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Often when death is the inevitable and impending outcome of a health diagnosis, doctors are reluctant to discuss alternatives to treatment, feeding into a culture of denial that can result in expensive, ineffective, and unnecessary over treatment that may or may not extend life but almost always damages the quality of life. Here, a seasoned doctor and researcher looks at the ways in which we are accustomed to treating illness at all costs, even at the expense of the quality of a patient’s life. He considers our culture of denial, the medical profession’s role in over treating patients and end of life care, and the patient’s options and role in these decisions. The goal is to help patie...
This book provides a comprehensive and contemporary examination of the right-to-die issues facing society now that vast improvements in public health care and medicine have resulted in people not only living longer but taking much longer to die—often in great pain and suffering. In 1900, the average age at which people died in America was 47 years of age; the primary causes of death were tuberculosis and other respiratory illnesses. In the 21st century, as a result of better health care and working conditions as well as advances in medical technology, we live much longer—as of 2016, about 80 years. A much larger proportion of Americans now die from chronic diseases that generally appear ...
Each year, more than one million people and their loved-ones arrive at a decision to cease attempts at curative medical treatments and shift to hospice care, while one-in-five Americans now live in in geographical regions that have established lawful protocols allowing medical aid in dying—also known as assisted suicide. In this powerful new work, Lew Cohen, a psychiatrist and palliative medicine researcher, reveals a self-determination movement that empowers people to shape the timing and circumstances of their deaths, decriminalizes laws threatening those who help them, and passes assisted dying legislature. He offers a vivid tapestry woven from the candid, inspirational, and graphic sto...