This article highlights issues that have marked propositions of legislative change occurring in a number of countries. By showing the type of transformations taking place, we can better articulate the medical and social context from which the question of euthanasia arises. A final section underlines the principal arguments used in the debate as well as their strengths and weaknesses. Finally, it suggests that no argument is entirely convincing; rather each contains an essential richness if those who are dying are to be respected as human beings.