ELI J. KLEINMAN, M.D.
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To the editor: The patient described as "hopelessly injured" by Braithwaite and Thomasma in their proposed anti-cruelty policy (1) does not, I believe, meet even their own stated criteria for the designation. Although the authors approached the task of establishing a new set of guidelines by attempting to avoid past pitfalls, they have stumbled and substituted their own set of quality-of-life judgments for the generalizations and assumed truisms that have made previous efforts fall short of their noble purpose. I submit that the initial definition of "hopeless injury" is flawed and that the premise that "life and health should be
KLEINMAN EJ. Foregoing Life-Sustaining Treatment. Ann Intern Med. 1986;105:307. doi: https://doi.org/10.7326/0003-4819-105-2-307_1
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Published: Ann Intern Med. 1986;105(2):307.
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