Assisted suicide legalized in the Netherlands (in 2002), Belgium (in 2002), Luxembourg (in 2008), and Canada (in 2016). Assisted suicide, where the patient has to take the final action themselves (unlike voluntary euthanasia), is legal in Canada, the Netherlands, Luxembourg, Switzerland and parts of the United States. In the United States there are assisted dying laws restricted to terminally ill adults in Oregon, Montana, Washington, Vermont, Hawaii, California, Colorado and Washington D.C. The laws require that the patient's attending physician certify mental competence. Oregon was the first United States state to legalize assisted suicide, which was achieved through popular vote. The Act
Hospice care in the United States End-of-life care is more likely to be included in the general term "palliative care". The first hospices are believed to have originated in the 11th century, when for the first time the terminally ill were permitted into places dedicated to treatment by Crusaders. In the early 14th century, the order of the Knights Hospitaller of St. John of Jerusalem opened the first hospice in Rhodes, meant to provide refuge for travelers and care for the ill and dying. The hospice practice languished until revived in the 17th century in France by the Daughters of Charity of Saint Vincent de Paul