End of Life Washington Contractors

Jess Kaan, DO

Medical Director 

Jess is from Salida, a small town in the mountains of Colorado, and received her undergraduate degree from Creighton University in Omaha, Nebraska. She attended Des Moines University for her Doctor of Osteopathy education, as well as a Master in Public Health degree. She trained at Providence Portland for her Internal Medicine training and then went to Puerto Rico as a National Health Service Corps Scholar for 4 years. In 2016 she returned to the Pacific NW and joined the Vancouver Clinic as an Internal Medicine Hospitalist. She served as co-chair of that department from 2019-2022.

She has always been strongly supportive of patients’ choices, including at the end of life. She became aware of how few doctors in SW Washington were willing to prescribe MAID, and so she became involved with MAID work in late 2018. She is a volunteer MAID provider, and in August 2022 she became part time Medical Director for EOLWA. She also continues to work clinically as a Hospitalist in SW Washington.

Apart from her interest in end of life issues, Jess also has interest in barriers to the access of medical care, and new forms of care delivery.

Outside of medicine, Jess loves being outside in many ways, including hiking, camping, paddle boarding, skiing, and snowboarding.

Nancy Sapiro


Nancy Sapiro is a lawyer and contract lobbyist.  She has represented clients in Olympia since 2012, and has worked with End of Life Washington since 2016. She specializes in health care, civil rights, economic and social justice, domestic violence, promoting policies that support working families, and civic engagement. Prior to this, she worked as a staff attorney for a women’s legal rights organization that worked to advance the law through litigation, legislative advocacy and legal rights education strategies. She also worked for over 7 years as a public defender representing individuals charged with crimes as well as indigent parents and children involved in the juvenile justice/child welfare system. She is a graduate of the University of Wisconsin-Madison. In 2008 she was honored by the King County Washington Women Lawyers and given the Friend of the Judiciary Award for her work championing women’s rights to comprehensive health information and care. She is also a principal in a family owned commercial real estate business that has been in existence for over 70 years, based in Green Bay WI.

 She is passionate about the work of End of Life WA based on her deeply rooted belief in autonomy around health care decision-making, particularly at the beginning and end stages of life.

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