Ohioans seeking medical aid in dying out of state often face financial and logistical hurdles, often leading to frustration and financial difficulties. Only two states, Oregon and Vermont, offer legal options for non-residents to access medical aid-in-dying, allowing terminally ill patients to hasten their death by taking lethal medication prescribed by a physician. The process involves multiple oral requests to their physician, separated by mandatory waiting periods, as well as a formal written request that must be witnessed to ensure the decision is voluntary. However, even in states where it is legal, navigating complex medical logistics in a new place is often too much of a burden. Finding physicians willing to work with an out-of-state patient is often a challenge, particularly in Vermont, where there is a shortage of physicians. Patients must meet the same basic eligibility standards as adults with a terminal illness and a prognosis of six months or less to live, mentally capable of making their own medical decisions and physically able to self-administer the medication. The patient can only request the medication, which requires multiple requests, and eligibility must be confirmed by both the patient’s attending physician and a second independent clinician.