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Uruguay Senate Passes ‘Muerte Digna,’ Legalizing Euthanasia

Implementation hinges on executive promulgation followed by detailed regulations.

Overview

  • The upper chamber approved the law with 20 votes in favor out of 31 present, and the result was formally announced for communication to the Executive.
  • Uruguay becomes the first country in Latin America to legalize euthanasia through legislation, unlike Colombia and Ecuador where court rulings decriminalized the practice.
  • Eligibility is limited to mentally competent adults with chronic, incurable or irreversible conditions causing unbearable suffering, with an eight-stage process that includes an independent second opinion, reaffirmation interviews and a documented final will.
  • Authorized providers include ASSE, nonprofit mutualistas, the Hospital de Clínicas, and military and police health services, while private clinics are excluded, with conscientious objection and a review commission with annual reporting built into the statute.
  • Operational details still require reglamentación, including clinical protocols, provider readiness and oversight mechanisms, after a debate shaped by patient advocates like Beatriz Gelós and opponents from religious and medical groups.