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Foreword

Published online by Cambridge University Press:  11 September 2009

Alexander Morgan Capron LL.B.
Affiliation:
University Professor of Law and Medicine, University of Southern California, Los Angeles
Marjorie B. Zucker
Affiliation:
Choice In Dying, New York
Howard D. Zucker
Affiliation:
Mount Sinai School of Medicine, New York
Alexander Morgan Capron
Affiliation:
University of Southern California
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Summary

Many aspects of modern medicine provoke spirited ethical argument, but few engender as much disagreement about what exactly is at issue as does the futility debate. The relationships of physicians and nurses, on the one side, and patients (especially dying patients dependent on extensive medical support) and their families, on the other, are viewed very differently by various commentators. As characterized by some, physicians have become pathetic characters in a modern day Molière play, technically sophisticated servants doing the bidding of their patients. Professionals with this perception feel misused and justify their rebelliousness by invoking medical futility. The simple recognition of the limits of medicine's power to cure and to extend life denotes that health care professionals should not be obliged to provide further treatment or, more powerfully, that they would exceed their role-based authority as healers to continue to do so. Yet other commentators claim that medical futility is an empty concept that does not provide any ground for decision that would not be present had the concept never been coined. They characterize medical futility as nothing more than a cover for physician's rearguard action to regain the dominance in decision making that they possessed before autonomy and informed consent shifted authority to patients and their families beginning in the 1960s.

Type
Chapter
Information
Medical Futility
And the Evaluation of Life-Sustaining Interventions
, pp. xi - xv
Publisher: Cambridge University Press
Print publication year: 1997

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