• 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… 

Preventive medicine and public health.

As preventive medicine and public health make contributions in areas that were beyond the authors' comprehension a professional lifetime ago, it is now not only accepted, but expected, that state and local health departments will respond to problems such as lead exposure, occupational hazards, tobacco, dietary fat, suicide clusters, violence, birth defects, and alcohol and other drug abuse.

Palliative Care Canada 1999 — A Question Period

  • D. J. Roy
  • Political Science
    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.

  • N. Macdonald
  • Medicine, Psychology
    Cancer treatment and research
  • 1999
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.

Palliative Care-Past and Future-Questioning Great Expectations

  • D. J. Roy
  • Political Science
    Acta oncologica
  • 2000
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.

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

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

“Sanctified Snake Oil”: Ideology, Junk Science, and Social Work Practice

This article explores the pervasiveness of the form of junk science known as advocacy statistics, and its danger to the practice of social work. Using domestic violence statistics as exemplars, the



Families as caregivers: the limits of morality.

  • D. Callahan
  • 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.

Public attitudes toward the right to die.

  • S. GenuisS. GenuisW. Chang
  • Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1994
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.

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.

The Special Senate Committee on euthanasia and assisted suicide. by Gary Levy

tag=1 data=The Special Senate Committee on euthanasia and assisted suicide. by Gary Levy tag=2 data=Levy, Gary tag=3 data=Canadian Parliamentary Review, tag=6 data=Summer 1995 tag=7 data=26-28.

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.