Double Dutch Sarco Goes Into Production

Double Dutch Sarco Goes Into Production

While the Swiss prosecutor ponders his next move in the ongoing criminal investigation of the first use of Sarco in 2024, a new Sarco is well into production in the Netherlands.

The ‘Double Dutch’ Sarco is a twin pod, that can be configured to accommodate either one or two people.

While it is not yet clear in which country the new Sarco will be able to be lawfully used, one thing that is certain, is that this project does not stop at the feet of the Schaffhausen prosecutor.

With the recent and tragic death of Florian Willet, the Sarco project is continuing is Florian’s name and memory.

Florian was the only person present when the Sarco was used in Switzerland last September.

He was also the founding President of The Last Resort association which hosted the use of the Sarco from Exit International.

Watch this space for more updates as the production process continues.

Florian’s Obituary is available online. It is still hard to believe that he is gone.

Director of Sarco dies by assisted suicide after ‘unconscionable’ detention

Director of Sarco dies by assisted suicide after ‘unconscionable’ detention

Director of Sarco suicide capsule dies by assisted suicide after “unconscionable” detention by Maud Effting and Haro Kraak.

The director of the Swiss suicide capsule Sarco, Florian Willet (47), has died by assisted suicide.

He died in Germany at the beginning of May.

Willet had fallen into serious mental health problems after the Swiss authorities accused him of murder following the launch of Sarco and imprisoned him for several months.

His death was announced on Sunday evening by Philip Nitschke, director of Exit International and the inventor of the Sarco. Nitschke says he has serious complaints about the Swiss judiciary’s treatment of Willet.

The director was not allowed to have any contact with the outside world for ten weeks.

After his release, he was in a state of acute psychosis. ‘I think his time in prison triggered this,’ says Nitschke. ‘The Swiss authorities knew there was no question of murder. And yet they held him for ten weeks.

Drs Florian Willet (left) & Philip Nitschke, Zurich July 2024

 

They behaved unscrupulously.

Nitschke, who lives in the Netherlands and developed the Sarco here, has a psychiatric report in his possession in which the psychiatrist writes that Willet suffered from an ‘acute polymorphic psychotic disorder’ that had ‘arisen as a result of the stress of the pre-trial detention and the associated processes.’

According to Nitschke, the report does not state that he had any previous mental health problems.

The report was drawn up in January, weeks after Willet’s release.

Final moments

Florian Willet was arrested by Swiss police in September last year, shortly after a 64-year-old American woman entered the suicide capsule in the woods of Schaffhausen, pressed the button and died.

The woman had wanted to die for some time. She died when nitrogen gas flowed into the capsule.

Willet was the only witness to her last moments and was standing outside the Sarco when she died.

Switzerland was chosen for the launch of the Sarco because assisted suicide is permitted there under certain conditions.

After Willet reported the woman’s death to the police, he was arrested. Nitschke: ‘The expectation was that he would simply be questioned and then allowed to go home. Instead, twenty police cars arrived, he was locked up and his two lawyers were also put in prison.

He was then completely unjustifiably charged with murder (vorsätzliche Tötung, ed.).

He had hardly any information and was not allowed to have any contact with the outside world, only with his lawyer. That was extremely stressful.’

No report

The fact that Willet is suspected of “intentional killing” – an accusation between murder and manslaughter – is based on a “telephone note” made by the public prosecutor on the evening of the American woman’s death.

He allegedly heard from the forensic doctor that there were signs of strangulation on the woman’s neck. But over time, this suspicion has become increasingly vague.

To date, no lawyer has seen the autopsy report. Nevertheless, Willet is being held in custody for weeks on the basis of this serious suspicion. During Willet’s detention, it emerged that there is CCTV footage – with sound – of the woman getting into the Sarco and dying.

De Volkskrant, which managed to get hold of this footage, conducted an extensive analysis and found no evidence of violence. The video footage shows the woman getting in herself and pressing the button. Willet is standing next to her and communicating with her.

He also communicates with Nitschke, who is watching via a camera. At the end, he says: “She really looks dead”.

The Swiss authorities waited two and a half months before downgrading the status of the suspicion of strangulation to “less urgent”. The authorities have not disclosed why.

According to Nitschke, Willet became “severely traumatised” in custody.

“When he was released in December,” says Nitschke, “he was a completely different person.” Willet’s best friend also says that she did not recognise him afterwards.

In a media statement, she describes him as a man who had previously been extremely stable and cheerful, and as someone with a great sense of justice.

A broken man

The pre-trial detention broke him, she says. “This friendly, positive man had turned into an anxious, suspicious person who no longer trusted even his best friends. He lived in his own world. He became increasingly distant from his friends.”

After his release, Willet was temporarily admitted to a psychiatric clinic twice. In early January, he was found under his balcony and seriously injured.

His best friend reported him missing in recent weeks. Only recently did she hear from the Swiss authorities that he had died in Germany.

Nitschke says he had regular contact with Willet in recent months. “But it was very difficult to really get through to him. He was severely damaged.

I suspect that the medical authorities in prison also saw this and that is why he was released so suddenly. I think they realised they had a problem.

He was suddenly put out on the street without knowing that this was going to happen.”

The Swiss Public Prosecutor’s Office was not available for comment on Sunday.

Right to self-determination

Willet died on 5 May in Cologne with the help of a specialised organisation, according to Exit International.

Assisted suicide has been legal in Germany for a few years.

In an obituary, Nitschke writes that Willet was a passionate advocate of the right to self-determination.

‘Florian wanted to make a difference,’ he said. ‘He wanted to help a terminally ill woman find a peaceful death.

He only thought of her.

His own well-being came second – and then far behind.

Everyone needs a Florian by their side in their final moments.

But he paid for his compassion with the ultimate price – his life.’

The Mists Surrounding the Sarco

The Mists Surrounding the Sarco

In Switzerland, a 64-year-old woman passed away last month in a specially designed ‘suicide capsule.’

Swiss authorities subsequently arrested people involved and bystanders. What happened in the woods of Switzerland?

Reconstruction:  The mists surrounding the Sarco by Door Maud Effting, Haro Kraak en Erik Verwiel for De Volkskrant newspaper. Fotografie Linelle Deunk en Veerle Haan

A reconstruction full of ethical dilemmas, political beliefs and legal conundrums.

Florian Willet wonders where they are. It has been almost an hour and a half since the authorities were called.

The 47-year-old German is standing on a dirt road in the woods near Schaffhausen, a Swiss canton bordering Germany.

It is Monday evening, September 23, and dusk is setting in. He waits, and he can only think of one thing.

Behind him in the woods lies a dead woman. Willet watched her die. He was the only one there.

The suicide capsule Sarco

Shortly after her death, around 4:40 PM, the two lawyers involved in the project informed the authorities. They are waiting further down the road.

The lawyers told the authorities that a 64-year-old American woman had taken her own life in the Sarco, a ‘suicide capsule’ working with gas.

They reported that the woman was assisted by The Last Resort, a new Swiss organization founded by human rights activists that provides assisted suicide. Willet is the president.

The question was whether the police would come to confirm the death of the woman, who is lying in the futuristic, purple capsule.

Willet feels relieved. He believes everything went well. The woman was calm, he will say later, everything went according to plan. “It was clear that she wanted this.” In a blue folder under his arm, he carries the money she left behind for her funeral expenses.

Most unusual treatment

A little after six pm, a Volkskrant photographer arrives at the location. The police are still not there, almost an hour and a half after the call.

But shortly thereafter, things move quickly. A convoy of police cars speeds up the Swiss hills, and officers detain everyone near the Sarco.

Willet, the two lawyers, and the Volkskrant photographer are locked up in police cells.

Later, they are transported to prisons.

The public prosecutor detains the lawyers and the photographer for 48 hours, which is highly unusual in Western, democratic countries when it comes to lawyers and journalists.

Moreover, the Swiss prosecutor places them in isolation – they are not allowed to communicate with the outside world – to prevent them from ‘conspiring.’

During interrogations, the four are told that they are all suspected of inciting suicide and providing assistance in doing so.

But the Swiss prosecutor also has another possible suspicion, which he has not yet disclosed to the public.

It’s a suspicion known in Switzerland as ‘vorsätzliche Tötung’, which is translated in English as intentional homicide.

Nitschke and Stewart

This is the story behind the Sarco, the suicide capsule that was recently used for the first time and – partly due to the arrests – became worldwide news.

The Sarco was conceived by the Australian doctor and physicist Philip Nitschke (77), an internationally known right to die advocate.

Twenty-seven years ago, he founded Exit International, a movement driven by ideals that now has 30,000 supporters.

His capsule operates via self-service: pressing a button fills the cabin with nitrogen gas and removes the oxygen.

This causes unconsciousness and subsequently leads to death by hypoxia, a lack of oxygen. According to Nitschke, this results in a “quick, peaceful and dignified death.”

The Sarco was developed in the Netherlands. Nitschke has lived there for ten years with his wife, lawyer Fiona Stewart (58). She is Dutch now, he is a permanent resident.

Yet they chose Switzerland as the location for Sarco’s first use. Switzerland is one of the few countries in the world where assisted suicide is allowed, provided it is done for altruistic reasons.

In the Netherlands, this is illegal. The Last Resort was established specifically for the Sarco in 2023: Nitschke is a technical advisor, and Stewart is a member of the advisory board.

The events in the Swiss canton raise questions about what happened behind the scenes.

How did those involved act?

What were their motives?

Why did the Swiss react so strongly to the Sarco, even deciding to detain lawyers and a journalist?

And why did they keep the suspicion of ‘intentional homicide’ hidden all this time?

And also: what is known about the way the woman died?

De Volkskrant has been investigating the case over the past months in the Netherlands and Switzerland, and is basing its findings on conversations with 25 individuals and experts involved, an audio recording, video footage, legal documents, on-site observations, emails and app messages.

May 2024

‘This is the nervous part’, Fiona Stewart says.

Today, Nitschke will test his machine live in a Rotterdam workshop by lying in it himself. About fifteen people are watching.

Among them are a few journalists and documentary makers. Nitschke, dressed in a bright pink blouse, looks focused and introspective.

The doctor, who once earned a PhD in physics with research on lasers, has worked for twelve years on his invention.

Just a few minutes ago, he was pouring liquid nitrogen of nearly -200 degrees Celsius. White vapors were filling the room. Now he is frantically checking various meters and graphs on his iPad. An assistant is trying to ensure the Sarco closes properly.

The Sarco is a deep purple color with silver glitter. Stewart: ‘Purple is the color of dignity. We spent months creating the right sparkle effect. It just had to be perfect.’

In the past, much to his wife’s horror, Nitschke once put a plastic bag over his head to test how quickly the oxygen would deplete. Now he subjects himself to this experiment with the Sarco.

It is certainly not without risk. Yet the doctor, looking fearless, straps an oxygen mask with elastic bands around his nose and mouth. He steps into his own capsule and pulls the lid shut. Click. There he lies, ready for the test.

The oxygen bottle rests on his lap.

In the workshop, everyone falls silent. ‘Is the oxygen on?’ Stewart asks.

Nitschke nods calmly from behind the perspex window.

Suddenly, the capsule fills with white mist—a sign that cold nitrogen is flowing in. The meters show the oxygen level plummeting.

Within sixty seconds, it drops from 20.9 to 0.4 percent; humans cannot survive below 10 percent.

Stewart rushes to the Sarco. ‘Are you all right?’ she asks. The stress is palpable.

