Life Support

Edited by Craig Paterson (Complutense University of Madrid)
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113 found
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1 — 50 / 113
  1. Should Parents Be Asked to Consent for Life-Saving Paediatric Interventions?Nathan K. Gamble & Michal Pruski - forthcoming - Journal of the Intensive Care Society.
    Informed consent, when given by proxy, has limitations: chiefly, it must be made in the interest of the patient. Here we critique the standard approach to parental consent, as present in Canada and the UK. Parents are often asked for consent, but are not given the authority to refuse medically beneficial treatment in many situations. This prompts the question of whether it is possible for someone to consent if they cannot refuse. We present two alternative and philosophically more consistent frameworks (...)
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  2. What It Is To Die.Cody Gilmore - forthcoming - In Michael Cholbi & Travis Timmerman (eds.), Exploring the Philosophy of Death and Dying. New York: Routledge.
    A defense of the view that (i) to be alive is to be actively undergoing (not merely capable of undergoing) certain vital processes, that (ii) to die is cease to be capable of undergoing those processes (not to cease undergoing them), and that (iii) organisms in cryptobiosis (suspended animation) are not undergoing those processes but are capable of doing so, and are neither alive nor dead.
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  3. On 25 February 1990, Terri Schiavo, 26 Years of Age, Collapsed in the Hall of Her Apartment and Experienced Severe Hypoxia for Several Minutes. She Had Not Executed a Living Will or a Durable Power of Attorney. Four Months After Her. [REVIEW]Joshua E. Perry, Larry R. Churchill & Howard S. Kirshner - forthcoming - Bioethics.
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  4. Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care.Laura Guidry-Grimes, Katie Savin, Joseph A. Stramondo, Joel Michael Reynolds, Marina Tsaplina, Teresa Blankmeyer Burke, Angela Ballantyne, Eva Feder Kittay, Devan Stahl, Jackie Leach Scully, Rosemarie Garland-Thomson, Anita Tarzian, Doron Dorfman & Joseph J. Fins - 2020 - Hastings Center Report 50 (3):28-32.
    In this essay, we suggest practical ways to shift the framing of crisis standards of care toward disability justice. We elaborate on the vision statement provided in the 2010 Institute of Medicine (National Academy of Medicine) “Summary of Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations,” which emphasizes fairness; equitable processes; community and provider engagement, education, and communication; and the rule of law. We argue that interpreting these elements through disability justice entails a commitment to both (...)
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  5. Are the Irreversibly Comatose Still Here? The Destruction of Brains and the Persistence of Persons.Lukas J. Meier - 2020 - Journal of Medical Ethics 46 (2):99-103.
    When an individual is comatose while parts of her brain remain functional, the question arises as to whether any mental characteristics are still associated with this brain, that is, whether the person still exists. Settling this uncertainty requires that one becomes clear about two issues: the type of functional loss that is associated with the respective profile of brain damage and the persistence conditions of persons. Medical case studies can answer the former question, but they are not concerned with the (...)
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  6. How Philosophy Bears on Covid-19.Thaddeus Metz - 2020 - South African Journal of Science 116 (7/8):1.
    A short reflection on respects in which philosophers are particularly, if not uniquely, well positioned to address certain ethical and epistemological controversies pertaining to the coronavirus.
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  7. Withdrawal of Nutrition and Hydration, and Withdrawal of Ventilation - What Does Tradition Say?Michal Pruski - 2020 - Catholic Medical Quarterly 70 (1):16-19.
    With recent guidance from the BMA and RCP on the withdrawal of nutrition from patients, and how the cause of death is being recorded (1), and the case of Vincent Lambert (2), the debate surrounding withdrawal of care and treatment has been rekindled in Catholic circles. In this article, I wish to highlight some of traditional principles that form the basis of such decision-making. I discuss these within the context of the withdrawal of nutrition and hydration (NaH), as well as (...)
