• Corpus ID: 36049945

A march of folly.

  title={A march of folly.},
  author={Neil Macdonald},
  journal={CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne},
  volume={158 13},
  • N. Macdonald
  • Published 30 June 1998
  • Medicine
  • CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Folly, as defined by Barbara Tuchman, is “the pursuit of policy contrary to the self-interest of the constituency or state involved . . . folly is a policy that is counter-productive.” Current trends in cancer incidence and mortality rates, education, research, and societal mores and views combine to present a number of antithetical propositions. A review of these propositions highlights the need for ethical reflection and studies on end-of-life issues affecting cancer patients and their… 
Palliative Care Canada 1999 — A Question Period
  • D. J. Roy
  • Medicine
    Journal of palliative care
  • 1999
Canada is the centre of attention in this editorial, and it would be astounded if similar questions should not be asked in other countries throughout the world.
Palliative care education: a global imperative.
Logically, the myriad psychosocial problems that come to the fore during the course of illness should also be recognized and addressed before the end stage of an illness.
Untrammeled growth as an environmental “March of Folly”
The theme we explore in this paper is that uncontrolled growth and resulting environmental damage can be considered as an Environmental March of Folly. A folly has been defined as the pursuit of
Palliative Care-Past and Future-Questioning Great Expectations
This paper argues that the future of palliative care cannot be divined reliably without considering how a set of basic questions might be answered by health-care professionals, administrators of
Palliative care--an essential component of cancer control.
  • N. Macdonald
  • Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1998
Palliative care must be regarded as an essential component of cancer care, its principles must be applied throughout the course of the illness and, as in other phases of cancer control, palliatives care should be regardedAs an exercise in prevention--prevention of suffering.
The Future of Stupidity and Vice Versa
Failure: America and the Western world in general comprise only the most recent example of a civilization failing to live up to its own standards. In this respect, we are but typical of the civilized
Dean, Judge, and Bishop: Lessons from a Conflict and Implications for School Leaders, 5(17)
This article utilizes a court-resolved 1870s conflict between two clergymen, Edward Cridge and George Hills, to present a model for conflict analysis that is relevant for the preparation and
Popular Perceptions and Political Economy in the Contrived World of Harry Potter
Economic organization of the imaginary worlds depicted in popular literary works may be viewed as a mirror to public opinion on the economic organization of life. If a book becomes a best-seller, it
Recent American Stupidity
The New Deal: In the early 1930’s, Americans did not perceive giant business organizations as “Governing bodies” but as eminently successful rugged individuals. Another part of American fiction was
Journal of Psychiatry and Psychology Research: Well-being, Empowerment and Affective Profiles
For all stupidity’s cognitive inconsistency, there is an unethical element which characterizes deliberate, informed, maladaptive behavior. Simply put, there is invariably a common sense code of


Families as caregivers: the limits of morality.
  • D. Callahan
  • Psychology, Medicine
    Archives of physical medicine and rehabilitation
  • 1988
If heroic demands are to be made on family members, a richer moral culture is required, not just the provision of improved social services.
Desire for death in the terminally ill.
The desire for death in terminally ill patients is closely associated with clinical depression--a potentially treatable condition--and can also decrease over time, and informed debate about euthanasia should recognize the importance of psychiatric considerations, as well as the inherent transience of many patients' expressed desire to die.
Attitudes of Michigan physicians and the public toward legalizing physician-assisted suicide and voluntary euthanasia.
Most Michigan physicians prefer either the legalization of physician-assisted suicide or no law at all; fewer than one fifth prefer a complete ban on the practice; two thirds of the Michigan public prefer legalization and one quarter prefer a ban.
Treating the dying patient. The challenge for medical education.
Until the medical school establishment recognizes education in the care of the dying as a professional requirement for all medical students, physicians in their professional practice will continue, as two recent studies reviewed herein demonstrate, to fail those patients whose care.
Public attitudes toward the right to die.
Public support for the right to die varies depending on the circumstances of the patient, and the single most significant factor determining attitudes was the level of religious activity.
A Canadian survey of issues in cancer pain management.
It is suggested that further surveys of this type, sponsored by provincial colleges and medical organizations, can provide feedback which will enhance the adherence by Canadian physicians to published guidelines for pain management.
Learning to care for the dying: a survey of medical schools and a model course
A death and dying seminar offered at the Yale School of Medicine using patients as teachers is described, enabling students to learn the personal effects of serious illness, coping techniques used in daily living, characteristics of the caring physician, and skills needed to provide compassionate care.
Death education curricula in U.S. medical schools
It is concluded that medical schools need to improve both the quantity and quality of instruction in the area of death education.
Physician Attitudes and Practice in Cancer Pain Management: A Survey From the Eastern Cooperative Oncology Group
The knowledge about cancer pain and its treatment among physicians practicing in ECOG-affiliated institutions was determined to determine the methods of pain control being used by these physicians and to compare physician knowledge of and attitudes toward cancerPain with the results of a study of cancer pain.
Evidence based medicine.
The five steps of EBM, categorizing and grading evidence, and major principles of study design are discussed in this chapter.