{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:27:59Z","timestamp":1778632079086,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015483","name":"McDonald Agape Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015483","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The conventional approach to caring for patients pursuing voluntarily stopping of eating and drinking (VSED) allows physicians to disagree with the patient's decisions to pursue VSED, but it assumes clinicians should accept the patient's choice and provide all aspects of supportive care after the patient has autonomously elected to pursue VSED. We argue this conventional approach problematically ignores the problem of complicity with what some physicians take to be an unethical action. We propose an alternative approach that makes space for clinicians opposed to VSED to advise against this course of action, and to provide palliative medicine while resisting interventions that facilitate VSED.<\/jats:p>","DOI":"10.1111\/jgs.70195","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T09:42:40Z","timestamp":1762335760000},"page":"3844-3848","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Role of the Physician in Caring for Patients Pursuing\n                    <scp>VSED<\/scp>\n                    : Challenging the Conventional Approach"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1389-427X","authenticated-orcid":false,"given":"Benjamin W.","family":"Frush","sequence":"first","affiliation":[{"name":"Kennedy Institute of Ethics Georgetown University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farr A.","family":"Curlin","sequence":"additional","affiliation":[{"name":"The Trent Center for Bioethics, Humanities, and History of Medicine Duke University  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel P.","family":"Sulmasy","sequence":"additional","affiliation":[{"name":"Kennedy Institute of Ethics Georgetown University  Washington DC USA"},{"name":"Departments of Medicine and Philosophy and the Pellegrino Center for Clinical Bioethics Georgetown University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010017\u20100950\u20101"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1993.00410240021003"},{"key":"e_1_2_11_4_1","unstructured":"Justia US Supreme Court \u201cCruzan v Director Missouri Department of Health 497 US 261 (1990) \u201daccessed September 8 2025 https:\/\/supreme.justia.com\/cases\/federal\/us\/497\/261\/."},{"key":"e_1_2_11_5_1","unstructured":"Compassion & Choices \u201cVoluntary Stopping of Eating and Drinking (VSED). Compassion and Choices \u201daccessed September 11 2025 https:\/\/compassionandchoices.org\/our\u2010issues\/vsed\/#:~:text=The%20U.S.%20Supreme%20Court%20in make%20their%20own%20medical%20decisions."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780198858584.001.0001"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.16194"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-132-5-200003070-00012"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315616524"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.6307"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2013-101379"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2008.9848"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19931101)72:9<2786::AID-CNCR2820720942>3.0.CO;2-2"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010128\u20107\u2010199804010\u201000007"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.03.005"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa035086"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15200"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010017\u20100994\u20102"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1076\/jmep.29.1.61.30413"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1849"},{"key":"e_1_2_11_21_1","article-title":"Stopping Eating and Drinking at the End of Life: The Natural and the Voluntary","author":"Sulmasy D. 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