The Baby Doe Rule: Still a Threat
Moskop, John C.
Saldanha, Rita L.
Hastings Center Report. 1986 Apr; 16(2): 8-14.
The authors argue that the Department of Health and Human Services' final rule, "Child Abuse and Neglect Prevention and Treatment Program," (April 1985) will prevent physicians from providing appropriate care for severely handicapped infants. The regulations stipulate that treatment must be provided unless the infant is permanently and irreversibly comatose and treatment would only prolong dying. Appropriate nutrition, hydration, and medication must be provided to all infants. Moskop and Saldanha fear that physicians will respond to the rule by aggressive overtreatment that will prolong suffering without any compensating benefit. They contend that the high cost of extended intensive care under restrictive public spending policies raises serious questions about the general distribution of health care. (KIE abstract)
Allowing to Die; Artificial Feeding; Child Abuse; Clinical Ethics; Clinical Ethics Committees; Congenital Disorders; Decision Making; Disease; Ethics; Ethics Committees; Evaluation; Financial Support; Government; Government Regulation; Health; Health Care; Iatrogenic Disease; Infants; Intensive Care Units; Life; Newborns; Nutrition; Parents; Persistent Vegetative State; Physicians; Prematurity; Prolongation of Life; Public Policy; Regulation; Resource Allocation; Risks and Benefits; State Government; Suffering; Terminally Ill; Withholding Treatment;
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