This dissertation investigates the relationship between structural injustice, equality, and access to assisted dying. It shows that structural injustice, while mostly used in the literature on the ethics of assisted dying as an argument against legalization due to the increased vulnerability and subsequent reduced autonomy of its victims, can be used to illuminate morally problematic cases of unequal access to the procedure. Structural injustice is shown to have the potential to jeopardize access to otherwise legally eligible individuals, and thus the dissertation calls for increased attention to lawmakers in jurisdictions where legalizing aid-in-dying is being considered or where it has already been legalized in order to ensure fair and non-discriminatory practices. As such, this dissertation is located at the interface of normative political theory and bioethics.