Growing dissatisfaction among families whose terminally ill loved ones face excruciating suffering has ignited debate over whether people should be allowed to control their deaths by asking doctors for lethal prescriptions.

On the side opposing assisted suicide is the Patients Rights Action Fund, led by executive director Matt Valliere. The group believes legalizing medically assisted suicide isn’t the answer to problems with how the medical system handles care at the end of life, where providers tend to pursue every intervention possible without regard to the quality of life or a person’s wishes.