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Unformatted text preview: People are generally more accepting of "letting" people die (ex: DNR), but they are not as ok with actually "making" them die. Pt right to refusal of care - we have the right to KNOW and to say NO Most Issues of termination of treatment are governed by STATE laws Federal Law comes into play in three ways: 1. Cruzan - Originally young, healthy girl, but after automobile accident she was in a persistent vegetative state. Mom and Dad decided to pull the plug on her artificial nutrition and hydration (she was breathing on her own). State law in Missouri - in order to terminate care, must have "clear and convincing" evidence of what the pt would have wanted --> Standard requirement, which she didn't have Mom and Dad appeal higher and higher, up to Supreme court of Missouri - they rule that their evidence of her off hand comment of what she would have wanted is not proof enough...
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- Fall '07