Hastening Death by Selective Disclosure of Treatment Options—Beneficence or “Euthanasia by Deception”?
- Roberta Springer Loewy
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In this paper I make a radical claim regarding selective non-disclosure of treatment options that have some hope of prolonging a patient's life. I suggest that selective non-disclosure under such circumstances is tantamount to what might be called “euthanasia by deception.” I offer a case to test the validity of my claim and to demonstrate how the failure to offer or, at least, to discuss renal dialysis in this case (and, by inference, any other form of treatment which has some hope of prolonging a patient's life) qualifies as paternalism in its most egregious form. I discuss the actions of the health care team and try to find some plausible reasons why they acted as they did. I conclude that there must be greater emphasis placed on teaching clinicians how better to incorporate frank, open and on-going discussion about the central elements of the therapeutic relationship with patients long before they lose decisional capacity.
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- Glass, G. M. (1997) Life Unworthy of Life: Racial Phobia and Mass Murder in Hitler's Germany. Basic Books.
- Loewy, E. H., and Loewy R. S. (1999) Lebensunwertes Leben and the Obligation to Die: Does the Obligation to Die Rest on a Misunderstanding of Community? Health Care Analysis 7,23–36.
About this Article
- Hastening Death by Selective Disclosure of Treatment Options—Beneficence or “Euthanasia by Deception”?
Health Care Analysis
Volume 12, Issue 3 , pp 241-250
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- Kluwer Academic Publishers
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- decisional capacity
- shared decisionmaking
- Author Affiliations
- 1. University of California, Davis, California, USA