Abstract
THE recent "Baby Doe" decision in New York, concerning clinical choices regarding treatment for a child with severe birth defects, and the murder indictment and trial in California of a group of physicians who discontinued treatment and feeding of a brain-damaged patient have provoked reexamination all across the country of the legal and ethical rules concerning the medical obligation to continue vigorous treatment in terminally ill patients or patients whose "quality of life" has deteriorated to unacceptable levels, as in patients in constant, intractable pain or irreversible coma.These issues have received attention in other parts of the world as . . .

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