Abstract
On my return from a sabbatical year in the proper and orderly Swiss canton of Geneva, I find American physicians as beleaguered as ever with problems in law and ethics. The malpractice crisis seems unabated. Physicians whom I have met express to me their resentment at the continuing and deepening incursions of ethical and legal decision making into traditional areas of clinical medicine.The Karen Ann Quinlan case occurred during my sabbatical. A major part of the decision of the highest court of New Jersey, unexpected by ethicists with whom I talked, would allow some medical decisions to end efforts . . .

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