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Correspondence
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Volume 338:1389-1391 May 7, 1998 Number 19
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The Rule of Double Effect

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 by Quill, T. E.
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To the Editor: Quill et al. (Dec. 11 issue)1 discuss the problems associated with the use of the rule of double effect in making decisions about care at the end of life. It would be a mistake to impugn the rule of double effect, since it is the leading ethical principle by which we can ethically and legally relieve the suffering of dying patients. The problem is not with the principle itself but with its varied and unequal application, which in turn depends on the different perspectives, interpretations, and language of patients and physicians.

By training, physicians are concerned with . . . [Full Text of this Article]

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