Author granted license

Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International

Document Type

Article

Publication Date

1993

ISSN

0028-4793

Publisher

Massachusetts Medical Society

Language

en-US

Abstract

Lewis Thomas has noted that doctors “are as frightened and bewildered by the act of death as everyone else”. “Death is shocking, dismaying, even terrifying,” Thomas has written. “A dying patient is a kind of freak . . . an offense against nature itself”. It is thus not surprising that many physicians have difficulty talking candidly with dying patients and caring for them, a reaction that often results in undermedication for pain and expensive and ineffective overtreatment.

American patients know this, and although death is a culture-wide enemy, many Americans fear the process of dying in an impersonal modern hospital more than death itself. Americans say they want to die at home, quickly, painlessly, and in the company of friends and family. Most, however, die in hospitals, slowly, often in pain, and surrounded by strangers. Discussions of assisted suicide, the publication of self-help suicide books, and fascination with suicide machines are all symptoms of the problem modern medicine has with the dying, rather than solutions. The state of Michigan is struggling with this problem in its efforts to stop Jack Kevorkian.

Comments

From The New England Journal of Medicine, George J. Annas, Physician-Assisted Suicide -- Michigan's Temporary Solution, Volume 328, Page 1573 Copyright ©(1993) Massachusetts Medical Society. Reprinted with permission.

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