially crossing legal and ethical boundaries by assisting individuals in taking their own lives, I believe this organization is a compassionate resource for individuals in desperate situations.

Continued Advocacy and Support

Throughout its history, FEN has continued to advocate for a society that recognizes individual autonomy in end-of-life choices. The organization’s commitment to a strong set of values remains central to its mission.

Services Offered

Although I’m not yet an official member of FEN, I fully appreciate and support the work they do in the following areas:

Educational Outreach

One of the primary goals of FEN is to spread awareness about end-of-life choices. They conduct seminars, workshops, and public discussions to engage individuals in conversations about the ethics, legality, and personal aspects of choosing when and how to end one’s life.

Emotional Support

FEN offers emotional support to those who are facing disease, illness, and suffering. Volunteers, often referred to as “Exit Guides,” provide empathy, companionship, and a listening ear to individuals who are considering the option of hastening their deaths. They do this at no charge for anyone who needs it.

Guidance and Information

FEN provides information about various end-of-life options, including legal and medical considerations. They ensure that individuals have access to comprehensive resources to make informed decisions.

Presence During the Process

In jurisdictions where it is legal, FEN offers support to those who have chosen to end their lives through self-administered methods. Exit Guides sit with people during the process, providing comfort and assistance while respecting the individual’s autonomy. Again, this is free of charge.

Volunteering with Final Exit Network

Volunteers with FEN tell me this is a deeply rewarding experience. They’re passionate about end-of-life rights, compassionate care, and emotional support. Here’s how you can get involved:


FEN offers comprehensive training programs, equipping its members with the necessary skills to provide emotional support, communicate effectively, and adhere to the organization’s ethical guidelines.

Compassionate Presence

As an Exit Guide, you have the unique opportunity to offer a compassionate presence to individuals in their most vulnerable moments. This involves active listening, emotional support, and companionship.

Advocacy and Outreach

While volunteering, you engage in public outreach, educational events, and discussions surrounding end-of-life choices. This normalizes the conversation, raises awareness, and fosters open dialogues about a complex and often stigmatized topic.

Legal and Ethical Understanding

You’ll learn all about the legal and ethical landscape surrounding end-of-life decisions in your respective jurisdiction. This knowledge is crucial for providing accurate information to individuals seeking guidance.

Do You Have An Incurable Disease or Immense Suffering?

Getting help from the Final Exit Network (FEN) while dealing with incurable diseases involves a carefully structured process to ensure that you are well-informed, supported, and able to make your own decisions. It’s important to note that FEN operates within legal and ethical boundaries and provides emotional support rather than directly providing a means of ending one’s life.

Here’s an overview of the process:

Initial Inquiry and Information Gathering

If you are facing an incurable disease and considering your end-of-life options, you can initiate contact with FEN. This often starts with an inquiry, during which you request information about FEN’s services and the overall process. FEN representatives will provide details about their approach, values, and the legal context in your jurisdiction.

Educational Materials and Resources

FEN provides educational materials that outline the organization’s philosophy, principles, and services. These materials also include information about end-of-life options, legal considerations, and ethical discussions. The purpose of this stage is to ensure that you have access to comprehensive resources to make informed decisions.

Intake Assessment

If you decide to proceed, they will conduct an intake assessment. This typically involves a conversation with a FEN representative to understand your medical condition, experiences, and reasons for seeking assistance. The goal is to ensure that your motivations align with FEN’s mission of providing compassionate support to those facing unbearable suffering or terminal illness.

Volunteer Engagement and Emotional Support

Exit Guides are not medical professionals, but they are trained to offer empathy, active listening, and a nonjudgmental presence. This support is intended to help you navigate your emotions, fears, and concerns as they contemplate your options.

Exploration of End-of-Life Choices

Exit Guides engage in open conversations with you about your desires, values, and goals for your end-of-life experience. This can include discussions about your preferences for your final moments, potential methods of self-administered hastening of death, and the emotional and psychological aspects of the decision-making process.

Legal and Ethical Considerations

FEN is committed to adhering to the legal and ethical boundaries of each jurisdiction. Exit Guides ensure that you are aware of the legal status of end-of-life choices in your region, including any potential legal risks associated with certain actions.

Decision and Support

Throughout the process, FEN focuses on supporting your autonomy and ensuring that you make decisions aligned with your values and circumstances. If you decide to proceed with your chosen course of action, Exit Guides provide free companionship and emotional support during the process, if legally permissible in the jurisdiction.

Ongoing Engagement and Follow-Up

FEN maintains contact with individuals even after a decision has been made. This follow-up provides ongoing emotional support, helps address any concerns or questions, and ensures that the individual’s well-being is prioritized.

It’s crucial to emphasize that the Final Exit Network does not provide lethal substances or direct assistance in ending one’s life. Instead, the organization focuses on offering emotional support, companionship, and education to individuals navigating their end-of-life choices.

Get A Doula

As a death doula, I’m happy to discuss this in further detail. I help care teams support their loved ones with whatever decision they make. This isn’t easy work and you’re not alone. Contact me today.

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