Nitschke nods. Someone reads the time aloud. Three minutes without oxygen. Four. Five.
A little later, the cork pops off the bottle of prosecco.

It works. For the first time that day, Stewart looks relaxed. She laughs. ‘This is the real thing’, she says. ‘Cheers.’

Absolutely Free

When it comes to his ideals, Philip Nitschke is a man who goes all in. He is hard to restrain, his wife says. Nitschke stands for the idea that every person should be absolutely free to determine how they live their life. And thus also how they die.

In the late 1990s, he performed the world’s first legal euthanasia as a doctor in Australia. From that moment, he initiated several controversial projects. In 2006, he caused a worldwide stir with The Peaceful Pill Handbook, in which he detailed dozens of suicide methods. The book was banned in Australia.

“My vision is simple,” Nitschke said earlier in de Volkskrant. “Don’t keep people in the dark. In a healthy society, people get good information so they can make rational decisions.”

In the media, he has been nicknamed ‘Dr Death’.

After several suicides, police worldwide raided properties of Exit International and its elderly members, seizing phones, computers and lethal substances. And interrogating Nitschke for hours.

Demedicalize the process

The idea for the Sarco arose in 2012 when Nitschke received a request from Tony Nicklinson, a 58-year-old British man with locked-in syndrome, who had been paralyzed from the neck down for seven years.

Nicklinson described his existence as ‘a living nightmare’. His lawyers asked Nitschke if there was a way their client could die independently, without the help of any doctor.

‘He was so disabled that he couldn’t even jump off a bridge’, Nitschke says. ‘He could only blink his eyes. So I thought: can I design a machine that he can activate with his eyes?’

He made an initial design, looking like a bathtub with a lid. ‘I wanted to use gas’, he says.

‘Because then almost nothing was needed. No needles in arms, no doctors, no illegal drugs. I wanted to demedicalize the whole process.’

But for Nicklinson, it was already too late. After losing his court case to die with the help of a doctor, he did not want to wait any longer. He stopped eating and drinking.

‘But the idea stayed in my head’, says Nitschke.

The Sarco, short for sarcophagus, is a variant of suicide with a bag over the head. With this method, people inhale gas – helium, nitrogen – that flows into the bag through a tube. The gas itself is not toxic.

When asked about this, the Dutch Society of Anesthesiology (NVA) predicts that in this situation the brain will experience severe oxygen deprivation within a few breaths. Shortly thereafter, people will lose consciousness and pass away.

Likely, they will experience ‘no shortness of breath nor a feeling of suffocation’, the NVA says. According to Nitschke, in the first moments this can even cause brief euphoria, a state he calls ‘happy hypoxia’.

Nitschke: ‘People often told me: this looks like a wonderful way to die, but I hate the plastic bag. And that’s why I thought: how can we make a plastic bag look beautiful? How can I make it a bit more glamorous and stylish?”

Exceptional System

In the years he worked on the Sarco, it became increasingly clear to Nitschke that there was only one place where the capsule could be used for the first time: Switzerland.

Switzerland has an exceptional system for euthanasia worldwide, where self-determination is paramount. Active euthanasia, where a doctor ends a patient’s life, is considered ‘murder on request’ by law and is prohibited.

But since 1942, there has been an exception for assisted suicide. A doctor can, for example, prescribe a lethal drug like pentobarbital. But the person must administer it themselves: they must drink the potion or start the infusion themselves.

For the Swiss, this is self-evident: everyone is responsible for their own death.

Anyone can offer this help, not just doctors. The condition is that the help is altruistic, without ‘selfish motives’ such as self-enrichment or revenge.

The person who wants to die must also be competent. Whether they are perfectly healthy, terminally ill, young, or old does not matter according to the letter of the law – although in practice, mainly sick elderly people die this way.

However, little is laid down in the Criminal Code; the law for assisted suicide has remained unchanged since 1942 and is only a few lines long.

Over the years, a practice has emerged, partly through case law, in which self-euthanasia is possible in Switzerland.

A handful of non-profit organizations, such as Exit, Dignitas, and Pegasos, facilitate this and work closely with the authorities. Thousands of Swiss die this way every year.

Support among the Swiss is enormous: in a 2011 referendum, 84 percent of the population was in favour of the current policy. Nevertheless, it is also a precarious system, because the law is so brief. The non-profit organizations, therefore, prefer to operate quietly to avoid causing a stir.

One aspect of the system has been hotly debated for years. Foreigners are increasingly seeking these services, although they have to pay a hefty sum: over 10,000 euros.

Every year, hundreds of people from all over the world die in Switzerland and return as ashes to their home countries.

Critics derisively refer to Switzerland as a ‘Todesland’, and speak of suicide tourism.
‘Competition’

Nitschke and Stewart know the Swiss system very well. Sometimes, they personally accompany people who wish to die there.

They also authored the guide Going to Switzerland – how to plan your final exit.

In July 2024, Swiss media leaked that the Sarco, dubbed the “Tesla of assisted suicide” by the quality newspaper NZZ, might be used there.

This caused a minor storm. Media outlets were in a frenzy, with NZZ calling it a ‘grossen PR-stunt,” publishing incorrect information about the location, and even photo-shopping a picture of the Sarco in front of the Matterhorn.

Established Swiss assisted suicide organizations did not welcome the Sarco.

On the contrary, they openly raised doubts about their new ‘competitor’, asking questions like: will dying with nitrogen be reliable and peaceful?

Is it humane not to be able to lie in the arms of your loved one in such a capsule?

Pegasos director Ruedi Habegger even warned that the Swiss system could collapse because of the Sarco. This will offer the opponents of assisted suicide in Switzerland a welcome opportunity, he predicts.

‘They will try’, says Habegger in NZZ, ‘to change our liberal rules’.

One day to go

Sunday evening, September 22

In the smoke of the campfire, Philip Nitschke sits in shorts in front of a wooden cabin on a bench made of tree trunks in the Swiss nature park of Schaffhausen, near the village of Merishausen. Opposite him is president Florian Willet of The Last Resort – in cycling shorts.

Together, they have just set up the Sarco. The sun is shining brightly. It looks like a small free state here, with building materials and tools lying everywhere.

Almost 30 meters away, the suicide capsule is waiting in a grove. It is hidden under three layers of camouflage material. The plan was for the Sarco to be placed in front of the cabin so that the woman would have a final beautiful view of the green meadows, forests, and mountains tomorrow.

‘With this machine, you can die anywhere you want’, Nitschke says. ‘The day you die is one of the most important days of your life.

Yet, Western cultures are very good at denying it. The age at which we first see a dead body in real life has been rising in the Western world for years and years.

But death is part of life. So why don’t we make something beautiful out of it?’

However, the nice view on the mountains turned out differently.

Just as they were setting up the Sarco, the nature park was flooded with hikers asking all sorts of questions. They then decided to place it in the forest, hidden under the trees.

Nitschke: ‘But the woman said: I don’t care where it is, I just want to die as soon as possible.’
He talks about the endless list of problems they struggled with.

He has been worried for months about the oxygen level in the Sarco: will it stay close to zero long enough?

Does he have a plan B? ‘No’, he says. ‘I have tested the Sarco more than thirty times now. The oxygen level drops the same way every time. We have to trust the science.’

He is silent for a moment.

‘This death’, he says, ‘will be scrutinized under a microscope. Everything must be ultra-clear.’

How is the 64-year-old woman doing at this moment? ‘Fiona is with her’, Nitschke says. They had a long conversation with her. ‘One thing is clear’, he says. ‘She definitely wants to die.’

Searching half the planet

Ending up in Schaffhausen, an extremely conservative corner of the country, was not planned, says Nitschke. They were lucky to find a spot.

‘We searched half the planet for landowners in Switzerland who were willing to do this.’ The Sarco is now on private land owned by a man who wishes to remain anonymous.

On the ground in front of the cabin lies a silver-colored plate: because the signal here is virtually non-existent, they have set up an internet connection via Starlink satellites.

Tomorrow, Nitschke wants to follow the woman’s suicide live, via cameras, oxygen, and heart rate monitors. But he will be in Germany.

After seeking legal advice, Nitschke decided not to be there. ‘I have no idea what will happen,’ he says.

The Swiss authorities will want to talk to everyone on site. In the worst-case scenario, he might be arrested because he is not Swiss and as a foreigner he could be seen as a ‘flight risk’.

He does not expect that, he says. ‘But I don’t particularly want to stay here.’

Idealistic beginning

By the campfire, Willet looks at him confidently. It is not a risk for him anyway, he estimates: he lives in Switzerland. Therefore, he will be there alone tomorrow. He shows no trace of fear. Ironically: ‘My flight risk is, of course, the lowest.’

Florian Willet

Willet is a lawyer, behavioral economist, and member of Mensa, the international association of highly intelligent people. He is a gentle, modest man.

In April this year, he joined the board of The Last Resort.

His life story is remarkable: his own father ended his life when he was 14. He is still surprised by the psychiatrist who told him at the time that this was a selfish act. As a child, he understood his fathers decision.

‘I was extremely sad because I loved my father’, he said in the media. ‘But it would have been very selfish of me if I had expected him to live longer for me. Then he would have had to suffer longer.’

Before this, he was a spokesperson for Dignitas, one of the Swiss assisted suicide organizations, for many years. Do these clubs feel threatened?

The Last Resort has sharply criticized the high prices for foreigners. ‘There is no moral mandate to charge 10,000 Swiss francs or more for assistance in a peaceful and reliable suicide’, Willet stated on the site.

‘Look’, Willet says sitting by the campfire. ‘These kinds of organizations start idealistically. But eventually, they grow into institutions with twenty, thirty employees. Gradually, you become more cautious.

Your perspective changes. And in the end, you are not an idealist who can go to prison any time for his convictions.’

‘So yeah’, he says, ‘they are not happy with us.’

What does he expect from the Swiss police? ‘I think the chance that they will seize the body will be 99 percent’, Willet says. ‘And I estimate the chance that they will take the Sarco at 80 percent. The chance that they will detain me, I estimate at 10 percent.’

He grins. ‘What I will definitely do tonight is take out my bio-waste. My rotten tomatoes, my banana peels. Because maybe I won’t be home for the next three weeks.’

A few hours to go

Monday morning, September 23

In a hotel room in Germany, near the Swiss border, the 64-year-old blonde woman sits on her bed. ‘Oh darling’, says Fiona Stewart to the woman, as heard on a voice recording. ‘Let me put you up.’

A few days ago, the American woman was driven secretly to this German hotel. Only a handful of people know why she is here. Stewart is nervous: she does not want anything to go wrong today. She turns on the voice recorder on her phone.

De Volkskrant asked the American woman for an interview, but the woman let Stewart know that this would be too stressful, so close to her death.

However, she wants to briefly tell her story now. On the recording, the woman gives permission to provide her statement to the Swiss authorities and to De Volkskrant.

“How long have you been considering taking this step?” asks Stewart.

‘For at least two years’, the woman says. ‘Since I was diagnosed with skull base osteomyelitis.’

Due to an immune disorder, the woman cannot be properly treated for this very serious disease, The Last Resort later explains. She suffers such severe headaches that on some days she can barely move or even go to the bathroom.

‘She has crippling headaches’, Stewart says. In the Netherlands, her condition could be a ground for euthanasia.

Stewart: ‘Has anyone tried to convince you that you should do this?”

‘No’, the woman says.

