Suicide tourism have repeatedly criticized suicide assistance for foreigners, branding it "suicide tourism" ("Sterbetourismus" in German). In 2007, Dignitas launched an effort to gain legal permission for healthy foreigners, including married couples committed to suicide pacts, to end their lives in Switzerland. In July 2009, British conductor Sir Edward Downes and his wife Joan died together at a suicide clinic outside Zürich "under circumstances of their own choosing." Sir Edward was not terminally ill, but his wife was diagnosed with rapidly developing cancer. In March 2010, the PBS Frontline TV program in the United States showed a documentary called "The Suicide Tourist"
Edward Downes from a Covent Garden "Otello" and Downes led the opera with no rehearsal. He felt on home ground, and then championed Verdi revivals in England. He conducted 25 of Verdi's 28 operas, and devised the idea to perform all of them in time for the 2001 centenary of the composer's death. With Paul Findlay, Downes planned a Verdi festival for the Royal Opera House which would cover all Verdi's operas from 1995 to 2001, performing four each year, starting each five-week festival with a large, grand work, then a revival of a repertoire piece then rarities. The plans included using