Medical assistance in dying (MAiD) is a morally troubling issue insofar as a human life can be terminated at the hands of a physician. Does personal autonomy justify a right to MAiD? If so, then how and to what extent? If not, then why not? In attempting to resolve the question, many see the distinctions between killing and letting die, between requests and refusals, and between individual cases of MAiD and socially-sanctioned practices as crucial. How might one of these distinctions be employed to defend or contest a right of autonomous persons to MAiD?