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  1. To Die, to Sleep, Perchance to Dream? A Response to DeMichelis, Shaul and Rapoport.Joel L. Gamble, Nathan K. Gamble & Michal Pruski - 2019 - Journal of Medical Ethics 45 (12):832-834.
    In developing their policy on paediatric medical assistance in dying, DeMichelis, Shaul and Rapoport decide to treat euthanasia and physician-assisted suicide as ethically and practically equivalent to other end-of-life interventions, particularly palliative sedation and withdrawal of care. We highlight several flaws in the authors’ reasoning. Their argument depends on too cursory a dismissal of intention, which remains fundamental to medical ethics and law. Furthermore, they have not fairly presented the ethical analyses justifying other end-of-life decisions, analyses and decisions that were (...)
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  • Palliative Sedation: Clinical Context and Ethical Questions.Farr Curlin - 2018 - Theoretical Medicine and Bioethics 39 (3):197-209.
    Practitioners of palliative medicine frequently encounter patients suffering distress caused by uncontrolled pain or other symptoms. To relieve such distress, palliative medicine clinicians often use measures that result in sedation of the patient. Often such sedation is experienced as a loss by patients and their family members, but sometimes such sedation is sought as the desired outcome. Peace is wanted. Comfort is needed. Sedation appears to bring both. Yet to be sedated is to be cut off existentially from human experience, (...)
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  • Medical Acts and Conscientious Objection: What Can a Physician Be Compelled to Do?Nathan K. Gamble & Michal Pruski - 2019 - The New Bioethics 25 (3):262-282.
    A key question has been underexplored in the literature on conscientious objection: if a physician is required to perform ‘medical activities,’ what is a medical activity? This paper explores the question by employing a teleological evaluation of medicine and examining the analogy of military conscripts, commonly cited in the conscientious objection debate. It argues that physicians (and other healthcare professionals) can only be expected to perform and support medical acts – acts directed towards their patients’ health. That is, physicians cannot (...)
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