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Futility: Is Definition the Problem? Part I
A physician recently asked how to respond in the case of an 87-year-old patient with advanced Alzheimer's disease, who was unable to swallow or tolerate a nasogastric tube, when the family insisted a gastrostomy tube be ...
Euthanasia: Current Problems in Japan
I hope that people in Japan soon realize that the patient's free and repeated requests for active euthanasia to his or her own physician are essential and indispensable requirements for making active euthanasia acceptable ...
Must Good Causes Compete?
I want to look at a range of difficulties that seem endemic to controversy as such. Some of the difficulties are psychological, but that does not mean that they are accidental, neurotic oddities of particular disputants. ...
Futility in Practice
...Much of the resistance to the notion of futility, we believe, derives from the fear that it will serve as a masquerade for less defensible motivations. For example, will its acceptance revive discarded abuses of medical ...
Reports From the Netherlands: Dances With Data
Conclusion: Medical decisions concerning the end of life are a difficult matter and they evoke much emotional response. What is needed, however, is an open debate in order to improve the moral quality of decision making, ...