This vitally important book attempts to move beyond the current
death-denying culture. The use of euphemistic and defiant phrases
when dealing with terminal disease such as "She lost her battle
with cancer" was more appropriate when medical doctors could do
little to prolong life. But treatments and technologies have
significantly changed. Now life prolonging interventions have
outpaced our willingness to use medical intervention to secure
patient control over death and dying. We now face a new question:
When is it morally appropriate for medical intervention to hasten
the dying process? LiPuma and DeMarco answer by endorsing expanded
options for dying patients. Unwanted aggressive treatment regimens
and protocols which reject hastening death should be replaced by a
patient's moral right, in carefully defined circumstances, to
hasten death by means of medical intervention. Expanded options
range from patient directed continuous sedation without hydration
to physician assisted suicide for those with progressive
degenerative disorders such as Alzheimer's. The authors' overriding
goal is to humanize the dying process by expanding patient centered
autonomous control.
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