Tallahassee Nonprofit Offers Alternative to Assisted Suicide

Five Wishes advance directive helps people plan end-of-life care before a health crisis

Feb. 22, 2026 at 10:03am

The article discusses the challenges faced at the end of life and argues that assisted suicide is not the answer. Instead, it highlights the Five Wishes advance directive program, a Tallahassee-based nonprofit that helps people plan their end-of-life care preferences before a health crisis occurs.

Why it matters

As more states and countries consider legalizing physician-assisted suicide, there are concerns that it could lead to discriminatory practices against vulnerable populations, such as those with disabilities. The Five Wishes program offers an alternative approach that allows individuals to express their preferences for care and maintain their dignity, even when a cure is not possible.

The details

The Five Wishes advance directive was introduced in Tallahassee nearly 30 years ago by the nonprofit Aging with Dignity. It has since become the most widely used advance directive in America, with more than 44 million documents distributed in 33 languages by thousands of partner organizations. The program allows individuals to express their preferences for care, including their wishes for medical treatment, personal care, and spiritual support, before a health crisis occurs.

  • The Five Wishes program was introduced in Tallahassee nearly 30 years ago, in the early 1990s.
  • The program has since become the most widely used advance directive in America, with more than 44 million documents distributed in 33 languages.

The players

Five Wishes

A Tallahassee-based program of the national nonprofit organization Aging with Dignity that helps people plan their end-of-life care preferences.

Aging with Dignity

The national nonprofit organization that introduced the Five Wishes advance directive program in Tallahassee nearly 30 years ago.

Paul Malley

The president of Five Wishes, the Tallahassee-based program of the national nonprofit organization Aging with Dignity.

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What they’re saying

“The challenges presented during times of serious illness often make people think of two options: pain or poison. Five Wishes offers a different path, where families can plan for care before a health crisis.”

— Paul Malley, President of Five Wishes

What’s next

The Five Wishes program continues to expand its reach, with the goal of helping more people plan their end-of-life care preferences before a health crisis occurs.

The takeaway

In the face of difficult end-of-life experiences, the Five Wishes program offers an alternative to assisted suicide by empowering individuals to express their preferences for care and maintain their dignity, even when a cure is not possible.