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  8. Epistemic Burdens and the Incentives of Surrogate Decision-Makers.Parker Crutchfield & Scott Scheall - 2019 - Medicine, Health Care and Philosophy 22 (4):613-621.
    We aim to establish the following claim: other factors held constant, the relative weights of the epistemic burdens of competing treatment options serve to determine the options that patient surrogates pursue. Simply put, surrogates confront an incentive, ceteris paribus, to pursue treatment options with respect to which their knowledge is most adequate to the requirements of the case. Regardless of what the patient would choose, options that require more knowledge than the surrogate possesses (or is likely to learn) will either (...)
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  9. Withdrawal Aversion as a Useful Heuristic for Critical Care Decisions.Piotr Grzegorz Nowak & Tomasz Żuradzki - 2019 - American Journal of Bioethics 19 (3):36-38.
    While agreeing with the main conclusion of Dominic Wilkinson and colleagues (Wilkinson, Butcherine, and Savulescu 2019), namely, that there is no moral difference between treatment withholding and withdrawal as such, we wish to criticize their approach on the basis that it treats the widespread acceptance of withdrawal aversion (WA) as a cognitive bias. Wilkinson and colleagues understand WA as “a nonrational preference for withholding (WH) treatment over withdrawal (WD) of treatment” (22). They treat WA as a manifestation of loss aversion (...)
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  10. Reasonable Parental and Medical Obligations in Pediatric Extraordinary Therapy.Michal Pruski & Nathan K. Gamble - 2019 - The Linacre Quarterly 86 (2-3):198-206.
    The English cases of Charlie Gard and Alfie Evans involved a conflict between the desires of their parents to preserve their children’s lives and judgments of their medical teams in pursuit of clinically appropriate therapy. The treatment the children required was clearly extraordinary, including a wide array of advanced life-sustaining technological support. The cases exemplify a clash of worldviews rooted in different philosophies of life and medical care. The article highlights the differing perspectives on parental authority in medical care in (...)
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  11. Should Aggregate Patient Preference Data Be Used to Make Decisions on Behalf of Unrepresented Patients?Nathaniel Sharadin - 2019 - AMA Journal of Ethics 21 (7):566-574.
    Patient preference predictors aim to solve the moral problem of making treatment decisions on behalf of incapacitated patients. This commentary on a case of an unrepresented patient at the end of life considers 3 related problems of such predictors: the problem of restricting the scope of inputs to the models (the “scope” problem), the problem of weighing inputs against one another (the “weight” problem), and the problem of multiple reasonable solutions to the scope and weight problems (the “multiple reasonable models” (...)
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  12. Two Ways to Kill a Patient.Ben Bronner - 2018 - Journal of Medicine and Philosophy 43 (1):44-63.
    According to the Standard View, a doctor who withdraws life-sustaining treatment does not kill the patient but rather allows the patient to die—an important distinction, according to some. I argue that killing can be understood in either of two ways, and given the relevant understanding, the Standard View is insulated from typical criticisms. I conclude by noting several problems for the Standard View that remain to be fully addressed.
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  13. In Defense of Brain Death: Replies to Don Marquis, Michael Nair-Collins, Doyen Nguyen, and Laura Specker Sullivan.John P. Lizza - 2018 - Diametros 55:68-90.
    In this paper, I defend brain death as a criterion for determining death against objections raised by Don Marquis, Michael Nair-Collins, Doyen Nguyen, and Laura Specker Sullivan. I argue that any definition of death for beings like us relies on some sortal concept by which we are individuated and identified and that the choice of that concept in a practical context is not determined by strictly biological considerations but involves metaphysical, moral, social, and cultural considerations. This view supports acceptance of (...)
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  14. Śmierć mózgowa – zmiana w rozumieniu człowieka?Jacek Meller - 2018 - Diametros 56:151-156.
