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Previous Volume 340:1517-1518 May 13, 1999 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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(For and Against.) By Gerald Dworkin, R.G. Frey, and Sissela Bok. 139 pp. New York, Cambridge University Press, 1998. $49.95. ISBN 0-521-58246-6.

The development of new and improved diagnostic procedures and treatments that allow physicians to treat diseases more effectively has complicated the practice of medicine. In elderly, frail, and disabled patients who are dying of chronic, irreversible conditions, the use of advanced "life-saving" technology is problematic and may only serve to prolong the dying process. Now, in addition to making a diagnosis and deciding on the most appropriate treatment, physicians must also decide when and for whom these expensive diagnostic procedures and treatments are appropriate. These new forms of technology are a double-edged sword. They have raised many difficult ethical, clinical, . . . [Full Text of this Article]

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