Second Judicial District Judge Nan Nash said the constitution prohibits the state from depriving a person of life, liberty or property without due process.
"This court cannot envision a right more fundamental, more private or more integral to the liberty, safety and happiness of a New Mexican than the right of a competent, terminally ill patient to choose aid in dying," Nash wrote.
Nash's decision stems from a two-day bench trial in December in which two doctors and a Santa Fe woman with advanced uterine cancer asked the judge to determine physicians would not be breaking the law if they wrote prescriptions for competent, terminally ill patients who wanted to end their lives.
Doctors Katherine Morris and Aroop Mangalik and patient Aja Riggs initially filed their lawsuit in March 2012.
Riggs, a 49-year-old Santa Fe resident who has undergone aggressive radiation and chemotherapy treatment, testified in December that her cancer was in remission but there have been days when getting out of bed and walking 15 feet (five meters) were an uphill battle.
Riggs said she wanted to live, but she also wanted the option of dying if her condition worsened.
Five states, including Oregon, allow patients to seek aid in dying if their conditions become unbearable, she said.
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