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"
Joan Holland of Kent was her second eldest brother Edmund Holland. Lady Joan married Edmund of Langley, 1st Duke of York, son of Edward III of England and Philippa of Hainault, ca. 4 November 1393. As a result of this marriage, she was styled Duchess of York. They had no children. In 1399, Joan and her sister Margaret were invested as "Lady Companions of the Garter." They were granddaughters of Joan, the "Fair Maid of Kent" who inspired Edward III's founding of the Order of the Garter, according to popular legend. After Langley's death in 1402, Joan married (before 9 August 1404)