    Review of the book: Człowiek na granicy istnienia. Dyskusje o śmierci mózgowej i innych aspektach umierania, Grzegorz Hołub, Piotr Duchliński, Akademia Ignatianum w Krakowie, Wydawnictwo WAM, Kraków 2017.
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  15. Advance Directives and the Descendant Argument.Jukka Varelius - 2018 - HEC Forum 30 (1):1-11.
    By issuing an advance treatment directive, an autonomous person can formally express what kinds of treatment she wishes and does not wish to receive in case she becomes ill or injured and unable to autonomously decide about her treatment. While many jurisdictions and medical associations endorse them, advance treatment directives have also been criticized. According to an important criticism, when a person irreversibly loses her autonomy what she formerly autonomously desired ceases to be of importance in deciding about her treatment. (...)
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  16. You Should Not Have Let Your Baby Die.Gary Comstock - 2017 July 12 - New York Times.
    Sam, your newborn son, has been suffocating in your arms for the past 15 minutes. You’re as certain as you can be that he is going to die in the next 15.
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  17. Reasons Behind Providing Futile Medical Treatments in Iran.Maryam Aghabarary & Nahid Dehghan Nayeri - 2017 - Nursing Ethics 24 (1):33-45.
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  18. Termination of Prehospital Resuscitative Efforts: A Study of Documentation on Ethical Considerations at the Scene.Søren Mikkelsen, Caroline Schaffalitzky, Lars Grassmé Binderup, Hans Morten Lossius, Palle Toft & Annmarie Touborg Lassen - 2017 - Journal of Trauma, Resuscitation and Emergency Medicine 35 (25).
    Background Discussions on ethical aspects of life-and-death decisions within the hospital are often made in plenary. The prehospital physician, however, may be faced with ethical dilemmas in life-and-death decisions when time-critical decisions to initiate or refrain from resuscitative efforts need to be taken without the possibility to discuss matters with colleagues. Little is known whether these considerations regarding ethical issues in crucial life-and-death decisions are documented prehospitally. This is a review of the ethical considerations documented in the prehospital medical records (...)
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  19. The Total Artificial Heart and the Dilemma of Deactivation.Ben Bronner - 2016 - Kennedy Institute of Ethics Journal 26 (4):347-367.
    It is widely believed to be permissible for a physician to discontinue any treatment upon the request of a competent patient. Many also believe it is never permissible for a physician to intentionally kill a patient. I argue that the prospect of deactivating a patient’s artificial heart presents us with a dilemma: either the first belief just mentioned is false or the second one is. Whichever horn of the dilemma we choose has significant implications for contemporary medical ethics.
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  20. Solidarity in Healthcare – the Challenge of Dementia.Aleksandra Małgorzata Głos - 2016 - Diametros 49:1-26.
    Dementia will soon be ranked as the world’s largest economy. At present, it ranges from the 16th to 18th place, with countries such as Indonesia, the Netherlands, and Turkey. Dementia is not only a financial challenge, but also a philosophical one. It provokes a paradigm shift in the traditional view of healthcare and expands the classic concepts of human personhood and autonomy. A promising response to these challenges is the idea of cooperative solidarity. Cooperative solidarity, contrary to its ‘humanitarian’ version, (...)
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  21. Polemical Note: Can It Be Unethical to Provide Nutrition and Hydration to Patients with Advanced Dementia?Rachel Haliburton - 2016 - Diametros 50:152-160.
    Patients suffering from advanced dementia present ethicists and caregivers with a difficult issue: we do not know how they feel or how they want to be treated, and they have no way of telling us. We do not know, therefore, whether we ought to prolong their lives by providing them with nutrition and hydration, or whether we should not provide them with food and water and let them die. Since providing food and water to patients is considered to be basic (...)
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  22. The Case for Reasonable Accommodation of Conscientious Objections to Declarations of Brain Death.L. Syd M. Johnson - 2016 - Journal of Bioethical Inquiry 13 (1):105-115.