Stewart asks about the attitude of her two adult sons. ‘They completely agree that this is my decision’, says the woman. ‘And they are behind me one hundred percent.’

The woman says she previously tried to arrange her death with the Swiss organization Pegasos. ‘It’s extremely time consuming to prepare all the documents they want’, she says.

‘The long waiting periods are very frustrating.’

What are her thoughts on the Sarco as the means of death? ‘I just think it’s going to be amazing’, she says. This way, she says, no doctor needs to be involved.

Stewart: ‘How does it feel to be the first person to use the Sarco?’

She is a little hesitant, she says, but she ‘understands the concept behind the plastic bag and nitrogen’.

The Sarco can be seen as a variant of this. ‘If people have died this way before, I cannot see why this wouldn’t work’, she says. ‘Scientifically, it makes sense.’

Is there anything you would like to say publicly?’ asks Stewart.

‘Well, just that the experience has been wonderful’, the woman says, ‘and easy and less traumatic than I expected.’ The group of people that has accompanied her is wonderful, she states. ‘And it’s been a great experience.’

Lobby Against the Sarco

After it was leaked that the Sarco was coming, critical pieces continued to appear in the Swiss media all summer long.

Right-wing politician Nina Fehr Düsel also got involved. She is a member of the national-conservative SVP, the largest party in parliament, and is annoyed by the increasing ‘suicide tourism’ in her country.

‘The Swiss taxpayer foots the bill for foreigners who want to die here’, Fehr Düsel says by phone, due to the medical and legal administrative actions that must be carried out each time.

‘We already have enough organizations that are doing this. We don’t need another one.’

Fehr Düsel starts a lobby against the Sarco: she advocates for a ban and asks the minister questions.

She believes the initiators are ‘abusing’ the system in her country. Her criticism strikes a chord. Journalists increase the pressure: after their questions, several cantons say they want to ban the Sarco.

At the end of July, the commotion reaches a boiling point when a story appears about another woman who was supposed to be the first to use the Sarco, the American ‘Jessica’ (55). She backed out and eventually died with the help of Pegasos.

The NZZ accuses The Last Resort in a large piece of, among other things, making the woman feel forced to participate in a ‘media circus’, but the newspaper eventually is forced to publish a long correction after it turns out that crucial passages are incorrect.

Stopping it

In publications, The Last Resort is portrayed as an organization that acts recklessly.

Yet, in an attempt at transparency, The Last Resort actually contacted the authorities early on, as evidenced by documents in possession of de Volkskrant.

In May, their lawyers informed the Schaffhausen Public Prosecutor of their intention to use the Sarco. The prosecutor responded in July that a criminal investigation would then be opened.

This does not seem to worry the lawyers: this usually always happens after assisted suicide.

The lawyers are confident: they tell their clients that ‘no one will be imprisoned if the Sarco is used’, as stated on The Last Resort’s website.

Meanwhile, the regulator Swissmedic announces that it does not see the capsule as a medical instrument, so the Sarco does not need to undergo a safety test.

Moreover, nitrogen is not classified as a medicinal drug: the gas has no pharmacological effect on the body; it simply displaces the oxygen in the air.

But at the exact moment the American woman is getting ready in the forest on Monday, September 23, Minister of Home Affairs Elisabeth Baume-Schneider suddenly responds to the questions of parliament member Fehr Düsel.

The minister sees new ways to stop the Sarco, although these are contradicted by lawyers.

According to her, the Sarco does not meet the ‘product safety’ requirements. She also states that the nitrogen would not be used according to the rules of the Chemicals Act.

These are remarkably firm words, but they are no longer heard in time by those to whom they are addressed. Because when the minister speaks those words, it is 14:35.

Monday, September 23

It is almost two o’clock in the afternoon.

At the cabin, Nitschke, Willet, and an employee of Exit International are waiting for the woman. The atmosphere is tense, everyone is looking at Nitschke.

A little later, the American woman arrives. She walks up towards the Sarco in front of the cabin. She walks bent over and looks fragile, but there is no hesitation in her steps. Nitschke leads her over the autumn leaves to the coffin.

‘Everything is okay’, the woman says to the Volkskrant photographer who wants to take her picture. Her voice is raspy. The woman is calm, doesn’t say much. She gives off the impression that she wants to get this over with as soon as possible.

Nitschke shows her the red emergency lever. ‘You don’t have to do anything you don’t want to’, he says. ‘If you want to get out, you can get out.’
Second suspicion

The American woman dies that afternoon – everyone has left, only Willet stayed with her. Nitschke is with Stewart in Germany.

On the phone that evening, Nitschke says that the woman said ‘very nice goodbyes’ to them and that he feels ‘immensely relieved’: Willet told him it went peacefully.

But there is one thing that worries Nitschke. ‘I’m a little concerned’, he says. ‘We haven’t heard from him for two hours. No one is answering their phone.’

Now, almost five weeks later, Florian Willet is still in prison. He is still in solitary confinement and can only communicate with his lawyer. This may be related to the second suspicion that the prosecution has been secretly using for weeks: ‘intentional homicide”

To the outside world, the case so far revolves only around assisted suicide. But with that, the prosecution has no strong case, according to Bernhard Rütsche, a professor of legal philosophy at the University of Lucerne who regularly publishes on euthanasia and is often asked as an expert.

Rütsche, who knows nothing about ‘intentional homicide’ at that time, judges harshly: ‘The mere fact that assisted suicide was carried out with a suicide capsule does not justify an arrest,’ he says to de Volkskrant.

‘There is neither a sufficiently clear legal basis nor a judicial precedent according to which the use of the death capsule would itself be punishable.’

According to Rütsche, the Sarco exposes the weakness of the Swiss system: due to the law from 1942, which contains only thirty words, the norms – which patients may receive assistance, how much it may cost – have mainly been formed in practice. And that creates space.

Legal Arguments

Politicians have been avoiding to formulate sensible additional legislation for years, says Rütsche. ‘The Sarco is now exposing that.’

A possible lawsuit against the Sarco is expected to revolve around this question: were there selfish motives involved? According to The Last Resort, they earn nothing from the Sarco: the user only pays their own expenses and about 19 euros for the nitrogen.

But: ‘Not only financial but also affective reasons can indicate selfishness’, the prosecutor from Schaffhausen recently said in the Frankfurter Allgemeine.

Affective reasons can include revenge or hatred, but also something else, he says: ‘For example, when someone documents their actions well and brings extra journalists from the Netherlands for that.’

A shaky argument, according to lawyers. ‘As far as I know, there has never been a verdict in which selfishness in assisted suicide was established solely based on affective reasons’, says Professor Rütsche. ‘The burden of proof for that will be very high.’

In the Swiss newspaper Beobachter, Christopher Geth, a professor of criminal law at the University of Basel, says: ‘I doubt whether courts would label euthanasia activism like that of the Sarco inventors as selfish behavior.’

Rütsche sees the aggressive actions of the prosecution mainly as something to serve the outside world:

‘The authorities felt pressure to act against this form of assisted suicide.

Because otherwise, Switzerland’s reputation would suffer.’

Vagueness and Mysteries

The big question is why the prosecution raises the suspicion of ‘intentional homicide’.

In court, the prosecutor has suggested in recent weeks that the woman may have been strangled.

Documents show that this is based on a ‘phone note’ from September 23, a few hours after the woman’s death.

During that conversation, the prosecution reportedly heard from the forensic doctor that the woman had, among other things, severe injuries to her neck.

This suspicion, mentioned in various judicial documents, is still surrounded by vagueness and mysteries.

Where is the official autopsy report that should shed light on the cause of death?

None of the suspects’ lawyers have seen this report, five weeks after the fact – very unusual in a criminal case.

And why does the prosecutor in Schaffhausen not go public with the ‘intentional homicide’ suspicion while this has already been presented to the judge to keep Willet in detention longer?

Chief Prosecutor Peter Sticher of Schaffhausen does not want to answer any questions from de Volkskrant due to the ongoing investigation.

He also does not want any accusations or facts from this article to be presented to him. ‘If the facts are correct, that’s fine, and if they are not, they didn’t come from me’, he says.

Sticher also does not want to comment on the questionable reputation of the ‘leitender Staatsanwalt’, prosecutor Andreas Zuber, who is reportedly involved in the case.

According to Swiss media, Zuber was suspended as a prosecutor by the Federal Court in another canton in 2015: in a major murder case, he reportedly committed ‘numerous and sometimes flagrant procedural error’s’, according to the suspension order.

Zuber then became a suspect in a criminal case in which he was accused of document forgery and multiple abuses of office.

According to the local newspaper Schaffhauser AZ, the judge largely found the facts proven but ultimately classified them as ‘procedural errors’.

In the case of the Sarco, it is clear that a serious suspicion suits the prosecution well. The penalties for the two suspicions differ significantly: ‘vorsätzliche Tötung’ (intentional homicide) carries a maximum sentence of 20 years in prison, while assisted suicide carries 5 years.

And: the more serious the suspicion, the more severe the investigative measures the prosecution can permit itself.

The prosecution is currently using ‘intentional homicide’ in court to gain access to the cameras and phone of the Volkskrant photographer – the journalist, along with the two lawyers, is still a suspect after almost five weeks.

The photographer’s lawyer, Andrea Taormina, states: ‘In a free country, it is unacceptable for a journalist to be imprisoned simply for doing her job. This is a violation of press freedom. Period. My client was not even present during the suicide.’

It is unknown whether the prosecution also considers Nitschke and Stewart, who are now back in the Netherlands, as suspects.

Shortly after the woman’s death, the Swiss had the Dutch police search Nitschke’s office in Haarlem. If the Swiss prosecution is aiming for their extradition, the chances of that are higher with a more serious suspicion.

The Swiss lawyers for Nitschke and Stewart refuse to comment.

Ready to Go

What happened to the woman on Monday, September 23, in the forest of Schaffhausen?

Footage from two surveillance cameras, which are in possession of this newspaper, shows what was visible in the hours surrounding her death.

One camera was installed inside the Sarco and was aimed at the control button, while the other was mounted outside on a tree and was directed at the Sarco.

Both cameras, which also recorded sound, did not film continuously but captured footage when there were clear movements.

As a result, there are gaps between the fragments. The newspaper investigated the way the camera’s work, analyzed the footage, compared the timelines, and found no indications of tampering, although this can never be completely ruled out. It is unknown whether the Swiss police is in possession of the footage.

At 3:47 PM, the woman walks towards the Sarco and stands still for a moment, with her hands in front of her stomach. She is wearing a white woolen cardigan and sports shoes. She waits.

Close to her stands Florian Willet. He removes a green tarp from the Sarco and looks busy.

In his left hand, he holds an iPad, with which he will monitor her heart rate, saturation, and oxygen levels in the Sarco. In his right hand, he holds a phone, with which he is video calling

“If you’re ready…?” says Willet.

“Do I leave my shoes on?” the woman asks.

Willet says she can leave them on. The woman steps in, lies down, and adjusts the U-shaped travel pillow behind her head.

In the minutes that follow, the lid opens and closes a few times: they are checking if the closure functions properly. Then the moment arrives. ‘Do you want to talk to Philip?’, Willet asks. ‘No’, the woman says. ‘I’m okay.’

For Willet, this is the sign that they can begin. ‘Philip, it seems that […] is ready to go’, he says on the phone.

Shortly thereafter, the woman closes the lid without visible hesitation. Inside the capsule, the blue pressure button lights up. On the internal camera, which does not show her face, parts of her hair are visible.

