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Previous Volume 328:1573-1576 May 27, 1993 Number 21 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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Lewis Thomas has noted that doctors "are as frightened and bewildered by the act of death as everyone else"¹. "Death is shocking, dismaying, even terrifying," Thomas has written. "A dying patient is a kind of freak . . . an offense against nature itself"¹. It is thus not surprising that many physicians have difficulty talking candidly with dying patients and caring for them, a reaction that often results in undermedication for pain and expensive and ineffective overtreatment.

American patients know this, and although death is a culture-wide enemy, many Americans fear the process of dying in an impersonal . . . [Full Text of this Article]

Kevorkian and the Suicide Machine

Michigan's Law against Assisted Suicide

Distinguishing between Quill and Kevorkian

The Slippery Slope

The Challenge for Physicians

References

Related Letters:

Assisted Suicide and Euthanasia in Michigan
Bachman J. G., Doukas D. J., Lichtenstein R. L., Alcser K. H.
Extract | Full Text  
N Engl J Med 1994; 331:812-813, Sep 22, 1994. Correspondence

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• Spindelman, M. S. (2002). Legislating Privilege. J Law Med Ethics 30: 24-33  
• Cooke, M., Gourlay, L., Collette, L., Boccellari, A., Chesney, M. A., Folkman, S. (1998). Informal Caregivers and the Intention to Hasten AIDS-Related Death. Arch Intern Med 158: 69-75 [Abstract] [Full Text]  
• Annas, G. J. (1994). Death by Prescription. NEJM 331: 1240-1243 [Full Text]  
• Bachman, J. G., Doukas, D. J., Lichtenstein, R. L., Alcser, K. H. (1994). Assisted Suicide and Euthanasia in Michigan. NEJM 331: 812-813 [Full Text]  
• Cohen, J. S., Fihn, S. D., Boyko, E. J., Jonsen, A. R., Wood, R. W. (1994). Attitudes toward Assisted Suicide and Euthanasia among Physicians in Washington State. NEJM 331: 89-94 [Abstract] [Full Text]  
• Quill, T. E. (1993). The Ambiguity of Clinical Intentions. NEJM 329: 1039-1040 [Full Text]