This Supplementary Order Paper amends clause 4(e) to ensure that those who request assisted dying are those who have no other option, as they have already sought support from palliative care experts and been in a palliative care facility. The New Zealand medical profession is based on the presumption that it is there to care for people. Due to the severity and irrevocability of physician assisted suicide, the option for those who request such care should only be available for those where there is no other option to manage their pain and suffering. It is necessary that this Bill explicitly list this condition, in order to ensure that alternatives which may have managed their pain and suffering have been fully exhausted.