Bio
Publications
All Publications
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Physician-assisted suicide: Where to draw the line?
CAMBRIDGE QUARTERLY OF HEALTHCARE ETHICS
2000; 9 (3): 407-410
View details for Web of Science ID 000087317400012
View details for PubMedID 10858891
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Changing economics and clinical ethical decisionmaking: A view from the trenches
CAMBRIDGE QUARTERLY OF HEALTHCARE ETHICS
2000; 9 (2): 284-287
View details for Web of Science ID 000086269500013
View details for PubMedID 10742869
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Ethical issues at the end of life.
Stanford law & policy review
1998; 9 (2): 267-288
View details for PubMedID 16528859
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Ethics in the outpatient setting: New challenges and opportunities
CAMBRIDGE QUARTERLY OF HEALTHCARE ETHICS
1997; 6 (3): 293-298
View details for Web of Science ID A1997XM82900006
View details for PubMedID 9253497
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Physician-assisted suicide - Overview of the ethical debate - Commentary
WESTERN JOURNAL OF MEDICINE
1997; 166 (6): 402-406
View details for Web of Science ID A1997XG75100007
View details for PubMedID 9217453
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RATIONING MISSING INGREDIENT IN HEALTH-CARE REFORM
WESTERN JOURNAL OF MEDICINE
1994; 161 (1): 74-77
View details for Web of Science ID A1994NY52600020
View details for PubMedID 7941521
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Does depression invalidate competence? Consultants' ethical, psychiatric, and legal considerations.
Cambridge quarterly of healthcare ethics
1993; 2 (4): 505-515
View details for PubMedID 8149005
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Ethical aspects of blood transfusion.
journal of the Florida Medical Association
1993; 80 (1): 29-32
View details for PubMedID 8436929
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The Patient Self-Determination Act: potential ethical quandaries and benefits.
Cambridge quarterly of healthcare ethics
1992; 1 (2): 107-115
View details for PubMedID 1342338
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THE ETHICS OF NONTREATMENT OF PATIENTS WITH CANCERS OF THE HEAD AND NECK
MEETING OF THE AMERICAN SOC FOR HEAD AND NECK SURGERY
AMER MEDICAL ASSOC. 1991: 769–73
Abstract
There are three levels at which nontreatment decisions for patients with cancers of the head and neck might be made: not doing further diagnostic procedures when the data gained would not make a significant difference to treatment decisions; not continuing aggressive therapy when its benefits are outweighed by the ensuing burdens and harms; and, at the policy level, not providing costly aggressive therapy at all because of the number of patients with unmet, more basic needs. These three levels of nontreatment decisions are discussed in light of ethical theory, briefly introduced. Arguments are made in favor of nontreatment decisions at the two clinical levels mentioned above, but against a policy decision to ration treatment for patients with cancers of the head and neck.
View details for Web of Science ID A1991FV56600017
View details for PubMedID 1907464
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LIMITING TREATMENT FOR EXTREMELY PREMATURE, LOW-BIRTH-WEIGHT INFANTS (500 TO 750-G)
AMERICAN JOURNAL OF DISEASES OF CHILDREN
1990; 144 (5): 549-552
Abstract
Despite impressive recent advances in neonatology, outcomes for extremely premature, very-low-birth-weight infants (500 to 750 g) remain uneven. In a situation of inherent uncertainty, treating patients vigorously could do violence to the moral principles of nonmaleficence and (distributive) justice. Equally, failing to treat patients vigorously because of concerns about nonmaleficence and (distributive) justice could violate the principle of patient-centered beneficence. Compounding this dilemma is the legacy of the "Baby Doe Regulations." International perspectives on this particular quandary are provided. We assert that at Stanford (Calif) University the "individualized prognostic strategy" rather than the "wait until certainty" approach prevails. Four concluding questions are posed: Why is prevention not encouraged more than after-the-fact heroic intervention? Is it possible to develop a more rational view of stopping aggressive therapy once having started? Can we ignore the finitude of our medical resources? Is there a need to redefine the nature of autonomy?
View details for Web of Science ID A1990DB96200021
View details for PubMedID 2330921
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When critical illness interferes with informed consent.
Progress in clinical and biological research
1989; 299: 235-239
View details for PubMedID 2657792