Skip to content

Epidaurus · Specialty

Going abroad for —

End-of-Life Services

Assisted dying, euthanasia, and palliative care services

The country comparison

Which countries are best for end-of-life services

The destinations ranked high→low under this lens — each with the reasoning behind its score, the cited evidence one click down, and its full report. The verdict is free; the report is the depth.

19 / 19 Countries ranked

Researched and assessed by the Epidaurus editorial pipeline against our published scale. A country below the rule is not yet assessed enough — never ranked last.

  1. 1 Germany DE 3.4/5 Moderate Averages 3.4 across 8 of end-of-life services's 8 factors assessed so far. The full Germany profile
    The shape of Germany across End-of-Life Services 3 subcategories
    • Assisted Dying 2.8 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  2. 2 Spain ES 3.3/5 Moderate Averages 3.3 across 8 of end-of-life services's 8 factors assessed so far. The full Spain profile
    The shape of Spain across End-of-Life Services 3 subcategories
    • Assisted Dying 2.8 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  3. 3 Colombia CO 3.1/5 Moderate Averages 3.1 across 8 of end-of-life services's 8 factors assessed so far. The full Colombia profile
    The shape of Colombia across End-of-Life Services 3 subcategories
    • Assisted Dying 3.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  4. 4 United States US 2.9/5 Moderate Averages 2.9 across 8 of end-of-life services's 8 factors assessed so far. The full United States profile
    The shape of United States across End-of-Life Services 3 subcategories
    • Assisted Dying 2.5 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  5. 5 Poland PL 2.3/5 Poor Averages 2.3 across 8 of end-of-life services's 8 factors assessed so far. The full Poland profile
    The shape of Poland across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  6. 6 Singapore SG 2.3/5 Poor Averages 2.3 across 8 of end-of-life services's 8 factors assessed so far. The full Singapore profile
    The shape of Singapore across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  7. 7 United Kingdom GB 2.3/5 Poor Averages 2.3 across 8 of end-of-life services's 8 factors assessed so far. The full United Kingdom profile
    The shape of United Kingdom across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  8. 8 Israel IL 2.1/5 Poor Averages 2.1 across 8 of end-of-life services's 8 factors assessed so far. The full Israel profile
    The shape of Israel across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  9. 9 Japan JP 2.1/5 Poor Averages 2.1 across 8 of end-of-life services's 8 factors assessed so far. The full Japan profile
    The shape of Japan across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  10. 10 South Korea KR 2.1/5 Poor Averages 2.1 across 8 of end-of-life services's 8 factors assessed so far. The full South Korea profile
    The shape of South Korea across End-of-Life Services 3 subcategories
    • Assisted Dying 1.3 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  11. 11 Thailand TH 2.1/5 Poor Averages 2.1 across 8 of end-of-life services's 8 factors assessed so far. The full Thailand profile
    The shape of Thailand across End-of-Life Services 3 subcategories
    • Assisted Dying 1.3 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  12. 12 Hungary HU 2.0/5 Poor Averages 2.0 across 8 of end-of-life services's 8 factors assessed so far. The full Hungary profile
    The shape of Hungary across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  13. 13 India IN 2.0/5 Poor Averages 2.0 across 8 of end-of-life services's 8 factors assessed so far. The full India profile
    The shape of India across End-of-Life Services 3 subcategories
    • Assisted Dying 1.3 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  14. 14 Malaysia MY 1.9/5 Poor Averages 1.9 across 8 of end-of-life services's 8 factors assessed so far. The full Malaysia profile
    The shape of Malaysia across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  15. 15 Turkey TR 1.9/5 Poor Averages 1.9 across 8 of end-of-life services's 8 factors assessed so far. The full Turkey profile
    The shape of Turkey across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  16. 16 Brazil BR 1.8/5 Poor Averages 1.8 across 8 of end-of-life services's 8 factors assessed so far. The full Brazil profile
    The shape of Brazil across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  17. 17 Mexico MX 1.8/5 Poor Averages 1.8 across 8 of end-of-life services's 8 factors assessed so far. The full Mexico profile
    The shape of Mexico across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  18. 18 United Arab Emirates AE 1.7/5 Poor Averages 1.7 across 8 of end-of-life services's 8 factors assessed so far. The full United Arab Emirates profile
    The shape of United Arab Emirates across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2
  19. 19 Jordan JO 1.6/5 Poor Averages 1.6 across 8 of end-of-life services's 8 factors assessed so far. The full Jordan profile
    The shape of Jordan across End-of-Life Services 3 subcategories
    • Assisted Dying 1.0 4/4
    • Palliative Care — 2/2
    • Support Services — 2/2

Where the choice turns

The factors that most separate the countries

A high average can hide the factor that actually decides your trip. These are the factors where the assessed countries sit furthest apart — open one to rank the whole field on it.

  1. Assisted Dying Legality Assisted Dying 1.0 4.5 3.5 spread · 19 countries
  2. End-of-Life Counseling Support Services 1.0 4.0 3.0 spread · 19 countries
  3. End-of-Life Cost Support Services 1.0 4.0 3.0 spread · 19 countries
  4. Assisted Dying Process Assisted Dying 1.0 3.5 2.5 spread · 19 countries
  5. Palliative Sedation Availability Palliative Care 2.0 4.5 2.5 spread · 19 countries

Drop into a single factor

The 8 factors behind this specialty

Want the comparison sharper than an average? Every factor opens onto its own worldwide country leaderboard. The figure beside each is how many of the 19 countries we have assessed on it.