    Since its inception in 1968, the concept of whole-brain death has been contentious, and four decades on, controversy concerning the validity and coherence of whole-brain death continues unabated. Although whole-brain death is legally recognized and medically entrenched in the United States and elsewhere, there is reasonable disagreement among physicians, philosophers, and the public concerning whether brain death is really equivalent to death as it has been traditionally understood. A handful of states have acknowledged this plurality of viewpoints and enacted “conscience (...)
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  23. Active and Passive Physician‐Assisted Dying and the Terminal Disease Requirement.Jukka Varelius - 2016 - Bioethics 30 (9):663-671.
    The view that voluntary active euthanasia and physician-assisted suicide should be made available for terminal patients only is typically warranted by reference to the risks that the procedures are seen to involve. Though they would appear to involve similar risks, the commonly endorsed end-of-life practices referred to as passive euthanasia are available also for non-terminal patients. In this article, I assess whether there is good reason to believe that the risks in question would be bigger in the case of voluntary (...)
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  24. Qui décide de la dignité de mourir? [Who decides the dignity of dying?].Rosangela Barcaro - 2015 - Arc En Ciel. La Revue de Nouveaux Droits de L’Homme (74):16-17.
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  25. A Misunderstanding Concerning Futility.Tommaso Bruni & Charles Weijer - 2015 - American Journal of Bioethics 15 (7):59-60.
    It is a comment on Geppert about the concept of futility in cases of treatment-resistant anorexia nervosa.
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  26. Mental Illness, Natural Death, and Non-Voluntary Passive Euthanasia.Jukka Varelius - 2015 - Ethical Theory and Moral Practice:1-14.
    When it is considered to be in their best interests, withholding and withdrawing life-supporting treatment from non-competent physically ill or injured patients – non-voluntary passive euthanasia, as it has been called – is generally accepted. A central reason in support of the procedures relates to the perceived manner of death they involve: in non-voluntary passive euthanasia death is seen to come about naturally. When a non-competent psychiatric patient attempts to kill herself, the mental health care providers treating her are obligated (...)
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  27. Islamic Views on Artificial Nutrition and Hydration in Terminally Ill Patients.Sami Alsolamy - 2014 - Bioethics 28 (2):96-99.
    Withholding and withdrawing artificial nutrition and hydration from terminally ill patients poses many ethical challenges. The literature provides little information about the Islamic beliefs, attitudes, and laws related to these challenges. Artificial nutrition and hydration may be futile and reduce quality of life. They can also harm the terminally ill patient because of complications such as aspiration pneumonia, dyspnea, nausea, diarrhea, and hypervolemia. From the perspective of Islam, rules governing the care of terminally ill patients are derived from the principle (...)
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  28. Stability Over Time in the Preferences of Older Persons for Life-Sustaining Treatment.Ines M. Barrio-Cantalejo, Pablo Simón-Lorda, Adoración Molina-Ruiz, Fátima Herrera-Ramos, Encarnación Martínez-Cruz, Rosa Maria Bailon-Gómez, Antonio López-Rico & Patricia Peinado Gorlat - 2013 - Journal of Bioethical Inquiry 10 (1):103-114.
    Objective: To measure the stability of life-sustaining treatment preferences amongst older people and analyse the factors that influence stability. Design: Longitudinal cohort study. Setting: Primary care centres, Granada (Spain). Eighty-five persons age 65 years or older. Participants filled out a questionnaire with six contexts of illness (LSPQ-e). They had to decide whether or not to receive treatment. Participants completed the questionnaire at baseline and 18 months later. Results: 86 percent of the patients did not change preferences. Sex, age, marital status, (...)
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  29. Stephen W. Smith: End-of-Life Decisions in Medical Care: Principles and Policies for Regulating the Dying Process: Cambridge University Press, Cambridge, 2012, 350 Pp, $110, ISBN: 978-1-107-00538-9. [REVIEW]Francis J. Beckwith - 2013 - Theoretical Medicine and Bioethics 34 (6):499-504.