The woman: ‘Ready?’

Willet: ‘I’m ready.’

The woman: ‘Okay.’

Almost immediately after, she presses the button. It is 3:54:46 PM, and she takes a deep breath. She has received extensive instructions beforehand.

According to Nitschke, the dying process will be most comfortable if she breathes deeply and calmly: this will cause the oxygen level in her blood to drop quickly, and she will lose consciousness shortly thereafter.

‘Keep on breathing’, Willet says to her from outside. He stares at his iPad. The oxygen level, which is over 20 percent in normal air, plummets. ‘0.6’, he says after a minute to Nitschke.

On the footage from the internal camera, 2 minutes and 20 seconds after pressing the button, the oxygen meter shows 0.3 percent.

Willet stands next to the Sarco, looking concentrated. The external camera captures from a distance that the woman’s chest rises and falls: she appears to be breathing deeply.

After about thirty seconds, the woman loses consciousness, Willet later estimates in his police interrogation.

Notable Event

Around two minutes, something notable happens, which may be explained by a severe cramping of the body.

At 1 minute and 57 seconds and after 2 minutes and 13 seconds, the internal camera, which reacts to movement, turns on twice in quick succession.

Due to the position of the internal camera, it is not exactly clear what happens.

On the external camera, it is visible that precisely during this time span, a dark spot suddenly appears on the inside of the fogged-up window, at the height of her knees.

This may be the effect of a body part touching the window.

Later, Willet tells the police in his interrogation that her body seemed to cramp strongly around an estimated two and a half minutes – a frequently described reaction in suicides involving nitrogen.

At 4:01 PM, the iPad suddenly emits a piercing alarm – possibly the heart rate monitor. The woman had pressed the button more than six and a half minutes earlier.

After losing consciousness, it takes some time before the heart eventually stops, according to experts.

‘She’s still alive, Philip’, says Willet, who seems confused by the sound. Occasionally, he leans over the Sarco and looks inside. After a while, the alarm stops again.

At 4:04 PM, he reports that the woman has not moved for about two minutes. Half an hour after pressing the button, Willet summarizes to Nitschke, who could only partially follow the process due to technical problems, how the woman has died.

‘She had her eyes closed’, he says. ‘And she was breathing very deeply. Then the breathing slowed down. And then it stopped.’

‘She really looks dead’, Willet says.

At 5:04 PM, Willet is last seen near the Sarco. At no point in the footage is it visible that he opens the lid or intervenes in any other way.

At 6:48 PM – it is already dark by then – the first detective in a white suit is visible near the Sarco via infrared images. At 7:22 PM, both cameras turn on almost simultaneously: a detective opens the Sarco for the first time.

Alabama Carries Out First U.S. Execution by Nitrogen

Alabama Carries Out First U.S. Execution by Nitrogen

Alabama carried out the first American execution using nitrogen gas on Thursday evening, killing a convicted murderer whose jury had voted to spare his life and opening a new frontier in how states execute death row prisoners.

The execution of the condemned prisoner, Kenneth Smith, 58, began at 7:53 p.m. Central time, and he was pronounced dead at 8:25 p.m. in an execution chamber in Atmore, Ala., according to John Q. Hamm, the state prison system’s commissioner. The U.S. Supreme Court allowed the execution to move forward over the objections of its three liberal justices and concerns from death penalty opponents that the untested method could cause Mr. Smith to suffer.

Mr. Smith, who was strapped to a gurney with a mask placed on his head, appeared conscious for several minutes after the nitrogen gas started flowing into the mask, depriving him of oxygen, according to a pool report from five Alabama journalists who witnessed the execution. State lawyers had previously claimed in court filings that an execution by nitrogen would ensure “unconsciousness in seconds.”

He then “shook and writhed” for at least two minutes before beginning to breathe heavily for several minutes. Eventually, the journalists said, his breathing slowed until it was no longer apparent.

Mr. Hamm said it looked like Mr. Smith had tried to hold his breath as long as he could, and he downplayed Mr. Smith’s body movements, saying “nothing was out of the ordinary from what we were expecting.”

Before he was executed, Mr. Smith gave a lengthy final statement from the execution chamber in which he said, in part, “Tonight, Alabama caused humanity to take a step backward,” according to the witnesses.

Lee Hedgepeth, a reporter in Alabama who witnessed the execution, said Mr. Smith’s head moved back and forth violently in the minutes after the execution began.

“This was the fifth execution that I’ve witnessed in Alabama, and I have never seen such a violent reaction to an execution,” Mr. Hedgepeth said.

It was the second time Alabama had tried to kill Mr. Smith, after a failed lethal injection in November 2022 in which executioners could not find a suitable vein before his death warrant expired. Mr. Smith’s lawyers and the state’s attorney general, Steve Marshall, said Thursday’s execution was the first that had been carried out by nitrogen anywhere in the world.

Other states have looked to Alabama’s experience as they face mounting problems obtaining lethal injection drugs because of pressure from medical groups, activists and lawyers. Mississippi and Oklahoma have authorized their prisons to carry out executions by nitrogen hypoxia, as the method is known, if they cannot use lethal injection, though they have never tried to do so.

“Our proven method offers a blueprint for other states and a warning to those who would contemplate shedding innocent blood,” Mr. Marshall said, suggesting that the availability of an “efficient” execution method could act as a deterrent to criminals.

The Supreme Court’s order allowing the execution to go forward did not give an explanation, as is often the case when the justices decide on emergency applications. The court’s three liberal members disagreed with the majority’s decision.

In a strongly worded dissent, Justice Sonia Sotomayor voiced concerns about Alabama’s new method. “Having failed to kill Smith on its first attempt, Alabama has selected him as its ‘guinea pig’ to test a method of execution never attempted before,” she wrote. “The world is watching.”


Kenneth Eugene Smith with Philip Nitschke

EXIT PHOTO: Kenny Smith & Philip Nitschke, Holman Prison, 13 December 2023

Justice Elena Kagan, in a separate dissent joined by Justice Ketanji Brown Jackson, wrote that she would pause the execution to give the court time to examine the “exceptional circumstances” surrounding Alabama’s new method of execution and Mr. Smith’s challenges.

“The state’s protocol was developed only recently, and is even now under revision to prevent Smith from choking on his own vomit,” Justice Kagan wrote.

Nitrogen hypoxia has been used in some assisted suicides in Europe and elsewhere, though the precise method that Alabama used differs from common practice. Lawyers for the state had argued that such a death was painless and quick. They also noted that Mr. Smith and his lawyers had themselves identified the method as preferable to the troubled practice of lethal injection in the state.

But in their last-ditch petition to the Supreme Court, Mr. Smith’s lawyers argued that Alabama’s protocol would create a substantial risk for suffering.

Dr. Philip Nitschke, a pioneer in assisted suicide who estimated that he had witnessed roughly 50 deaths by nitrogen, had said that the use of a mask could lead to problems that might involve substantial distress and pain.

Gov. Kay Ivey of Alabama said she had chosen not to exercise her clemency power to spare Mr. Smith.

“The execution was lawfully carried out by nitrogen hypoxia, the method previously requested by Mr. Smith as an alternative to lethal injection,” Ms. Ivey said in a statement.

The Supreme Court on Thursday allowed the first American execution using nitrogen gas to move forward, with the court’s three liberal members publicly dissenting.

A day earlier, the Supreme Court had also declined to intervene in the lawyers’ appeal of a separate case, in which they had argued that trying to execute Mr. Smith a second time amounted to unconstitutional cruel and unusual punishment, partially because of how harrowing the 2022 execution attempt had been.

Mr. Smith’s case is unique in part because the jury that convicted him of murder in 1996 also voted 11 to 1 to sentence him to life in prison rather than death, but the judge overruled their decision. Alabama has since made it illegal for judges to overrule juries that have recommended a life sentence — a prohibition that now exists in every state — but the new law does not apply to previous cases.

Mr. Smith’s spiritual adviser, the Rev. Jeff Hood, was in the room during the execution and said that he had watched “minutes of someone struggling for their life.” He said earlier on Thursday that Mr. Smith was gravely afraid of the execution going wrong. “He’s terrified that this thing is going to completely torture him,” Mr. Hood said before the execution.

Mr. Smith, he said, ate his last meal on Thursday morning: a T-bone steak, hash browns and eggs, all from Waffle House and slathered with steak sauce. Prison officials said that to reduce the likelihood of Mr. Smith vomiting during the execution, he would not be permitted to eat after 10 a.m.

Before the execution on Thursday, a White House spokeswoman declined to comment on it.

“This is a state-level case and I won’t speak to the details of this particular case,” said the spokeswoman, Olivia Dalton, adding that President Biden had broad concerns about how the death penalty “is implemented and whether or not it’s consistent with our values of fairness and justice.”

Mr. Biden campaigned on ending the federal death penalty after it was resurrected by President Donald J. Trump. Under Mr. Biden, the Justice Department has instituted a moratorium on federal executions, but the department also said this month that it would seek the death penalty against the white gunman who fatally shot 10 Black people in a racist attack at a Buffalo, N.Y., grocery store.

Alabama’s first use of nitrogen gas comes after several botched or difficult lethal injections in which executioners struggled to find veins on the men they were trying to put to death.

In 2022, executioners tried for hours to access Joe Nathan James’s veins, ultimately slicing into one of his arms in what is known as a “cutdown” in order to administer the fatal drugs, according to a private autopsy. Since 2018, three death row prisoners in the state, including Mr. Smith, have survived execution attempts because of difficulty inserting intravenous lines.

Four days after failing to execute Mr. Smith in 2022, Governor Ivey, a Republican, halted all executions in the state and asked the prison system, the Alabama Department of Corrections, to review its procedures. The state resumed executing people in 2023, killing two men by lethal injection.

After Thursday’s execution, one of the murder victim’s sons, Michael Sennett, who witnessed it, spoke briefly to reporters.

“Nothing that happened here today is going to bring Mom back,” he said. “It’s kind of a bittersweet day. We’re not going to be jumping around, hooting and hollering ‘hooray’ and all that. That’s not us. We’re glad this day is over.”

Ms. Sennett was stabbed 10 times in the attack by Mr. Smith and another man, according to court documents. Her husband, Charles Sennett Sr., had recruited a man to handle her killing, who in turn recruited Mr. Smith and a third man. Mr. Sennett arranged the murder in part to collect on an insurance policy that he had taken out on his wife, according to court records. He had promised the men $1,000 each for the killing.

Mr. Sennett later killed himself; one of the other men involved in the murder was executed by lethal injection in 2010, and another was sentenced to life in prison and died in 2020.

Sarco Elucidation Notes

Sarco Elucidation Notes

The Sarco is a multi-faceted R&D project of Exit International.

There are 4 principal components to Sarco Project. Apart from the game-changing 3D printing of the enclosed euthanasia capsule, the Sarco project incorporates research questions involving Sarco Raspberry Pi software to allow entry access, the development of mental capacity screening using AI and, finally, the concept of an implantable dementia switch.

1. Sarco Raspberry Pi & the Development of AI Screening

The Sarco project incorporates experimental software developments.

In this regard, Raspberry Pi processor will allow a series of mandatory questions to be asked of the user of the Sarco, before they activate it for use (and for their ultimate death).

A series of questions will be asked verbally. Only upon the correct responses being recorded will the green ‘Go’ button be able to be pushed and the Sarco acvitated by the user (inside).

The questions to be answered are:

  • What is your name
  • Where are you?
  • What will happen when you press the activation button inside Sarco?

