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Managed Care and Managed Death: Title and subTitle BreakCoincidence

Matthew Menken, MD
Arch Neurol. 1997;54(3):328-330. doi:10.1001/archneur.1997.00550150084021
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Toward the end of his famous and nearly incomprehensible book, The Critique of Pure Reason, Immanuel Kant underscored the 3 most important questions in philosophic thought: What can I know? What ought I to do? What may I hope? The modal auxiliaries can, ought, and may in these questions are precisely used, implying, respectively, that what is knowable by humans will always be limited, that the path to virtuous conduct is always uncertain, and that our dreams and plans become hopes because of a Being whose verdicts we can neither predict nor appeal.1 The subjects of assisted suicide and euthanasia highlighted in this article fall firmly in the domain of philosophy, even though they are usually debated as questions of social policy and law. The issue is not only what we have a right to do, but also what it is right for us to do. I will argue

REFERENCES

Van Doren C. The Joy of Reading . New York, NY: Harmony Books; 1985;:256.
Bernat JL. Ethical Issues in Neurology . Newton, Mass: Butterworth-Heinemann; 1994;:314.
Menken M.  Managed care and the practice of neurology: implications for neurology residents . Arch Neurol . 1996;;53:859-862.
Menken M.  The challenges of health system reform: where should neurology be going? Neurology . 1994;;44:1580-1582.
Bachman JG, Alcser KH, Doukas DJ, Lichtenstein RL.  Physician-assisted suicide . N Engl J Med . 1996;;335:519-520.
Emanuel EJ.  Euthanasia: historical, ethical, and empiric perspectives . Arch Intern Med . 1994;; 154:1890-1901.
Council on Scientific Affairs, American Medical Association.  Good care of the dying patient . JAMA . 1996;;275:474-478.
Nowell-Smith P.  In favour of voluntary euthanasia . In: Gillon R, ed. Principles of Health Care Ethics . Chichester, England: John Wiley & Sons Inc; 1994;:753-762.
Blendon RJ, Szalay US, Knox RA.  Should physicians aid their patients in dying: the public perspective . JAMA . 1992;;267:2658-2662.
Biskupic J.  Court to hear two cases on right to die . Washington Post . (October 2) , 1996;:A1.
Lancaster SJ. ' Son, if you truly love me, you'll end this .' Med Econ . 1996;;73:171-177.
Brody H.  Assisted suicide: a challenge for family physicians . J Fam Pract . 1993;;37:123-125.
Members of ABIM End-of-Life Patient Care Project. Caring for the Dying: Identification and Promotion of Physician Competency . Philadelphia, Pa: American Board of Internal Medicine; 1996;:11.
Quill TE.  Death and dignity: a case of individualized decision making . N Engl J Med . 1991;; 324:691-694.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Van Doren C. The Joy of Reading . New York, NY: Harmony Books; 1985;:256.
Bernat JL. Ethical Issues in Neurology . Newton, Mass: Butterworth-Heinemann; 1994;:314.
Menken M.  Managed care and the practice of neurology: implications for neurology residents . Arch Neurol . 1996;;53:859-862.
Menken M.  The challenges of health system reform: where should neurology be going? Neurology . 1994;;44:1580-1582.
Bachman JG, Alcser KH, Doukas DJ, Lichtenstein RL.  Physician-assisted suicide . N Engl J Med . 1996;;335:519-520.
Emanuel EJ.  Euthanasia: historical, ethical, and empiric perspectives . Arch Intern Med . 1994;; 154:1890-1901.
Council on Scientific Affairs, American Medical Association.  Good care of the dying patient . JAMA . 1996;;275:474-478.
Nowell-Smith P.  In favour of voluntary euthanasia . In: Gillon R, ed. Principles of Health Care Ethics . Chichester, England: John Wiley & Sons Inc; 1994;:753-762.
Blendon RJ, Szalay US, Knox RA.  Should physicians aid their patients in dying: the public perspective . JAMA . 1992;;267:2658-2662.
Biskupic J.  Court to hear two cases on right to die . Washington Post . (October 2) , 1996;:A1.
Lancaster SJ. ' Son, if you truly love me, you'll end this .' Med Econ . 1996;;73:171-177.
Brody H.  Assisted suicide: a challenge for family physicians . J Fam Pract . 1993;;37:123-125.
Members of ABIM End-of-Life Patient Care Project. Caring for the Dying: Identification and Promotion of Physician Competency . Philadelphia, Pa: American Board of Internal Medicine; 1996;:11.
Quill TE.  Death and dignity: a case of individualized decision making . N Engl J Med . 1991;; 324:691-694.

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