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April 8, 1998

Palliative Options at the End of Life

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(14):1065-1067. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-14-jac80003

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.