Journal of Bioethical Inquiry

, Volume 12, Issue 2, pp 171–172 | Cite as

In That Case: Necessary Limitation of Medical Treatment, Ageism, or Worse? A Policy Proposal for Limiting Kidney Dialysis Availability Over 75

  • Michael A. Ashby

Here at the Journal of Bioethical Inquiry (JBI) we have decided to re-launch our popular “In That Case” feature, which poses real (or sometimes fictional) ethical dilemmas in medicine and the health sciences and invites reader responses from as many different disciplines and locales as possible. In the past we solicited a case for a specific issue of the journal, often tied to an upcoming theme, and published it one or two issues ahead of time; then we invited short commentaries to be published in the subsequent issue alongside a “republication” of the original case. This presented certain cataloguing and time-delay challenges. It also limited reader responses, as not everyone around the globe always has access, and thus curtailed in-depth and ongoing dialogue about pressing issues—which is a main mission of the JBI.

We recognize, however, that, like food, there are “slow” and “fast” tracks for most things in the modern world. The JBI, of course, unapologetically resides predominantly...


Case study Dialysis End of life Palliative care Policy Public health 


  1. Emanuel, E.J. 2014. Why I hope to die at 75: An argument that society and families—and you—will be better off if nature takes its course swiftly and promptly. The Atlantic, October.

Copyright information

© Journal of Bioethical Inquiry Pty Ltd. 2015

Authors and Affiliations

  1. 1.Palliative Care Service, Royal Hobart Hospital, Tasmanian Health Service, and Faculty of Health SciencesUniversity of TasmaniaHobartAustralia

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