In Reply We appreciate the well-considered comments made by Dr Mueller and colleagues on our recent Special Communication.1 While we agree that stopping eating and drinking is often a gradual and normal part of the dying process, doing so voluntarily is often substantially different both ethically and practically, especially because it requires compensating for and adjusting to a strong physiological desire to keep drinking.
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Quill TE, Ganzini L, Truog RD, Pope TM. Voluntary Stopping Eating and Drinking Among Patients With Serious Advanced Illness—A Label in Search of a Problem?—Reply. JAMA Intern Med. 2018;178(5):726–727. doi:10.1001/jamainternmed.2018.1147
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