Rusty Martin sits for a portrait and has made the choice to go to Switzerland for doctor assisted suicide Friday, July 17, 2026 in Des Moines. He has stage 5 Alzheimer's disease and with the support of his wife is going through the process to get medical services that are not available to him in Iowa. These include mental assessments to determine if he is of sound mind to make these decisions.
Rusty Martin sits for a portrait and has made the choice to go to Switzerland for doctor assisted suicide Friday, July 17, 2026 in Des Moines. He has stage 5 Alzheimer's disease and with the support of his wife is going through the process to get medical services that are not available to him in Iowa. These include mental assessments to determine if he is of sound mind to make these decisions.
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Rusty Martin dies, leaving these final words for Iowans | Opinion

Editor’s note: Rusty Martin of Des Moines died Aug. 18 by taking medication prescribed by a doctor to end his life.  

I am writing this in Zurich, Switzerland, one of the most beautiful cities in the world.

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I do not want to be in a hotel room thousands of miles away. I want to be at my home in Des Moines.

I wish I was walking the streets I know so well. 

I wish I was biking the trails I’ve biked dozens of times.

I wish I was sitting at our dining room table, playing yet another game of cribbage with my wife.  

I wish I could look over at my cat, sitting by the window, waiting for me to take a nap with her.

I have Alzheimer’s, a terrible disease that is destroying my mind. To find a peaceful, dignified death, Iowa’s laws have forced me to leave my home.

The Iowa lawmakers who refuse to approve a right to die in Iowa are wrong, wrong, wrong.  

How I respond to this terrible fatal disease is not their decision to make. It is my decision, period.

They have no business sticking their noses into this deeply, deeply personal matter.  

They do not know better than me. In fact, they plainly do not understand my situation at all. 

Instead of respecting the wishes of people in situations like mine, they impose their own religious beliefs on us.  

I do not share those religious beliefs. That is my right as a U.S. citizen.

Iowa politicians are denying all of us the right to choose a dignified death at home.  

It is an outrage, and this morning, I am outraged.

If you aren’t outraged, can I ask what the heck are you thinking?  

Are you thinking you will never die?  

Are you certain your own death will be one in which you are surrounded by family and friends, gathered around you, tenderly reminiscing on all the good times you have shared?

I truly do wish that sort of death for you, but it is far from guaranteed.  

It is certainly not the sort of death that many, many Iowans experience, especially if they die from Alzheimer’s.

When it comes to making public policy, we must always be grounded in the real world, end of story.

Continuing to ignore the pain and loss of dignity found at many Iowa deathbeds is shameful, and it must be addressed.

Until our laws change, you and your families are also at risk of an unhappy, undignified death.

Iowans, demand the right to make decisions about your death, and the power to carry them out in an orderly, dignified manner.  

Don’t settle for anything less for yourself and those you love. 

On Nov. 3, vote for candidates who believe each of us has the right to the most dignified, peaceful death possible.

Rusty Martin

This article originally appeared on Des Moines Register: Rusty Martin dies, leaving these final words for Iowans | Opinion

Reporting by Rusty Martin, Guest columnist / Des Moines Register

USA TODAY Network via Reuters Connect

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By Rusty Martin, Guest columnist | USA TODAY Network

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