Unsolved Murders: True Crime Stories

Dr. Jack Kevorkian

Dr. Jack Kevorkian, the medical pathologist who willfully helped dozens of terminally ill people end their lives, becoming the central figure in a national drama surrounding assisted suicide, died on Friday in Royal Oak., Mich. He was 83.

He died at William Beaumont Hospital, where he had been admitted recently with kidney and respiratory problems, said Geoffrey N. Fieger, the lawyer who represented Dr. Kevorkian in several of his trials in the 1990s.

Mayer Morganroth, a friend and lawyer, told The Associated Press that the official cause of death would most likely be pulmonary thrombosis, a blood clot.

In arguing for the right of the terminally ill to choose how they die, Dr. Kevorkian challenged social taboos about disease and dying while defying prosecutors and the courts. He spent eight years in prison after being convicted of second-degree murder in the death of the last of about 130 ailing patients whose lives he had helped end, beginning in 1990.

Originally sentenced in 1999 to 10 to 25 years in a maximum security prison, he was released after assuring the authorities that he would never conduct another assisted suicide.

His critics were as impassioned as his supporters, but all generally agreed that his stubborn and often intemperate advocacy of assisted suicide helped spur the growth of hospice care in the United States and made many doctors more sympathetic to those in severe pain and more willing to prescribe medication to relieve it.

In Oregon, where a schoolteacher had become Dr. Kevorkian's first assisted suicide patient, state lawmakers in 1997 approved a statute making it legal for doctors to prescribe lethal medications to help terminally ill patients end their lives. In 2006 the United States Supreme Court upheld a lower court ruling that found that Oregon's protected assisted suicide as a legitimate medical practice.

During the period that Oregon was considering its law, Dr. Kevorkian's confrontational strategy gained wide publicity, which he actively sought. National magazines put his picture on their covers, and he drew the attention of television programs like "60 Minutes." His nickname, Dr. Death, and his self-made suicide machine, which he variously called the "Mercitron" or the "Thanatron," became fodder for late-night television comedians.

In 2010 his story was dramatized in the HBO movie "You Don't Know Jack," starring Al Pacino as Dr. Kevorkian. Mr. Pacino received Emmy and Golden Globe awards for his performance. In his Emmy acceptance speech, he said he had been gratified to "try to portray someone as brilliant and interesting and unique" as Dr. Kevorkian. Dr. Kevorkian, who was in the audience, smiled in appreciation.

Given his obdurate public persona and his delight in flaying medical critics as "hypocritical oafs," Dr. Kevorkian invited and reveled in the public's attention, regardless of its sting.

The American Medical Association in 1995 called him "a reckless instrument of death" who "poses a great threat to the public."

Diane Coleman, the founder of Not Dead Yet, which describes itself as a disability-rights advocacy group and that once picketed Dr. Kevorkian's home in Royal Oak, a Detroit suburb, attacked his approach. "It's the ultimate form of discrimination to offer people with disabilities help to die," she said, "without having offered real options to live."