When medical treatment is futile

Futility cases … when doctors believe further medical treatment is futile and yet the patient’s family asks for treatment beyond palliative care … are nerve-wracking: “For most doctors, these cases present a crisis of conscience. How can we obey a central pillar of our profession — to do no harm — when we are forced to provide treatment that will only prolong suffering?” In “It’s Not Just about the ‘Quality of Life,’ ” Sandeep Jauhar sugguests: “Embracing the ethic of social justice can help us out of this morass. Social justice in medicine promotes the allocation of limited resources to maximize societal benefit.”

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