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In a unanimous decision, The Supreme Court Friday struck down as unconstitutional the nation’s contentious century-old law against assisted suicide.

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Most of the undergraduates Courtney Campbell teaches at Oregon State University have literally grown up with a law that lets doctors help the terminally ill kill themselves. And, he says, they don’t really understand the fuss around it.

“They wonder what’s wrong with all the other states in the United States … that don’t have something like this,” said the medical ethics expert. “It’s just become part of the landscape here. “

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The historic ruling opens the door to physician-assisted suicide for consenting, severely ill adults who want to control the method, timing and circumstances of their death.