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Previous Volume 329:2045 December 30, 1993 Number 27

	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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Edited by Derek Doyle, Geoffrey W.C. Hanks, and Neil MacDonald. 845 pp., illustrated. New York, Oxford University Press, 1993. $125. ISBN 0-19-262028-2.

The current interest in palliative care was conceived, born, and nourished because of the health care system's ineffectiveness in delivering appropriate, compassionate treatment to the dying. Medicine became expert at curative intervention but impotent in meeting the basic needs of sick people. Patients either were subjected to extensive studies and aggressive therapy or received misdirected care for undiagnosed, misunderstood, and ultimately unrelieved illnesses. Tragically, this failure to comfort enhanced patients' suffering and prolonged not life but the process of dying.

Traditionally, patients with advanced cancer (the disease most associated with palliative or hospice care) have not been the subjects of . . . [Full Text of this Article]

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