A Story Idea Each Day for a Month — Day 14

This is the 15th year in a row I’ve run this series in April.

Today’s story idea: “Traveling to die: The latest form of medical tourism.”

In the 18 months after Francine Milano was diagnosed with a recurrence of the ovarian cancer she thought she’d beaten 20 years ago, she traveled twice from her home in Pennsylvania to Vermont. She went not to ski, hike, or leaf-peep, but to arrange to die.

“I really wanted to take control over how I left this world,” said the 61-year-old who lives in Lancaster. “I decided that this was an option for me.”

Dying with medical assistance wasn’t an option when Milano learned in early 2023 that her disease was incurable. At that point, she would have had to travel to Switzerland — or live in the District of Columbia or one of the 10 states where medical aid in dying was legal.

But Vermont lifted its residency requirement in May 2023, followed by Oregon two months later. (Montana effectively allows aid in dying through a 2009 court decision, but that ruling doesn’t spell out rules around residency. And though New York and California recently considered legislation that would allow out-of-staters to secure aid in dying, neither provision passed.)

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As in other states that allow what some call physician-assisted death or assisted suicide, Oregon and Vermont require patients to be assessed by two doctors. Patients must have less than six months to live, be mentally and cognitively sound, and be physically able to ingest the drugs to end their lives. Charts and records must be reviewed in the state; neglecting to do so constitutes practicing medicine out of state, which violates medical licensing requirements. For the same reason, the patients must be in the state for the initial exam, when they request the drugs, and when they ingest them.

This is a subject which will become even more topical as Baby Boomers continue to confront debilitating medical issues. In terms of the “why now” question asked about potential movie storylines, the growing subculture of “assisted death” would seem to answer that concern.

For a writer tackling a screenplay with this as the central conceit, a major concern would be to avoid melodrama. One way — perhaps the best way — is to lean into the characters. Discover a family with lots of internecine conflict and colorful individuals including the Protagonist who travels to a state where they can die with dignity.

There’s so much emotional and psychological terrain to explore: moral qualms, regrets, recriminations, reverie, imagining the future without the Protagonist, confessions, and on and on. With death looming, everything takes on heightened importance.

If it were me, I’d approach this story as a dramedy, using character-driven humor to balance out the drama … and avoid melodrama at all costs.

There’s my 14th story idea this month.

Previous articles in this year’s series:

Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Day 11
Day 12
Day 13

Here are links to previous series:

A Story Idea Each Day for a Month (2017)

A Story Idea Each Day for a Month (2018)

A Story Idea Each Day for a Month (2019)

A Story Idea Each Day for a Month (2020)

A Story Idea Each Day for a Month (2021)

A Story Idea Each Day for a Month (2022)

A Story Idea Each Day for a Month (2023)

A Story Idea Each Day for a Month (2024)

Note: The articles from 2010–2016 have corrupted URLs. I am in the process of cleaning those up.

Each day in April, I invite you to join me in comments to do some brainstorming. Take each day’s story idea and see what it can become when we play around with it. These are valuable skills for a writer to develop.

See you in RESPONSES to hear YOUR take on this story idea. And come back tomorrow for another Story Idea Each Day For A Month.