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  30. The Dead Donor Rule: A Defense.Samuel C. M. Birch - 2013 - Journal of Medicine and Philosophy 38 (4):426-440.
    Miller, Truog, and Brock have recently argued that the “dead donor rule,” the requirement that donors be determined to be dead before vital organs are procured for transplantation, cannot withstand ethical scrutiny. In their view, the dead donor rule is inconsistent with existing life-saving practices of organ transplantation, lacks a cogent ethical rationale, and is not necessary for maintenance of public trust in organ transplantation. In this paper, the second of these claims will be evaluated. (The first and third are (...)
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  31. Interactive Capacity, Decisional Capacity, and a Dilemma for Surrogates.Vanessa Carbonell - 2013 - American Journal of Bioethics Neuroscience 4 (4):36-37.
    In “Conscientious of the Conscious: Interactive Capacity as a Threshold Marker for Consciousness” (2013), Fischer and Truog argue that recent studies showing that some patients diagnosed as being in a vegetative state are in fact in a minimally conscious state raise various ethical questions for clinicians and family members. I argue that these findings raise a further ethical dilemma about how and whether to seek the involvement of the minimally conscious person herself in decisions about her care. There may be (...)
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  32. Withdrawing Artificial Nutrition and Patients' Interests.Ezio Di Nucci - 2013 - Journal of Medical Ethics 39 (9):555-556.
    I argue that the arguments brought by Counsel for M to the English Court of Protection are morally problematic in prioritising subjective interests that are the result of ‘consistent autonomous thought’ over subjective interests that are the result of a more limited cognitive perspective.
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  33. If Food and Water Are Proportionate Means, Why Not Oxygen?John Skalko - 2013 - The National Catholic Bioethics Quarterly 13 (3):453-468.
    Providing food and water, even by tube, is in principle an ordinary and proportionate means of preserving life. The Congregation for the Doctrine of the Faith made that clear in its August 1, 2007 statement on the matter. However, a pressing question remains: What about oxygen? Food and water are necessary for life. Is not oxygen equally necessary? So why did the CDF not also declare the use of a mechanical ventilator to be in principle an ordinary and proportionate means (...)
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  34. Refusing Life-Saving Treatment, Adaptive Preferences, and Autonomy.Jukka Varelius - 2013 - In Juha Räikkä & Jukka Varelius (eds.), Adaptation and Autonomy: Adaptive Preferences in Enhancing and Ending Life. Springer. pp. 183--197.
    Consider a case of a patient receiving life-supporting treatment. With appropriate care the patient could be kept alive for several years. Yet his latest prognosis also indicates that his mental abilities will deteriorate significantly and that ultimately he will become incapable of understanding what happens around and to him. Despite his illness, the patient has been eager to live. However, he finds the prospect that he is now faced with devastating. He undergoes an unconscious process that results in his finding (...)
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  35. Paper: The Right to Die in the Minimally Conscious State.L. Syd M. Johnson - 2011 - Journal of Medical Ethics 37 (3):175-178.
    The right to die has for decades been recognised for persons in a vegetative state, but there remains controversy about ending life-sustaining medical treatment for persons in the minimally conscious state. The controversy is rooted in assumptions about the moral significance of consciousness, and the value of life for patients who are conscious and not terminally ill. This paper evaluates these assumptions in light of evidence that generates concerns about quality of life in the MCS. It is argued that surrogates (...)
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  36. Nothing's Settled.Sandra H. Johnson - 2011 - Hastings Center Report 41 (1):50-51.
    Lois Shepherd's book If That Ever Happens to Me: Making Life and Death Decisions after Terri Schiavo demonstrates a great appreciation for the unresolved conflicts over end-of-life care revealed by the Schiavo case. Through detailed analysis, this book debunks the claim that the controversy defied an established consensus concerning the appropriateness of withdrawing medically administered nutrition and hydration. Arguments that settled legal standards provided a stalwart framework for that consensus failed to appreciate the variations and limitations of those norms. Shepherd (...)
