Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—Dr Quill and colleagues1propose safeguards for any medical action that
may hasten death, including "obtaining informed consent" and "implementing
reporting and monitoring processes." Their presentation emphasizes a vision
of an autonomous patient-physician relationship, which is at high risk of
denying other ethical values for all persons concerned by end-of-life decisions.
Pochard F, Grassin M, Hervé C. Palliative Options at the End of Life. JAMA. 1998;279(14):1065-1067. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-14-jac80003