Abstract
Profoundly ill patients continually confront the question of how hard to hold on. Often this falls to their families, who struggle to untangle their own feelings from those they believe their loved ones hold. The physician has a privileged role to play, serving as an advocate for life and a shepherd toward death. Every effort invested in this relationship over the years comes down to the days when the consent to treatment and the decision to forgo further care must be thoughtfully discussed so that a consensus can be reached.
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Notes
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For a richly instructive view of the many paradoxes of America’s health care system assembled after the demise of the Clinton health care plan, see Henry Aaron, ed. The Problem That Won 7 Go Away: Reforming U.S. Health Care Financing. Washington, DC: The BrookingsInstitution, 1996.
42 USC §§1395.
Jennifer Steinhauer, “After 5 Years of Fiscal Success, City Public Hospitals Face Deficit,” New York Times, May 23, 2001.
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Jennifer Steinhauer, “15 School Health Clinics Scheduled for Closing Get a Reprieve,” New York Times, June 1, 2001.
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Kilcullen, J.K. (2002). Waiting for the Cavalry. In: Crippen, D., Kilcullen, J.K., Kelly, D.F. (eds) Three Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0939-4_26
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