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Robert Burt has written a provocative and disturbing book that should be read by all professionals involved in end-of-life care. He suggests that dying patients, their families, and their physicians are "all vulnerable to unruly psychological forces unleashed by the imminent prospect of death" and that self-determination by patients is an inadequate safeguard against the many surrounding "forces of evil." He uses the legal and clinical examples of physician-assisted suicide, abortion, and capital punishment to illustrate his thesis. Although I disagree with some of his conclusions and examples, the central themes deserve serious consideration.
His first theme is that all
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