To the Editor This letter is in reference to the recently published Editorial by Meier.1 Meier argues that the study by van den Berg et al2 demonstrates that euthanasia or physician-assisted suicide (EAS) is a “quick, easy, and inexpensive”1(p160) intervention offered in response to unbearable suffering attributable to multiple geriatric syndromes. Furthermore, absence of regulatory constraints to contain physician-assisted death may underscore real societal harms in the Netherlands.