The final question is: ‘Do you wish to proceed?’

If this final question records a ‘yes’ answer, the user will be able to push the green ‘go’ button and activate the Sarco.

This is the activation procedure for the Sarco and is already part of Sarco 3.0.

2. AI Mental Capacity Screening: Is this the Future?

In Switzerland, assisted suicide is allowed as long as the person being assisted possesses mental capacity.

At the current time, mental capacity is determined by a psychiatric assessment by a registered psychiatrist.

The Sarco project wants to challenge this status quo using AI.

The research question driving this part of the Sarco project is, ‘is AI better at mental capacity assessment than a real life psychiatrist?’

The role of AI in the determination of mental capacity remains controversial, even though there is growing evidence that current human assessment is subject to bias and an inability to replicate results.

A recent summary of the Sarco Project in MIT Technology Review referred to a “messy morality” of letting AI make life and death decisions.

This article can be read on the Exit International Website.

3. The Development of an Implantable Dementia Switch?

The Sarco R&D project also incorporates the objective of creating an implantable switch which could be activated by the person in whose body it is implanted, in the face of mental decline due to dementia and Alzheimer’s.

At the current time, the only strategy (at least in the Netherlands) on offer to give agency (in terms of end of life decision-making) back to those suffering dementia and Alzheimer’s, is an advance health directive.

In most jurisdictions, however, not even this is available. People with a cognitive mental health diagnosis tend to be excluded from most legislative models. This is a deeply unsatisfactory and cruel state of affairs.

To address this need, Exit has set about to create a programmable, implantable switch.

In theory, this switch would be continuously maintained by a user as a normal function of their continuing mental capacity.

However, if the switch failed to be maintained by its owner, again in theory, the switch could instigate an action that could cause death.

A thought experiment has been created by Marije de Haas. This work has inspired Exit’s thinking and commitment to find a technological solution to this intractable problem.

The Sarco Pod Promises a Humane Death within 5 to 10 Minutes

The Sarco Pod Promises a Humane Death within 5 to 10 Minutes

The Sarco Pod Promises a Humane Death within 5 to 10 Minutes reports De Volkskrant.

The Sarco is viewed intently at the 50th anniversary celebration of the Dutch Society for a Voluntary End of Life (NVVE).

Without hesitation, he stretches out on the black cushions of the Sarco Pod, a futuristic machine some call a suicide coffin. The man folds his hands solemnly over his abdomen. Then the lid closes. Is this it, then?

No, he does not press the red blinking button to start the process by which nitrogen is added to the airtight capsule and the oxygen content drops from 21 to 1 percent within 30 seconds. Nor can he, because this is a demonstration model.

Then he knocks on the window – he wants out. ‘I found it terrifying,’ says Berd Stapelkamp (75) a moment later.

‘I’m claustrophobic and wanted to know what it’s like to lie in it. As a challenge. With a chuckle, “I didn’t know how fast to get out again!

‘My life, my end’

Stapelkamp is a longtime member of the Dutch Association for a Voluntary End of Life (NVVE), which celebrates its 50th anniversary Friday. In the halls of Gooiland in Hilversum, there will be lectures on living wills, a conversation about death in 2073 (when the NVVE celebrates its 100th anniversary) and a theater play about euthanasia titled “My life, my end!

The Sarco Pod is also part of the program and is gleaming in the main hall. The audience – without exception graying or balding – shuffles around it in fascination. Despite his claustrophobic experience, Stapelkamp is enthusiastic about the device, which promises a peaceful death within five to 10 minutes.

‘For a certain category of people who can’t get euthanasia and don’t want to resort to gruesome methods, this is a wonderful solution,’ he says. ‘It’s painless, there are no cumbersome procedures ánd you don’t have to burden others with it. They just have to lift you out.’

Although Stapelkamp is still in good health, he is actively dealing with the ever-approaching death. He dislikes the prospect of decay; he wants to be able to decide for himself when he dies. ‘The other day I met my new family doctor.

My first question was: how do you feel about euthanasia?

At home, he already has the drugs lying around, should a doctor still fail.

‘Middel X,’ he says, referring to the chemical promoted by the Coöperatie Laatste Wil (CLW) as a humane means of suicide. That idea gives peace of mind, he says.

‘One of the options’

Not everyone is so well prepared on this day, but almost all those present, especially from the baby boomer generation, share the belief that they may decide their own end, in complete autonomy.

‘They grew up with the idea of being the master of their own belly,’ says NVVE chairman Fransien van ter Beek. ‘And now they want an end of life in their own control.’

Many here have a similar experience: they have seen friends or family die in a terrible way and want to prevent that themselves. ‘I’ve seen up close how someone stopped eating and drinking,’ says Annie Mets (66). ‘That’s horrible. It can take a few weeks.’

She has been a member for 10 years and is seeing the Sarco for the first time. ‘I see it as one of the options, yes, should it come to that.’

Philip Nitschke, the Australian inventor of the Sarco, watches people react to his creation. ‘When I suggested the idea in Switzerland a few years ago, someone said to me: no one in Europe will use a device that will kill you by gas. The association with the Holocaust would be too strong. That doesn’t seem to be so bad after all.

Nitschke (75) emigrated to the Netherlands in 2015, the country where he says there is the most progressive thinking about the end of life. Since then, he has been fighting for more information about self-chosen death. He sells a very popular handbook describing methods of suicide and collects documentation on the subject worldwide.

The Sarco Pod Promises a Humane Death within 5 to 10 Minutes

Since he launched the Sarco as a concept in 2017, he says he receives a daily request from someone around the world to use the device. The plastic sarcophagus should eventually be able to be 3D printed by anyone who wants it. Nitschke: “We put the software online for free. There is also no patent on the design. I have no commercial motive whatsoever.’

Three questions

The third prototype was made in Rotterdam. ‘We will test on Monday whether everything works,’ says Nitschke. ‘We measure how the oxygen content goes back. And we measure the temperature, pure nitrogen is very cold. It should feel like a cool breeze. I also lie down in it myself – with oxygen in my nose – to experience the sensation.’

It’s an end he says is similar to death when cabin pressure suddenly drops on an airplane and you don’t grab the oxygen mask fast enough. ‘From people who have survived that, we know it gives a slightly euphoric and confused feeling. It doesn’t feel like suffocation. You just fall away.

He plans to test the device on people in Switzerland. There, there is no ban on assisted suicide, as there is in the Netherlands. ‘

We think it should succeed legally, hopefully this year. All you have to do as a patient is answer three questions to determine your presence of mind. Who are you? Where are you? And do you know what happens when you push the red button?’

After that, Nitschke says. ‘You can place the Sarco anywhere, for example overlooking Lake Geneva. You lie down, close the flap, wave a bit more and then press the button.

Doctor Death

Doctor Death

How an Australian came up with the idea of a suicide capsule

Philip Nitschke, who says he has watched more than 200 people die, says he rarely thinks about his own death.

When asked what a last day should be like, he thinks long and hard. In the best case scenario, Nitschke says, he would be sitting on a hill in the Australian outback with a bottle of beer, his last meal would be Thai food.

He would watch the sunset, and when it was time, he would climb into the capsule. Then he would press the button, and after a few minutes it would be over. “Beautiful, isn’t it?” says Nitschke. 

Nitschke, 74, a man with a soothing voice, is a former doctor who sicb for the right to euthanasia. The British newspaper The Independent once called him “Dr. Death.”

He describes himself as a humanist and inventor. You can talk to Nitschke on the phone and he will tell you about his latest invention, the “Sarco”.

The Sarco is a suicide capsule. It looks like the cockpit of a Tesla, and its sole purpose is to kill the occupant. 

The Sarco consists of two parts: a generator as a base and an attachment in which the suicidal person sits down. The interior looks cozy, there are soft cushions and a touch screen in it.

When someone sits down in the cockpit, three questions appear on the screen: Who are you? Where are you? Do you know what happens when you press the button?

If the person answers the first two questions correctly and the third one in the affirmative, they can driick on another button. Then the capsule closes, like a jet before takeoff. 

Death occurs by hypoxia. The generator produces nitrogen, the nitrogen displaces the oxygen in the capsule, and after 30 seconds you lose consciousness. After five minutes at the latest, you are dead.  “No yuk” factor, Nitschke says.

Nitschke comes from Ardrossan, a town of 1,000 people in southern Australia.

Like many young men, he spent several years searching for meaning in his life, he says. Before Nitschke turned to death, he was a cab driver and a ranger in a national park.

At that time, he was not yet campaigning for euthanasia, but for the rights of the Australian aborigines. Nitschke says his time with the Aborigines awakened his need for freedom. 

His commitment to assisted suicide began after medical school, and Nitschke worked as a general practitioner. He says he was surprised by how many of his patients expressed a wish to die.

Terminally ill patients, but also healthy ones. Nitschke doesn’t want to go into too much detail. He says he “helped” some of them.

In Australia, euthanasia is prohibited. The authorities revoked Nitschke’s license to practice medicine in 2014 [Editor’s note – an act which the Supreme Court of the Northern Territory would later find to be unlawful and would immediately reverse], and he and his wife moved to the Netherlands, where assisted suicide is legal under strict conditions.

He became a full-time activist and wrote a book called “Peaceful Pill Handbook.” It explains many ways to kill yourself, from pill overdoses to carbon monoxide poisoning to pulling a plastic bag over your head.

When you talk to Nitschke, he seems less like a freedom fighter and more like someone who wants to be a visionary. Someone with a groundbreaking !idea, like Elon Musk or Jeff Bezos.

The inventors of Tesla and Amazon like to portray themselves as humanitarians, as philanthropists, like Nitschke. They promise to make the world a little easier and better. But most of the time, you get the impression that they’re more concerned with themselves.

That they really only want to fly into space with their rockets to make their mark in the history books.

Nitschke has many opponents; he is very controversial even among death activists. Some accuse him of aestheticizing death with the futuristic design of the Sarco.

Others say that if suicide were to become legal, it should take place with professional assistance and not in isolation in a plastic capsule from a 3-D printer. Nitschke is convinced of himself and of Sarco.

Listening to him, you sometimes think he hasn’t invented a suicide machine, but his own little rocket. Just like Musk and Bezos. 

Nitschke says he didn’t invent the Sarco to make money with it. He is concerned with his idea. He hopes for the liberalization of euthanasia in Europe, especially in Germany. The Sarco is not yet approved anywhere in the world.

But in 2020, the Federal Constitutional Court in Karlsruhe annulled an article in the Criminal Code that criminalized “businesslike promotion of the suicide of others.” The Bundestag must now find a new regulation. That gives Nitschke hope.

Peaceful Pill eHandbook February Sarco Update

Peaceful Pill eHandbook February Sarco Update

The Peaceful Pill eHandbook – 2022 Essentials Edition features a revised Chapter on Sarco that details all the reader needs to know, both now and for the coming year.

The Sarco Chapter answers the criticisms/ questions that have arisen in the mainstream media over recent months. Especially since the story of Sarco’s so-called ‘approval’ in Switzerland went viral in the global media.

The Sarco is an exciting, futuristic project that needs to be contemplated and understood before firm conclusions can be drawn.

In the Peaceful Pill eHandbookEssentials Edition, one can read how Exit expects the Sarco to be used in Switzerland later this year.