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  37. Science, Ethics, and Politics: The Case of Avastin.Franklin G. Miller & Steven Joffe - 2011 - Hastings Center Report 41 (5):5-5.
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  38. Response: A Defence of a New Perspective on Euthanasia.David Shaw - 2011 - Journal of Medical Ethics 37 (2):123-125.
    In two recent papers, Hugh McLachlan, Jacob Busch and Raffaele Rodogno have criticised my new perspective on euthanasia. Each paper analyses my argument and suggests two flaws. McLachlan identifies what he sees as important points regarding the justification of legal distinctions in the absence of corresponding moral differences and the professional role of the doctor. Busch and Rodogno target my criterion of brain life, arguing that it is a necessary but not sufficient condition and that it is not generalisable. In (...)
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  39. Rola świadomości w decyzjach dotyczących zaprzestania podtrzymywania funkcji życiowych.Tomasz Żuradzki - 2011 - Rocznik Kognitywistyczny 5:191-198.
    Badania przy użyciu rezonansu magnetycznego sugerują, że przynajmniej niektórzy pacjenci w tzw. stanie wegetatywnym mogą być bardziej „świadomi”, niż to się do tej pory wydawało. W artykule zamierzam omówić te badania; następnie rozważę, o jakie rozumienie pojęcia świadomości może w nich chodzić; a wreszcie zastanowię się nad etycznymi implikacjami tych odkryć. Zamierzam też rozważyć, czy posiadanie wyższych form świadomości zawsze ma być dodatkową racją przemawiającą przeciwko zaprzestaniu podtrzymywaniu funkcji życiowych. Tym samym, w artykule chciałbym wskazać istotność badań z zakresu kognitywistyki (...)
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  40. Terri Schiavo.Walter Block - 2010 - Journal of Libertarian Studies 22 (1):527-536.
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  41. The Schiavo Maelstrom's Potential Impact on the Law of End-of-Life Decision Making.Kathy L. Cerminara - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  42. A Common Uniqueness : Medical Facts in the Schiavo Case.Ronald E. Cranford - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  43. The Continuing Assault on Personal Autonomy in the Wake of the Schiavo Case.Jon B. Eisenberg - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  44. Terri Schiavo and the Culture Wars : Ethics Vs. Politics.Kenneth W. Goodman - 2010 - In The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  45. Disability Rights and Wrongs in the Terri Schiavo Case.Lawrence J. Nelson - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  46. How the Public Responded to the Schiavo Controversy: Evidence From Letters to Editors.E. Racine, M. Karczewska, M. Seidler, R. Amaram & J. Illes - 2010 - Journal of Medical Ethics 36 (9):571-573.
    The history and genesis of major public clinical ethics controversies is intimately related to the publication of opinions and responses in media coverage. To provide a sample of public response in the media, this paper reports the results of a content analysis of letters to editors published in the four most prolific American newspapers for the Schiavo controversy. Opinions expressed in the letters sampled strongly supported the use of living wills and strongly condemned public attention to the case as well (...)
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  47. Schiavo, Privacy, and the Interests of Law.Daniel N. Robinson - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  48. Terri Schiavo and Televised News : Fact or Fiction?Robert M. Walker & Jay Black - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
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  49. If That Ever Happens to Me: Making Life and Death Decisions After Terri Schiavo.James L. Werth - 2010 - Ethics and Behavior 20 (5):402-404.
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  50. At Theresa Schiavo's Bedside : A Guardian's Role and Reflections.Jay Wolfson - 2010 - In Kenneth W. Goodman (ed.), The Case of Terri Schiavo: Ethics, Politics, and Death in the 21st Century. Oxford University Press.
    At Theresa Schiavo's bedside : a guardian's role and reflections.
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1 — 50 / 113