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Editorials: POINT/COUNTERPOINT EDITORIALS |

Counterpoint: The Texas Advance Directives Act Is Ethically Flawed: Medical Futility Disputes Must be Resolved by a Fair Process

Robert D. Truog, MD
Author and Funding Information

Affiliations: Dr. Truog is Professor of Medical Ethics, Anesthesiology, and Pediatrics, Harvard Medical School, Senior Associate in Critical Care Medicine at Children's Hospital Boston, and Director of Clinical Ethics at Harvard Medical School.

Correspondence to: Robert D. Truog, MD, Children's Hospital, MSICU Office, Bader 6, 300 Longwood Ave, Boston, MA 02115; e-mail: robert.truog@childrens.harvard.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(4):968-971. doi:10.1378/chest.09-1269
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Extract

Mr. J's case and cases like it are among the most frustrating problems experienced by clinicians in the practice of medicine today. In an environment where physicians and nurses work hard to cure and to comfort, these situations force us to squander scarce time and resources in pursuit of apparently meaningless ends. In the midst of daily routines that involve collaborative, respectful, and productive interactions with patients and families, these stalemates consume countless hours with angry conversations, accusations, and conflict, grinding us down and contributing to burnout among physicians and nurses alike.1,2

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