Assisted Dying 4 factors

Palliative Care 2 factors

Support Services 2 factors

The reports

The full country reports under this lens

Each destination we have assessed has a full, cited report — the detailed analysis behind its score. The verdict is free; the report is the depth.

Clinics & providers

The clinics our research names

Named hospitals, clinics and centres cited across these findings — each carrying the specialties our reports record. Follow one to the reports behind it.

References

The sources behind these assessments

The distinct sources cited across these published reports — every finding carries its own citations; this is the union, each linking back to the reports that lean on it.

  1. Untitled source cejsh.icm.edu.pl/cejsh/element/bwmeta1.element.desklight-bca56f87-70fa-4eb5-8a1b-5ec27dcec296 Cited in Assisted Dying Process in Poland
  2. Untitled source ec.pcmc.swu.ac.th/Portals/2166/documents/form/dw-4/18.pdf Cited in Assisted Dying Organizations in Thailand
  3. Untitled source sil.gobernacion.gob.mx/Archivos/Documentos/2025/10/asun_4962885_20251029_1761684887.pdf Cited in Assisted Dying Foreigner Access in Mexico
  4. Untitled source www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0123-31222012000100002 Cited in Assisted Dying Legality in Mexico
  5. Untitled source www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1900-68962021000200024 Cited in Assisted Dying Legality in Mexico
  6. Untitled source www.snuh.org/global/en/about/newsView.do?bbs_no=6098 Cited in Assisted Dying Foreigner Access in South Korea, Assisted Dying Organizations in South Korea
  7. Untitled source www.snuh.org/global/en/find/findDeptView.do?hsp_code=1&dp_code=HP Cited in End-of-Life Cost in South Korea
  8. Untitled source aahpm.org/career-resources/professionals-in-training Cited in Palliative Care Quality in United States
  9. Untitled source aahpm.org/career-resources/subspecialty-certification Cited in Palliative Care Quality in United States
  10. Untitled source aahpm.org/issues/workforce Cited in Palliative Sedation Availability in United States
  11. Untitled source abcnews.go.com/Health/MindMoodNews/story?id=5481482 Cited in Assisted Dying Legality in Mexico, Assisted Dying Organizations in Mexico
  12. Untitled source abcnews.go.com/Health/MindMoodNews/story?id=5481482&page=1 Cited in Assisted Dying Foreigner Access in Mexico
  13. Untitled source abroadfunerals.com/understanding-funeral-costs-in-thailand-a-comprehensive-guide Cited in End-of-Life Cost in Thailand
  14. Untitled source aiofinancial.com/assisted-living-in-mexico Cited in End-of-Life Cost in Mexico
  15. Untitled source ajph.aphapublications.org/doi/full/10.2105/AJPH.2018.304767 Cited in Palliative Care Quality in Mexico, Palliative Sedation Availability in Mexico
  16. Untitled source allaboutlawyer.com/where-is-assisted-suicide-legal-world Cited in Assisted Dying Organizations in United Arab Emirates
  17. Untitled source allianceforcareathome.org/resource/facts-and-figures-report-2024-edition Cited in Palliative Care Quality in United States
  18. Untitled source allianceforcareathome.org/wp-content/uploads/2024/09/Facts-Figures-2024_FINAL.pdf Cited in End-of-Life Counseling in United States
  19. Untitled source allianceforcareathome.org/wp-content/uploads/BereavementCoPTip_Sheet.pdf Cited in End-of-Life Counseling in United States
  20. Untitled source anglosiamlegal.com/living-will-thailand Cited in Assisted Dying Foreigner Access in Thailand, Assisted Dying Organizations in Thailand, Assisted Dying Legality in Thailand
  21. Untitled source anthyesti.com/finding-affordable-cremation-services-for-your-loved-one-3 Cited in End-of-Life Cost in India
  22. Untitled source aphn.org/services/korean-society-for-hospice-and-palliative-care Cited in Palliative Care Quality in South Korea
  23. Untitled source aphn.org/services/thai-palliative-care-society Cited in End-of-Life Counseling in Thailand
  24. Untitled source apm.amegroups.org/article/view/28186/html Cited in Palliative Care Quality in United States

Explore the source archive →

In plain language

Start exploring the knowledge base

The field's shorthand our reports use, sized by how often it comes up. Follow any term to its full entry and the reports that use it.

For readers weighing this decision

Ways to read the evidence

The verdict is always free. A membership opens the full analysis and every cited source — this specialty, the whole library, or everything for good.

  • One specialty · annual

    End-of-Life Services

    $49.00 / year

    $49.00/year

    Every report in this specialty — full analysis and every cited source — as each is published.

    Take this specialty

  • Full library · annual

    The whole library

    $199.00 / year

    $199.00/year

    The complete evidence behind every finding in every specialty, while your decision is live.

    Take the full library
  • Most readers

    Lifetime · one payment

    Everything, for good

    $499.00 once

    $499.00 (one-time)

    Every finding we publish today and hereafter — no renewal, no expiry. The tier we point most readers to.

    Take lifetime access

Prefer to pay per report? A single report is $29.00, yours to keep — browse the reports. The verdict is always free.

Where to go from here · End-of-Life Services

no scope is a dead end — step up to the specialty, drill into a factor, or pivot across to a country or a comparison