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Terminally ill patients with less than six months to live will soon be able to ask their doctors to prescribe them lethal medication in Washington state. But even though the "Death with Dignity" law takes effect Thursday, people who might seek the life-ending prescriptions could find their doctors conflicted or not willing to write them.

Many doctors are hesitant to talk publicly about where they stand on the issue, said Dr Tom Preston, a retired cardiologist and board member of Compassion & Choices, the group that campaigned for the law.

"There are a lot of doctors, who in principle, would approve or don't mind this, but for a lot of social or professional reasons, they don't want to be involved," he said.