RT Journal Article SR Electronic T1 Distinction between euthanasia and palliative sedation is clear-cut JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 55 OP 56 DO 10.1136/medethics-2019-105457 VO 46 IS 1 A1 Lars Johan Materstvedt YR 2020 UL http://jme.bmj.com/content/46/1/55.abstract AB This article is a response to Thomas David Riisfeldt’s paper entitled ‘Weakening the ethical distinction between euthanasia, palliative opioid use and palliative sedation’. It is shown that as far as euthanasia and palliative sedation are concerned, Riisfeldt has not established that a common ground, or a similarity, between the two is the relief of suffering. Quite the contrary, this is not characteristic of euthanasia, neither by definition nor from a clinical point of view. Hence, the argument hinges on a conceptually and empirically erroneous premise and is accordingly a non-starter.