{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:40:10Z","timestamp":1760298010852},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"published-print":{"date-parts":[[1987,6]]},"abstract":"<jats:p>The ability of the medical profession to sustain life, or more appropriately, to prolong dying, in patients with terminal illness, creates a most complex and controversial situation for all involved: the patient, if mentally alert; the patient's family; and the medical care team including physicians, nurses and attendants. This situation is especially complex in large acute care hospitals where medical and nursing students, residents and house officers receive advanced medical training. A major problem, prolonging the dying of the terminally ill, with its medical, legal, ethical and economic complexities now confronts American society. The problem is particularly acute in teaching hospitals, in which one finds a disproportionate number of terminally ill patients. The ability to work at these questions as a community rather than as adversaries will determine much about the ability of the health care system to respect the dignity and autonomy of those who seek aid and comfort when faced with serious illness and impending death. Better communication between the physicians, health care providers, the lawyers and ethicists must be developed in order to solve these problems. Over the next ten years society and our elected representatives will be making very demanding decisions about the use of the health dollar. One possible way to prevent increasing costs is to reach significant agreement on the proper care of the dying. Proper care for the dying is being considered, discussed, and evaluated by very thoughtful people. It is not governments which should decide who is to live or who is to die. There is the serious problem of the 'slippery slope' to euthanasia by omission if cost containment becomes the major force in formulating policy on the proper care of the dying.<\/jats:p>","DOI":"10.1136\/jme.13.2.74","type":"journal-article","created":{"date-parts":[[2008,11,6]],"date-time":"2008-11-06T00:48:04Z","timestamp":1225932484000},"page":"74-80","source":"Crossref","is-referenced-by-count":3,"title":["Proper care for the dying: a critical public issue."],"prefix":"10.1136","volume":"13","author":[{"given":"K R","family":"Crispell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C F","family":"Gomez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1987,6,1]]},"reference":[{"key":"ref_1","first-page":"99","article-title":"Modern attitudes toward life and death","volume":"53","author":"Muggeridge, M.","year":"1979","unstructured":"Muggeridge M. Modern attitudes toward life and death. Human life review 1979; 53: 99-116.","journal-title":"Human life review"},{"key":"ref_2","first-page":"721","article-title":"Death and dying","volume":"5","author":"B, Friel P.","unstructured":"Friel P B. Death and dying. Annals of internal medicine 97, 5: 721-767.","journal-title":"Annals of internal medicine 97"},{"key":"ref_3","author":"Capron, A.","year":"1983","unstructured":"Capron A. Presented at the National Conference on Living Will, 1983. To be published."},{"key":"ref_4","article-title":"New Jersey Chapter of American College of Physicians. A C P Observer","year":"1984","unstructured":"New Jersey Chapter of American College of Physicians. A C P Observer 1984, Apr: 16."},{"key":"ref_5","first-page":"257","article-title":"Lutheran Church of the Redeemer. Report of Ninth Meeting","year":"1982","unstructured":"Lutheran Church of the Redeemer. Report of Ninth Meeting, 1982: 257-264."},{"key":"ref_6","article-title":"Final report: Society must decide - ethics and health care choices in Oregon: Oregon Health Decisions","author":"Council, Oregon Health","year":"1985","unstructured":"Oregon Health Council. Final report: Society must decide - ethics and health care choices in Oregon: Oregon Health Decisions. 1985, Jan."},{"key":"ref_7","article-title":"President's Commission for the Study of Ethical Problems in Medicine and Bio-medical and Behavioral Research. Report: Deciding to forego life-sustaining treatment -","volume-title":"ethical, medical, and legal issues in treatment decisions","year":"1983","unstructured":"President's Commission for the Study of Ethical Problems in Medicine and Bio-medical and Behavioral Research. Report: Deciding to forego life-sustaining treatment - ethical, medical, and legal issues in treatment decisions, 1983 Mar."},{"key":"ref_8","article-title":"The physicians' covenant - images of the healer in medical ethics","author":"F, May W.","year":"1983","unstructured":"May W F. The physicians' covenant - images of the healer in medical ethics. Philadelphia: Westminster Press, 1983."}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.13.2.74","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T04:42:54Z","timestamp":1716439374000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.13.2.74"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,6]]},"references-count":8,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1987,6,1]]},"published-print":{"date-parts":[[1987,6]]}},"alternative-id":["10.1136\/jme.13.2.74"],"URL":"https:\/\/doi.org\/10.1136\/jme.13.2.74","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[1987,6]]}}}