When read quotes from the document, Final Exit's new president (the former president was one of those arrested) said it sounded like the group's manual and later said he was sure it was because he doubted the police would make it up.

MSN: Suicide group's manual urges celebrations

The only way manual systems could work for a larger group would be through a pyramid-like mechanism, with small groups reporting their manually obtained results up the chain to more central tabulating authorities.

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Stephen Drake of the Rochester, New York-based group Not Dead Yet, which is against assisted suicide, compared Final Exit Network and the wording in its training manual to a cult and said it's hard to distinguish what the group does from murder.

MSN: Suicide group's manual urges celebrations

He said that the training manual is a compilation of writing from various group members over the years and are to ensure exit guides know the rules.

MSN: Suicide group's manual urges celebrations