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Discrimination against the dying.

Philip Reed1

  • 1Philosophy, Canisius College, Buffalo, New York, USA reedp@canisius.edu.

Journal of Medical Ethics
|June 15, 2023
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Summary
This summary is machine-generated.

This paper introduces "terminalism," a form of discrimination against terminally ill patients. It highlights how these individuals face unfair treatment in healthcare settings, impacting end-of-life care.

Keywords:
AgedDisabled PersonsTerminal CareTerminally Ill

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Area of Science:

  • Bioethics
  • Medical Sociology
  • Healthcare Policy

Background:

  • Discrimination against vulnerable populations is a recognized issue.
  • Existing frameworks may not fully address the unique challenges faced by the terminally ill.
  • The specific nature of discrimination in end-of-life care requires further definition.

Purpose of the Study:

  • To identify and define a previously unrecognized form of discrimination: terminalism.
  • To illustrate terminalism with examples from healthcare.
  • To analyze the reasons for its historical obscurity and its implications for end-of-life care.

Main Methods:

  • Conceptual analysis of discrimination.
  • Examination of case studies within healthcare settings.
  • Comparative analysis with ageism and ableism.

Main Results:

  • Terminalism is defined as discrimination against the dying.
  • Examples include hospice eligibility, resource allocation, right to try, and right to die laws.
  • Terminalism is distinct from ageism and ableism.

Conclusions:

  • Terminalism represents a significant, yet often overlooked, challenge in end-of-life care.
  • Understanding terminalism is crucial for improving the treatment of terminally ill patients.
  • Further research and policy development are needed to address this form of discrimination.