More information about the Sarco can be found at Sarco.design

Read the Sarco Blog

Suicide capsule ready for test phase in Switzerland

Suicide capsule ready for test phase in Switzerland

Trouw Newspaper – the Netherlands

People who want euthanasia in Switzerland could soon do so with a new method: they can take a seat in a 3-D printed capsule that, according to the maker, can painlessly end someone’s life in a few minutes.

Trials with the Sarco will start in early 2022, with real participants trying the device, Philip Nitschke, the maker of the capsule, told The Washington Post.

At the touch of a button, the capsule is filled with nitrogen gas, causing the oxygen content to drop rapidly.

The user becomes unconscious within a minute, experiences no distress, but dies from lack of oxygen after falling asleep.

Nitschke describes the capsule as a “stylish and elegant” way to die, as the user can choose where it will be placed.

A legal analysis, requested by Nitschke through his nonprofit Exit International, shows that the use of the capsule does not violate Swiss assisted suicide laws. According to those laws, anyone can assist in suicide, as long as it is not done for ‘selfish motives’. In addition, people must be mentally competent, which is usually determined by a psychiatrist. And they must ultimately take the final step that leads to their death.

The machine has also been criticized. Daniel Sulmasy, director of the Kennedy Institute of Ethics at Georgetown University, says the almost luxury car-like design “glorifies suicide.” But Nitschke insists that use of the capsule is responsible. In fact, he likes Sarco so much that he will eventually use it himself.

In the works for years, a suicide machine will soon be tested in Switzerland

In the works for years, a suicide machine will soon be tested in Switzerland

By Julian Mark December 9, 2021 at 7:25 a.m. EST
 
 People wishing to end their lives in Switzerland — one of a handful of countries that give the option — could soon have access to a new method: a 3-D-printed pod that its creator says can painlessly end someone’s life in a matter of minutes.
 
Real-life participants will start trying the coffin-like “Sarco” during trials set to begin in early 2022, the capsule’s creator, Philip Nitschke, told The Washington Post this week.

A legal analysis commissioned by his nonprofit, Exit International, recently concluded that use of the pod will not violate Switzerland’s assisted suicide laws, he said.

At the push of a button, the pod becomes filled with nitrogen gas, which rapidly lowers oxygen levels, causing its user to fall unconscious within a minute, Nitschke said.

A person does not suffocate or experience distress, he said, but rather dies of oxygen deprivation after they’ve fallen asleep.

In theory, the capsule can be towed to a place of someone’s choosing, said Nitschke, who described the machine as a “stylish and elegant” way to die.
 
“It provides that sense of occasion by its look,” Nitschke said. “It looks good, and it’s a thing that I would like to get into.”

But since Nitschke introduced the concept four years ago, it has been met with varying degrees of bewilderment and condemnation, with some critics arguing the Sarco’s appearance is one of its biggest problems.

Daniel Sulmasy, the director of the Kennedy Institute of Ethics at Georgetown University, said the capsule’s sleek, almost luxury-car-like design “glamorizes suicide.”

He also said he takes issue with Nitschke’s plan to post the 3-D printing instructions online, noting that it could lead to suicide contagion — a phenomenon in which hearing about suicide can lead to more people dying that way.
 
“That’s a real worry … that a machine like this glamorizes suicide and makes it easier for people who are vulnerable and mentally ill,” Sulmasy told The Post.

 Even those who support assisted suicide say they have concerns. In an opinion piece published this week in the Independent, Stephen Duckworth, a disability advocate who says he believes in the right to assisted dying, wrote that he is “appalled” by the Sarco.
 
“Safety should always be at the forefront of any efforts to enable greater choice at the end of life, and there are serious safety concerns here,” Duckworth wrote.

“What if it is accessed by someone not in their right mind? Or a child? Or if it is used to abuse others? What if it doesn’t result in immediate or peaceful death and the individual is left alone without any recourse to call for help? I could go on and on.”
 
Nitschke argues that the pod is safe and will deliver painless deaths — and he expects no surprises during the trials that will be held at a Swiss clinic for assisted suicide, using about a half-dozen volunteers. “We’ll be comfortable after we have the first few” successful trials, he said.
 
Responding to criticism about suicide contagion, Nitschke said Exit International will print the Sarco’s plans in a book his nonprofit distributes with methods on assisted dying, which is restricted to people over the age of 50 who are “of sound mind or seriously ill.”

“Not saying it will always protect everyone,” he said, “but we want the information freely available to rational adults.”
 
Euthanasia and assisted suicide are legal in only a handful of countries. In the United States, 10 states and the District of Columbia allow medically assisted suicide for terminally ill, mentally capable adults with a prognosis of six months or less to live, The Post reported.

In Colombia, where euthanasia has been decriminalized since 1997, officials abruptly halted the procedure of a woman suffering from a debilitating disease, arguing that her condition had improved too much for her to legally undergo the process, The Post reported in October.

She was ready to die. Now an 11th-hour decision by health officials has halted her euthanasia bid.

While countries like the Netherlands and Belgium permit assisted suicide for patients with unbearable physical or psychological suffering, Switzerland has no such requirements written into its law, according to the British Medical Association.
 
Per Swiss law, anyone can assist in a suicide, so long as it is not performed for “selfish motives,” meaning it is illegal to assist out of malice or for profit.

Moreover, people choosing to end their lives must be mentally competent — a determination typically made by a psychiatrist — and must ultimately initiate the final step leading to their deaths.
 
The law, in effect since the early ’40s, has allowed a handful of assisted suicide clinics to operate in the country, and has led to an increasing number of “suicide tourists” who visit the country to end their lives. “People come into Switzerland every day to die,” Nitschke said.

Those assisted suicides are typically administered via the injection of a barbiturate, prescribed by doctors, that will cause a person to lose consciousness and die relatively peacefully.

Yet many doctors are loath to prescribe the medication to people who are not sick, Nitschke said, and he argues that there are categories of people — such as elderly individuals who are “tired of life” — who want the assistance.
 
That is one of the reasons Nitschke has introduced the Sarco. Because the capsule does not administer drugs, it takes some of the decision-making power away from the medical establishment.
 
Daniel Hürlimann, a law professor at the University of St. Gallen in Switzerland, conducted the legal assessment for Exit International’s use of the Sarco.

He told The Post that while Swiss law “does not explicitly authorize the use of Sarco, it simply does not regulate it and thus does not prohibit it.” That assessment was good enough for Nitschke.

“It’s taken quite a while to get it into a final designed and manufactured form,” he said of the machine. “But we’ve done that now, and we’re at the stage now where it needs to be trialed.”

Nitschke said he likes Sarco so much he may ultimately use it himself, and added that death should not “be shrouded by misery and gloom” but rather a moment of “celebration.”
 
Sulmasy, the ethicist, sharply disagreed. “Death can sometimes be very welcome for people, but it should never be anything we celebrate,” he said.

“We’re always losing a unique, special human being, whenever any one of us dies.”

Sarco aims to take assisted dying out of doctors’ hands with AI & 3D printing

Sarco aims to take assisted dying out of doctors’ hands with AI & 3D printing

 
By Tom Bateman  •  Updated: 09/12/2021 – 12:48
 
A 3D-printed “suicide capsule” has passed a legal review in Switzerland, potentially clearing the way for the technology to be put into use in the country’s legal assisted suicide clinics.

The Sarco capsule’s creator, Dr. Philip Nitschke, told Euronews Next that his aim was to allow anyone to download the design and print it themselves.

In the future, an AI screening process will allow Nitschke’s assisted dying advocacy organisation, Exit International, to “demedicalise” the dying process by removing the need for medical professionals to be involved, he said.

He told Euronews Next that an Exit International-commissioned review carried out by Swiss legal academic Professor Daniel Hürlimann had confirmed that the Sarco did not break any regulations governing medical products, narcotics, dangerous chemicals or weapons.

The review also concluded that “assisting the suicide of a competent person by means of Sarco does not constitute an offence under the Criminal Code,” Hürlimann told Euronews Next via email.

“The review commissioned reassured us that there were no legal issues that we were missing and that – from a Swiss legal viewpoint – that is no problem either with the use of Sarco at a euthanasia clinic, or by a Swiss individual who wishes to print and use the machine themselves,” Nitschke said.

The organisation aims to offer the Sarco to users in Switzerland early next year.

What is Sarco?

The Sarco capsule can only be operated from the inside. Users will be able to press a button, blink or gesture to release nitrogen gas that induces a state of hypoxia and eventually, death.

Prototype versions of the Sarco have been exhibited at museums and art galleries in the Netherlands and GermanyExit International

It also features an emergency stop button and an escape hatch, according to a video featuring its designer Alexander Bannink.

Exit International does not plan to offer Sarco for sale, choosing instead to distribute the design to people who will have to 3D print it themselves, as well as working with assisted suicide clinics in Switzerland.

Providing the design alone could also help Exit International avoid legal trouble in the vast majority of countries where assisted suicide remains against the law.

“If you make something by hand, which we normally do, you can be held accountable because you are helping someone in dying,” Bannink said.

“Legal use of a machine we have produced is not possible in countries other than Switzerland,” said Nitschke.

Philip Nitschke – nicknamed ‘Dr Death’ – has advocated for assisted dying since the early 1990s

While in theory anyone could print the Sarco, Exit International will not provide the blueprints to anyone aged under 50 years old, and even once printed access to the capsule will remain restricted, according to information on the organisation’s website.

Democratising death

Nitschke has a long history of advocating for the right to die, even running for political office in his native Australia on a platform of euthanasia reform.

In 1996, he became the first medical doctor to legally administer a voluntary lethal injection, using a self-designed machine that allowed the man, a prostate cancer patient named Bob Dent, to press a button on a laptop by his bedside to deliver the drugs.

“The main issue is one of control,” Nitschke said. When Australia’s Northern Territory briefly legalised assisted dying from 1996 to 1997, the law still required a doctor to consent to the procedure.

PHOTO: DAVID HANCOCK/AFP

“This caused problems, for example with couples who had been together all their lives, when one became sick and their partner said they wished to die at the same time,” Nitschke said.

“It really is about democratising the dying process. We consider it a right for all rational adults to be able to divest themselves of their life, it is not just some privilege decided by others that can be granted to the very sick”.

But Nitschke and Exit International’s direct approach has raised concerns among Switzerland’s big players in assisted suicide.

The non-profit organisation Dignitas told Euronews Next that it doubted the Sarco’s do-it-yourself method would find acceptance in Switzerland, which has a 35-year history of non-profits and doctors working together to help facilitate assisted suicides.

Established organisations also understand the legal framework of assisted dying in Switzerland, which required every death, voluntary or not, to be reported to the authorities for investigation, Dignitas said.

“This practice is approved, and supported by the vast majority of the public and politics,” the organisation said.

“In the light of this established, safe and professionally supported practice, we would not imagine that a technologised capsule for a self-determined end of life will meet much acceptance and/or interest in Switzerland”.

However, a 2017 report by UK campaign organisation Dignity in Dying found that following the established route might be out of reach for many, putting the average cost of an assisted death in Switzerland for a UK resident at almost €12,000.

Screening by software

In order to fully remove outside intervention from the assisted dying process, Nitschke has suggested in a recent interview with news site Swissinfo that Sarco would use AI to screen users before granting access to the capsule.

“Our aim is to develop an artificial intelligence screening system to establish the person’s mental capacity. Naturally there is a lot of scepticism, especially on the part of psychiatrists. But our original conceptual idea is that the person would do an online test and receive a code to access the Sarco,” he said.

