Detroit Free Press report
According to a report by the Detroit Free Press, 60% of the people who committed suicide with Kevorkian's help were not terminally ill. The report further asserted that Kevorkian's counseling was too brief (with at least 19 patients dying less than 24 hours after first meeting Kevorkian) and often lacked a psychiatric exam, even when Kevorkian had been alerted that the patient was unhappy for reasons other than their medical condition. The report also stated that Kevorkian failed to refer at least 17 patients to a pain specialist after they complained of chronic pain, and sometimes failed to obtain a complete medical record for his patients, with at least three autopsies of suicides Kevorkian had assisted with showing the person who committed suicide to have no physical sign of disease. In response, Kevorkian's attorney Geoffrey Fieger published an essay stating, "I've never met any doctor who lived by such exacting guidelines as Kevorkian ... he published them in an article for the American Journal of Forensic Psychiatry in 1992. Last year he got a committee of doctors, the Physicians of Mercy, to lay down new guidelines, which he scrupulously follows."[14] Fieger added that Kevorkian found it difficult to follow his "exacting guidelines" due to "persecution and prosecution", adding "[H]e's proposed these guidelines saying this is what ought to be done. These are not to be done in times of war, and we're at war."[15] In a 2010 interview with Sanjay Gupta, Kevorkian stated an objection to the status of assisted suicide in Oregon, Washington, and Montana. Only in those three states is assisted suicide legal in the United States, and then only for terminally ill patients. To Gupta, Kevorkian stated "What difference does it make if someone is terminal? We are all terminal."[16] In his view, a patient did not have to be terminally ill to be assisted in committing suicide, but did need to be suffering. However, he also said in that same interview that he declined four out of every five assisted suicide requests, on the grounds that the patient needed more treatment or medical records had to checked.[17]