I'm one of the earliest formally trained bioethicists in Canada, so I know the literature well. I've watched the pendulum swing around paternalism, and I have the greatest respect and gratitude for that. We should be free to make our own decisions.
Here's what it comes down to: I am free to kill myself. Why am I entitled to ask anyone else to do it for me? If you say we have to provide compassionate care and support, I know patients who bring their families to their homes with planned suicides, and they don't need a doctor to do it.
There's some sort of artificial claim here that when we bring a doctor in, it makes it better or prevents errors or all of these things. The paternalism here is saying you have to have a doctor to do it, but let me make this critical point: If you're not willing to kill yourself without a doctor helping you, that means the doctor is responsible for suicide inducement. It is facilitation.