Caring for Newborns: In India, Nepal, and Sri Lanka, Quality of Life Weighs Heavily
Subramanian, K.N. Siva
Hastings Center Report. 1986 Aug; 16(4): 20-22.
This is one of a set of three articles on decision making for the care of impaired newborns in different countries. In India, Sri Lanka, and Nepal, medical resources are limited and maldistributed, abortion is neither illegal nor immoral, and public policy favors a decreasing birth rate. Subramanian, a neonatologist, notes that the belief in rebirth and a fatalistic outlook favor quality of life over sanctity of life in decisions on withholding treatment. Except when surgery is needed and the family makes the decision, physicians act autonomously, taking into account medical and quality of life factors, the family's ability to seek and pay for treatment, and whether the limited resources available could be utilized for another patient with the potential for a better quality of life. (KIE abstract)
Abortion; Allowing to Die; Attitudes; Caring; Cultural Pluralism; Decision Making; Developing Countries; Ethics; Health; Health Care; Infants; International Aspects; Life; Newborns; Parents; Paternalism; Physician Patient Relationship; Physicians; Population Control; Public Policy; Quality of Life; Religious Ethics; Resource Allocation; Selection for Treatment; Socioeconomic Factors; Surgery; Sanctity of Life; Withholding Treatment;
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