The "Palliative Care and Hospice Education and Training Act," bills H.R. 1676 and S. 693, were proposed in 2017 and viewed as noncontroversial. In July 2018, H.R. 1676 passed the House. The bill was then received in the Senate and transferred to the Health, Education, Labor and Pensions Committee, which was also considering S. 693.
A week later, the Office of the Inspector General for the U.S. Department of Health and Human Services (OIG) issued a portfolio highly critical of the Medicare hospice benefit. This alerted Dore to some of the bills' problems.
On May 29, 2018, Portugal’s parliament rejected a bill that would have legalized euthanasia. Prior to the vote, hundreds of people protested in front of the parliament building, carrying placards, including "Euthanasia is a recipe for elder abuse."
This prompted Nancy Elliott, Chair of the Euthanasia Prevention Coalition, to make the following statement: