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End of life: Expert care and support, not physician-hastened death
Joseph C Masdeu1, Allen J Aksamit2, Alan C Carver2
1From the Houston Methodist Neurological Institute (J.C.M), TX; Weill Cornell Medicine (J.C.M, A.C.C., K.M.F), New York, NY; Mayo Clinic (A.J.A.), Rochester, MN; Memorial Sloan Kettering Cancer Center (A.C.C., K.M.F), New York, NY; Baylor College of Medicine (J.S.K); McGovern Medical School (R.A.M., R.M.), University of Texas Health Science Center at Houston; Sydney University Medical School (E.A.M.), Australia; Stanford Health Care (M.P.M), Palo Alto, CA; private practice (S.J.V.), Erwinna, PA; and Dell Medical School (S.W.), University of Texas at Austin. jcmasdeu@houstonmethodist.org.
Abstract:
In legal physician-hastened death, a physician prescribes medication with the primary intent of causing the death of a willing terminally ill patient. This practice differs radically from palliative sedation, intended to relieve a patient's suffering rather than cause a patient's death. In this position paper, we argue that the practice of physician-hastened death is contrary to the interests of patients, their families, and the sound ethical practice of medicine. Therefore, the American Academy of Neurology should advise its members against this practice, as it had done until 2018.
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