Two doctors signed off. They don't offer this service for depression or small issues. Right to Die movement is for people who are beyond having quality of life that gives them enough satisfaction to deal with their illness.

See How to Die in Oregon. In this docu, there's a woman with a tumor who fights to be a part of the world until it looks like she swallowed a large football. That's the point when she chose to end it. She clearly wanted to live but it just stopped being worth the suffering.