In this groundbreaking book, award-winning cultural anthropologist Anita Hannig brings us into the lives of ordinary Americans who go to extraordinary lengths to set the terms of their own death. Faced with a terminal diagnosis and unbearable suffering, they decide to seek medical assistance in dying—a legal option now available to one in five Americans. Drawing on five years of research on the frontlines of assisted dying, Hannig unearths the uniquely personal narratives masked by a polarized national debate. Among them are Ken, an irreverent ninety-year-old blues musician who invites his family to his death, dons his best clothes, and goes out singing; Derianna, a retired nurse and midwife who treks through Oregon and Washington to guide dying patients across life's threshold; and Bruce, a scrappy activist with Parkinson's disease who fights to expand access to the law, not knowing he would soon, in an unexpected twist of fate, become eligible himself. Lyrical and lucid, sensitive but never sentimental, tackles one of the most urgent social issues of our time: how to restore dignity and meaning to the dying process in the age of high-tech medicine. Meticulously researched and compassionately rendered, the book exposes the tight legal restrictions, frustrating barriers to access, and corrosive cultural stigma that can undermine someone's quest for an assisted death—and why they persist in achieving the departure they desire. will transform the way we think about agency and closure in the face of death. Its colorful characters remind us what we all stand to gain when we confront the hard—and yet ultimately liberating—truth of our mortality.