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It is no longer possible to escape the growing public demand that the medical profession pay more attention to end-of-life care. Public-opinion surveys show that increasing numbers of people support measures that give more control to patients at the end of their lives, including active assistance from physicians in the form of either euthanasia or assisted suicide. True-life cases ranging from the notorious activities of Michigan pathologist Dr. Jack Kevorkian to the sympathetic story told by Dr. Timothy Quill in the Journal (1991;324:691-694) have resulted in grand juries or courts unwilling to indict or convict, reinforcing the message that our
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