Since leaving her post with the hospice association in 2008, Ms. Jackson has worked as a consultant, helping private clients decide how, and whether, to end their lives. However, “one of the things I don’t often get is the outcome of the story,” she says. “I talk with people, but I don’t know whether they go ahead and use it, except in a very few cases. “What is most gratifying to me, and what is most important to me, is the fact that people are so grateful for having the knowledge and for having someone that they can talk to openly.” Ms. Jackson has found that, for every 25 people who qualify for physician-assisted suicide, only one goes through with it. The others benefit from knowing that, in the worst-case scenario, they have an option.