ABSTRACT Curtailing health care for the very old promises to free resources that can be devoted to others. Such self‐conscious limit‐setting, leading to premature death, requires both a moral justification and a change in the paradigm of physician obligation. This paper argues that the moral justification for curtailing care is absent, and that the paradigm of the physician as a servant of life, and the patient's agent, is worth preserving. Finally, it is suggested that, if the ailing old need to (...) be deprived of life‐extending care, then the state should undertake the task of killing them. Physicians should not undertake this role, for it is the state that may gain an advantage it seeks by saving money, not the physicians. (shrink)

This paper reports the social and medical characteristics of women resident in Aberdeen city who were sterilized in 195162 and 197152 women were offered sterilization, the majority being lower social class mothers with five or more children who were sterilized concurrently with abortion; the small number of upper social class women had one or two children and were sterilized for medical or obstetric reasons. By 196172, women themselves requested sterilization, the two–three child family was the norm, the proportion of upper (...) social class women continued to increase, and interval sterilization was gaining ground. (shrink)