While assisted suicide is legal in Switzerland, the current process requires the participation of medical professionals who prescribe the drugs used in the process and carry out psychological checks.

“The proposed AI review to remove this medical involvement is part of the next stage in the Sarco project,” Nitschke told Euronews Next.

‘A black box’

The potential involvement of artificial intelligence in Sarco has rung alarm bells at Algorithmwatch, a non-profit organisation that researches the impact of automation technologies.

“This clearly ignores the fact that technology itself is never neutral: It is developed, tested, deployed, and used by human beings, and in the case of so-called Artificial Intelligence systems, typically relies on data of the past,” said Algorithmwatch policy & advocacy lead Angela Müller.

“Relying on them, I fear, would rather undermine than enhance our autonomy, since the way they reach their decisions will not only be a black box to us but may also cement existing inequalities and biases,” she told Euronews Next.

It’s possible that the debate over AI will remain academic.

While Nitschke plans to make the Sarco capsule available in Switzerland next year, the software required will not be ready in time.

“In the early stages of Sarco use in Switzerland we will be ensuring that all people choosing this option have had a thorough review by Swiss medical professionals to remove any possible question over their capacity. We have the support of Swiss psychiatrists to provide this service,” he said.

“As the AI screening is further developed we hope to run dual testing of subjects using medical services and the AI software screen so that the efficacy of the AI program can be established,” he added.

Assisted suicide pod approved for use in Switzerland

Assisted suicide pod approved for use in Switzerland

“The person will get into the capsule and lie down. It’s very comfortable. They will be asked a number of questions and when they have answered, they may press the button inside the capsule activating the mechanism in their own time.”

By Joseph Guzman

A 3D-printed, coffin-like pod developed to carry out assisted suicide may soon begin legally operating in Switzerland, according to local media reports. 

Assisted suicide is legal in some countries under certain circumstances, including in the Netherlands, Germany, Belgium, Spain, Canada and Switzerland. Most countries where assisted suicide is legal require people to have an incurable or terminal illness. 

According to news outlet Swiss Info, a member of the Swiss Broadcasting Corporation, the suicide pod, dubbed the Sarco machine, cleared legal review in the country and could start operating some time next year. 

The Sarco machine has been developed by international nonprofit organization Exit International, which advocates for voluntary euthanasia and assisted suicide. 

While assisted suicides in the country typically involve the ingestion of liquid sodium pentobarbital, the capsule offers users a peaceful death without the use of controlled substances, Philip Nitschke, found of Exit International, says. 

“The person will get into the capsule and lie down. It’s very comfortable. They will be asked a number of questions and when they have answered, they may press the button inside the capsule activating the mechanism in their own time,” Nitschke told Swiss Info in an interview. 

Nitschke explained the pod will then start the process of flooding the inside with nitrogen, which will reduce the oxygen level from 21 percent to 1 percent. He said the person will feel disoriented and slightly euphoric before losing consciousness. 

“The whole thing takes about 30 seconds. Death takes place through hypoxia and hypocapnia, oxygen and carbon dioxide deprivation, respectively. There is no panic, no choking feeling,” he told the news outlet. 

The pod can be towed anywhere for the death, according to Nitschke, including “an idyllic outdoor setting or in the premises of an assisted-suicide organization, for example.” 

Exit International is hoping to eventually use artificial intelligence in a screening system to establish a user’s mental capacity. The organization says it wants to “remove any kind of psychiatric review from the process and allow the individual to control the method themselves.” 

Nitschke said two prototypes have been developed so far with hopes for a third in Switzerland by next year. 

Assisted-Suicide Chamber Heads to Switzerland

Assisted-Suicide Chamber Heads to Switzerland

The chamber allows patients to kill themselves at the press of a button.

Switzerland is one of a handful of countries that supports physician-assisted suicide. However, one company wants to take the doctors out of the process and allow patients to kill themselves at the push of a button.

Exit International, a nonprofit dedicated to assisted suicide advocacy, has developed a 3D-printed suicide chamber dubbed Sarco, according the Swiss Broadcasting Corporation (SBC).

The capsule just recently cleared legal regulatory approval in Switzerland, and is set to launch in the country as soon as next year.

Sarco allows patients to lay comfortably inside. When they’re ready to die, they press a button that fills the chamber with nitrogen gas, resulting in what the nonprofit says will be a painless death via oxygen deprivation with 30 seconds.

“There is no panic, no choking feeling,” Dr. Philip Nitschke, founder of Exit International, told the SBC.  

The chamber can be transported to different locations, too, allowing patients to choose where they might want to die — such as a beach, forest, or their own home.

While the thought of an honest-to-god suicide booth is fascinating in its own right — and evokes numerous touchpoints in popular culture — perhaps the most eyebrow-raising part is the company’s goal of de-medicalizing the suicide process.

In order to obtain a medically assisted suicide in Switzerland, you currently need to have a doctor confirm your mental capacity and then prescribe you liquid sodium pentobarbital, a drug can kill you in two to five minutes. 

However, Exit International wants to create an AI-powered online mental capacity test. If you “pass,” it gives you a code that allows you to access Sarco. That’s still in the conceptual stages, though.

“We want to remove any kind of psychiatric review from the process and allow the individual to control the method themselves,” Nitschke told the broadcaster.

Assisted suicide and euthanasia are still incredibly controversial issues. While some might bristle at the Sarco suicide capsule, it’ll give folks a new option to go out on their own terms — and, at the end of life, that’s a compelling concept.

Controversial Assisted Suicide Pod Cleared for Use in Switzerland

Controversial Assisted Suicide Pod Cleared for Use in Switzerland

The unit helps a patient painlessly end their life by flooding the chamber with nitrogen.
By Tom McKay

Assisted suicide booths, a longtime fixture of sci-fi, may soon be a thing in Switzerland. Swiss outlets report that the manufacturer of a 3D-printed assisted suicide pod called the Sarco capsule has received legal approval to be used by the public.

Switzerland has few legal barriers to physician-assisted suicide and it has become an accepted practice, with hundreds of people (most often those with a terminal illness) choosing to end their lives via that method each year.

Several other European countries, including Belgium, Germany, Luxembourg, and the Netherlands have similar policies in place, while some of their neighbors accept other practices such as passive euthanasia or withdrawal of life-sustaining treatment in certain circumstances.

In physician-assisted suicide, a patient chooses to die with the help of a medical professional, which often means simply writing a prescription for a lethal drug. During euthanasia, a medical provider uses active means to painlessly end a patient’s life, and passive euthanasia or withdrawal treatment both involve cessation of medical interventions that prolong the life of the patient.

According to SwissInfo, inventor Dr. Philip Nitschke of Australia-based international nonprofit Exit International says that the Sarco “death capsule” is “activated from the inside by the person intending to die” and can be towed anywhere, such as “an idyllic outdoor setting or in the premises of an assisted suicide organisation, for example.” He added that the device is designed with comfort in mind.

“The capsule is sitting on a piece of equipment that will flood the interior with nitrogen, rapidly reducing the oxygen level to 1 per cent from 21 per cent in about 30 seconds,” Nitschke told SwissInfo. “The person will feel a little disoriented and may feel slightly euphoric before they lose consciousness. Death takes place through hypoxia and hypocapnia, oxygen and carbon dioxide deprivation, respectively. There is no panic, no choking feeling.”

Nitschke added that death usually follows unconsciousness in such a setting after around five to ten minutes.

In 2020, he told the site, Exit International asked for “senior advice” on the legality of using the device in Switzerland by the country’s medical review board, and the organization recently learned there are no legal issues standing in the way of the device’s rollout.

The first and second prototypes are respectively on display in a museum and not “aesthetically pleasing,” Nitschke added, so “barring any unforeseen difficulties” the first operational unit won’t be rolled out (with the aid of a local organization) in Switzerland until 2022.

Some features, such as a camera necessary for communication and recording informed consent, still need to be implemented.

Nitschke told SwissInfo that, eventually, Exit International plans to develop ways for the process to be carried out without the requirement that a doctor be present for psychiatric review. 

“Our aim is to develop an artificial intelligence screening system to establish the person’s mental capacity,” Nitschke told the site. “Naturally there is a lot of skepticism, especially on the part of psychiatrists. But our original conceptual idea is that the person would do an online test and receive a code to access the Sarco.”

Critics of the Sarco device say that it runs contradictory to medical ethics. Dr. Daniel Sumalsy, a professor of biomedical ethics at Georgetown University and opponent of assisted suicide, told Newsweek in 2017 that “it’s bad medicine, ethics, and bad public policy. It converts killing into a form of healing and doesn’t acknowledge that we can now do more for symptoms through palliative than ever before.”

In Switzerland, according to the Guardian, the law only prohibits physician-assisted suicide when it is done with self-motives, meaning that it is typically done with the assistance of non-profit organizations.

In 2020, the Daily Beast wrote, some 1,300 assisted suicides were carried out in Switzerland.

According to Business Insider, statistics show that from 2019 to 2020 in the Netherlands, euthanasia rates increased by 9% to 6,938 procedures.

Regional Euthanasia Review Committees chair Jeroen Recourt told Dutch paper Trouw such figures were “part of a larger development.

More and more generations see euthanasia as a solution for unbearable suffering.

But the thought that euthanasia is an option in the case of hopeless suffering is very reassuring.”

Sarco Passes Legal Review for Use in Switzerland

Sarco Passes Legal Review for Use in Switzerland

According to Swiss law experts, the Sarco suicide capsule ‘passes legal review’ in Switzerland.

A 3D-printed capsule, destined for use in assisted suicide, may legally be operated in Switzerland, according to advice obtained by Exit International, the organisation that developed the ‘Sarco’ machine.

Some 1,300 people died by assisted suicide in Switzerland in 2020 using the services of the country’s two largest assisted suicide organisations, Exit (no connection to Exit International) and Dignitas. The method currently in use is ingestion of liquid sodium pentobarbital.

After taking the drug, the person will fall asleep within two to five minutes before slipping into a deep coma, followed soon afterwards by death. Sarco offers a different approach for a peaceful death, without the need for controlled substances.

Sarco suicide capsule ‘passes legal review’ in Switzerland

The Interview

SWI swissinfo.ch spoke to Dr Philip Nitschke, founder of Australia-registered Exit International, about his innovation, the coffin-like Sarco capsule, and what place he expects it will have in the Swiss assisted dying sector.

SWI swissinfo.ch: What is Sarco and how does it work?

Philip Nitschke: It’s a 3-D printed capsule, activated from the inside by the person intending to die. The machine can be towed anywhere for the death. It can be in an idyllic outdoor setting or in the premises of an assisted suicide organisation, for example.

The person will get into the capsule and lie down.  It’s very comfortable. They will be asked a number of questions and when they have answered, they may press the button inside the capsule activating the mechanism in their own time.

The capsule is sitting on a piece of equipment that will flood the interior with nitrogen, rapidly reducing the oxygen level to 1 per cent from 21 per cent. The person will feel a little disoriented and may feel slightly euphoric before they lose consciousness. The whole thing takes about 30 seconds. Death takes place through hypoxia and hypocapnia, oxygen and carbon dioxide deprivation, respectively. There is no panic, no choking feeling.

SWI swissinfo.ch: What stage are you at in developing the machine and making it available for use?

P.N.: Last year, we sought senior advice on the legality of using Sarco in Switzerland for assisted dying and were pleased when the Sarco suicide capsule ‘passes legal review’ in Switzerland. This review has been completed and we’re very pleased with the result which found that we hadn’t overlooked anything. There are no legal issues at all.

