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Correspondence
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Volume 343:1575-1577 November 23, 2000 Number 21
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The Rise and Fall of the Futility Movement

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 by Helft, P. R.
To the Editor: For evidence of a rise and fall of the futility movement, Helft et al. (July 27 issue)1 use a parochial if not dubious source of empirical data — the number of citations found in a Medline search of scholarly articles. I suggest they look at health care organizations around the country that are actively developing futility policies. Although I am not aware of any systematic survey, I am in frequent contact with institutions engaged in this activity. A recent statewide conference in California critiqued the policies of 26 hospitals. In the majority of these, medical futility was . . . [Full Text of this Article]

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