Futility, Autonomy, and Cost in End-of-Life Care
Baily, Mary Ann
The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics 2011 Summer; 39(2): 172-82
This paper uses the controversy over the denial of care on futility grounds as a window into the broader issue of the role of cost in decisions about treatment near the end of life. The focus is on a topic that has not received the attention it deserves: the difference between refusing medical treatment and demanding it. The author discusses health care reform and the ethics of cost control, arguing that we cannot achieve universal access to quality care at affordable care without better public understanding of the moral legitimacy of taking cost into account in health care decisions, even decisions at the end of life.
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Unknown author (American Medical Association. Council on Ethical and Judicial Affairs, 1999-03-10)Use of life-sustaining or invasive interventions in patients in a persistent vegetative state or who are terminally ill may only prolong the dying process. What constitutes futile intervention remains a point of controversy ...