There are two Sarco prototypes in existence so far, and the third Sarco is now being printed in the Netherlands. If all goes well, the third machine should be ready for operation in Switzerland in 2022.

The first Sarco is being displayed at the Museum for Sepulchral Culture in Kassel, Germany from September 2021 to February 2022. The second turned out not to be aesthetically pleasing. For that and various other reasons it’s not the best one to use.

Several of Sarco’s supplementary projects have been delayed due to the [Covid-19] pandemic. For instance, the development of a camera that allows the person to communicate with the people outside. There needs to be a recording of the person’s informed consent. This has been commissioned and the next step is to get it manufactured.

Sarco suicide capsule ‘passes legal review’ in Switzerland

Sarco

SWI swissinfo.ch: Your stated goal is to de-medicalise the dying process. What does that entail?

P.N.: Currently a doctor or doctors need to be involved to prescribe the sodium pentobarbital and to confirm the person’s mental capacity. We want to remove any kind of psychiatric review from the process and allow the individual to control the method themselves.

Our aim is to develop an artificial intelligence screening system to establish the person’s mental capacity. Naturally there is a lot of scepticism, especially on the part of psychiatrists. But our original conceptual idea is that the person would do an online test and receive a code to access the Sarco.

SWI swissinfo.ch: You are based in the Netherlands. How will you potentially enter the Swiss market?

P.N.: We have been talking with various groups in Switzerland, including those we have worked with before on individual assisted suicide cases, with a view to providing Sarco for use in the country. This would be in collaboration with a local organisation.

Barring any unforeseen difficulties, we hope to be ready to make Sarco available for use in Switzerland next year. It’s been a very expensive project so far but we think we’re pretty close to implementation now.

Sarco Opens in New Exhibition

Sarco Opens in New Exhibition

Sarco is now on display in a new exhibition at the Museum for Sepulchral Culture in Kassel Germany until February 2022.

The Museum for Sepulchral Culture is the only independent institution committed exclusively to cultural and scientific standards that deals with the entire spectrum of the so-called ‘Last Things’, and dedicated to the issues of dying, death, burial, mourning and remembrance.

The mission statement of the Musuem is that ‘through enlightenment, consultation and mediation’ in exhibitions etc.there is ‘the opportunity for a conscious examination of death’.

The Exhibition is titled – Suizid: Let’s talk about it

Of this Exhibition, the Museum says:

Suicide and suicidality are common, but kept silent and stigmatized topics in society. The exhibition presents information, suggestions, challenges and opportunities that reflect a social and personal approach to suicide. With a view to the history of art and culture, humanities and social sciences, and medicine, but above all to the here and now, our goal is to promote public communication on suicide

Website: https://www.sepulkralmuseum.de/EN/exhibitions/special-exhibitions

Sarco@Museum for Sepulchral Culture

From September 2021, Sarco could be found on display at the Museum for Sepulchral Culture in Kassel, Germany.

The Museum for Sepulchral Culture is a cultural institution of national importance since 1992. It says it is the only institution in the world that is committed exclusively to cultural and scientific standards and deals with death in all its facets.

The museum claims to offer special opportunities to explore, contextualise and communicate these processes.

SUIZID: Let’s Talk About It Exhibition: 10 Sept 2021 – 27 Feb 2022

The Sarco was removed from this exhibition at the request of Exit following universally negative public commentary by the curators and patrons of the Museum.

The museum’s visitors came overwhelmingly from the suicide prevention side of the disciplines of psychiatry, social work and psychology.

Disappointingly, this exhibition (which launched on World Suicide Prevention Day) was curated from the perspective of the traditional medical discourse of universal prevention, than an open-minded dialogue about a person’s right to self-determination at the end of life. Unfortunately, this approach was not made clear to Exit at the time that the invitation.

Sarco is more than a gimmick and should be treated as such.

Opening Night – 10 September 2021

Sarco on display

Gone are the days of a quick entry: masks & covid health passes in hand

Philip Nitschke with Sarco

Listening to the speeches from the overflow room on the Museum terrace Sarco on display

Day of the Dead Dogs in the Museum gift store

The Printable Coffin of ‘Doctor Death’

The Printable Coffin of ‘Doctor Death’

The Printable Coffin of ‘Doctor Death’, the Australian Guru of Euthanasia

“It’s not for sale, but anyone can print it out at home and assemble it by following the instructions,” says Nitschke.

He presented it in 2019 at the Venice Biennale and several people, he says, have been interested from Spain in his futuristic sarcophagus to die.

“I was captivated by the civil disobedience and social activism that surrounded the death of Ramón Sampedro in 1998”

In the summer of 1996, Philip Nitschke became the first physician in the world to administer a lethal injection in the first ever case of assisted legal euthanasia.

Only four people from the Australian state of Northem Territory were eligible for the new law, which was repealed nine months later. “Against public opinion, the Australian Medical Association and the Church, it was my turn to make the law work,” confesses the 73-year-old activist.

“To do this, I invented the Deliverance machine, a software connected to the patient’s arm that allows him to self-administer lethal drugs into a vein using a computer-assisted procedure.”

That artifact is now on display in the London Science Museum as an engineering milestone in the fight for the right to a dignified death.

But it is not the only one.

The printable coffin of ‘Doctor Death’

Nitschke has spent the last three years creating Sarco (the printable coffin of Doctor Death), a revolutionary 3D printable coffin that provides a quick, painless and peaceful death.

“It is designed to lower the oxygen and CO2 levels inside the capsule, which ends up producing hypoxia, loss of consciousness and, ultimately, death,” explains its inventor.

“The sensation is similar to that generated by a sudden depressurization in an airplane: placid sleep, vertigo, disorientation and even euphoria.”

The printable coffin of Doctor Death, which was presented at the 2019 Venice Biennale, cost €300,000, part of which is being used to develop artificial intelligence software that analyzes the mental capacities of the occupants.

“It is not for sale, but anyone can print it at home and assemble it afterwards. You will be able to follow the instructions in the .

If all goes well, it will be used in Switzerland for the first time at the end of this year.”

Sarco was conceived as an “ethically and aesthetically effective alternative” to the suicide kits (such as the nitrogen bag) promoted by Exit International, the non-profit organization that Nitschke founded in 1997.

Because the machine is portable, it allows for the planning one’s death in a desired place: in the mountains, next to a lake or on a paradisiacal beach.

You can also choose a dark or transparent view.

The mission of this “object of artistic beauty”, exhibited at the Cube Design Museum in Limburg in the Netherlands in 2020 and at the Museum for Sepulkralkultur in Kassel Germany in 2021, is twofold: to minimize the agony (the process lasts five minutes) and to demedicalize the death process.

Many people found the practice of the plastic bag with gas repulsive.

Since Sarco does not require controlled drugs, it eliminates the need for a psychiatric evaluation and can be used in some countries without medical involvement.

And he adds: “The only way to control the coffin is from the inside, so it is not possible to kill someone with it.”

In his early days as a euthanasia guru, Nitschke sold nitrogen cylinders so that people could self-deliver, and he also helped them get Nembutal.

“Actually, this was not exactly the case.”

In the year 2000 I founded with a friend a company of accessories for brewing beer, one of my passions.

We do not commit any illegality, since nitrogen dispensing cylinders have multiple applications.

As for Nembutal, in my book, The Peaceful Pill Handbook (La Pildora Apacible – in Spanish), I offer detailed instructions on how to obtain it in countries such as Mexico and Peru, or via the internet.

The purchase of this drug without a prescription could be legal in South America, but not bringing it back to Europe.

I limit myself to providing that information, but what people do with it is their business.

The Nickname Dr Death

These practices at the limit of legality earned him the nickname of Doctor Death.

“At first it bothered me that they called me that, but then I appropriated it as a sign of identity.”

So much so that in 2015 at the Edinburgh Fringe Festival he had a comedy show about euthanasia titled ‘Dicing Dice with Dr. Death’.

Although Nitschke has taken many precautions to ensure the good practice of pro-euthanasia activism (such as thoroughly tracking of his patients and not selling his book to those under 50 years of age) he has been involved in various controversies, such as when he was linked to the assisted death of a 45-year-old man, Nigel Brayley, who was being investigated for two murder crimes.

“Nigel attended one of the Exit workshops and shared his anguish with me. He seemed knowledgeable and thorough.

When, in the wake of that case, I defended the right of a rational adult to suicide, the Australian Medical Board decided to disqualify me.

A court returned his medical license. The Medical Board demanded he remove his name from the cover of his book.

“That seemed unacceptable to me. So I burned my license and fled Australia in search of a more hospitable political environment.”

Since 2015 he lives in Ámsterdam.

“Here the debate goes beyond assisted death for sick people to more and encompasses what is known as a complete life”.

Healthy old people who do not want to continue in this world any more.

The digital version of The Peaceful Pill Handbook, the first volume was banned by the Australian authorities, the only Australian book to be banned in the last 50 years, is updated every month.

“We have recently included information on the new anti-covid helmets as an alternative to gas bags and the latest data on deaths from ‘Middel X’, a deadly powder without a prescription distributed among 20,000 members of a Dutch cooperative.

The Keys of Ramon Sanpedro

Nitschke does not hide the emotion he experienced in March this year when he learned that Spain was joining the exclusive club of the five countries (together with the Netherlands, Belgium, Luxembourg and Canada) that regulate Euthanasia.

“I was totally captivated by the social activism and civil disobedience that surrounded the death of Ramón Sampedro in 1998″, he tells me.

“In fact, Exit copied the strategy of the keys to his apartment distributed among several friends in the famous case of Nancy Crick in Australia.”

Doctor Death says that several people have been interested in Spain for its futuristic sarcophagus for euthanasia.

“With a bit of luck, Sarco will contribute to improve the conditions of people who, in a rational, free and informed way, decide to end their life.”

Hawaii Buys ‘30 Death Pods’

Hawaii Buys ‘30 Death Pods’

Did Hawaii Buy ‘Death Pods’ After Legalizing Physician-Assisted Death?

Following the Jan. 1, 2019, legalization of physician-assisted death in Hawaii, state leaders bought 30 “passing assistance pods.”

Snopes investigates this Facebook viral posting.

Read the full story at Snopes.

Sarco X near ready for Lift Off

Sarco X near ready for Lift Off

NEWS FLASH

Sarco X is almost ready for lift off.

Penultimate lab tests were conducted in the Netherlands on Friday 7 August 2020 & the results are in.

Sarco created an oxygen-free environment in less than one minute.

The oxygen inside the capsule plummeted rapidly from 21% to 0.4% in 50 seconds.

More news to follow as final tests are postponed yet again because of COVID-19!

 

Amsterdam Funeral Fair

Amsterdam Funeral Fair

The 3D-printed euthanasia device – the Sarco – was displayed for the first time at the Amsterdam Funeral Fair at the Westerkerk.

‘Sarco’ is short for sarcophagus.

At the Fair a laser cut wood model was revealed alongside a virtual reality (VR) demonstration which let attendees experience the pod in action.

The Sarco provides death by hypoxia, or low oxygen, and is designed to be portable.

It will come with a built-in detachable coffin and its inventors claim that a fully-functioning version will be built this year, after which the blueprints will be published in the Peaceful Pill eHandbook.

Amsterdam Funeral Fair

Philip Nitschke at Amsterdam Funeral Fair

Alexander Bannink explaining Sarco at the Amsterdam Funeral Fair