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Volume 354:1-3 January 5, 2006 Number 1
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The Big Chill — Inserting the DEA into End-of-Life Care
Timothy E. Quill, M.D., and Diane E. Meier, M.D.

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On October 5, 2005, the U.S. Supreme Court heard oral arguments in Gonzales v. Oregon. On the surface, this case is about the legitimacy of physicians' prescribing of medications under Oregon's Death with Dignity Act and whether the federal government can overrule the states in defining "legitimate medical practice." Just beneath the surface, however, lies the risk of empowering agents of the Drug Enforcement Agency (DEA) — whose traditional role is to prevent drug abuse and diversion — to evaluate the end-of-life practices of physicians whose patients die while receiving prescribed opioids or barbiturates. A finding in favor of . . . [Full Text of this Article]


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Dr. Quill is a professor of medicine, psychiatry, and medical humanities and the director of the Center for Palliative Care and Clinical Ethics at the University of Rochester School of Medicine, Rochester, N.Y.; Dr. Meier is a professor of geriatrics, medicine, and medical ethics and the director of the Lilian and Benjamin Hertzberg Palliative Care Institute and the Center to Advance Palliative Care at the Mount Sinai School of Medicine, New York.

An interview with Dr. Quill and Dr. Meier can be heard at www.nejm.org.


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