Finite Knowledge/Finite Power: “Death Panels” and the Limits of Medicine

  title={Finite Knowledge/Finite Power: “Death Panels” and the Limits of Medicine},
  author={Jeffrey P. Bishop and Kyle Bertram Brothers and Joshua E. Perry and Ayesha Ahmad},
  journal={The American Journal of Bioethics},
  pages={W7 - W9}
In the era of rhetoric centered on fictional “death panels,” we have grown fearful for how our paper would be heard. Indeed our original essay was completed a year before the presidential election of 2008. Yet, as with many papers in academia, the saga of this paper was indeed interesting and long. We had sent it to several medical journals and each time we met with one reviewer who seemed to endorse the position that we articulated, and one reviewer who found it problematic. We were puzzled by… 

The Impact of Advance Directives on the Intensity of Care Received in the Acute Care Setting in Older Adults

A shift in the approach of healthcare providers may be necessary to promote engagement in advanced care planning discussions, with patients and family members, with an AD serving as the product of those discussions rather than a document completed out of context.

Implementation of a Pilot ACO Payment Model and the Use of Discretionary and Non-Discretionary Cardiovascular Care

Implementation of a pilot ACO did not limit the utilization of discretionary or non-discretionary cardiovascular care in ten large health systems.

Advance directives & advance care planning among elective surgery patients - ICU issues

Ce travail tente d'en investiguer les raisons, en posant tout d'abord un cadre theorique a travers un eclairage philosophique, bioethique, juridique and medical, puis en decrivant la situation en Suisse, a Geneve and aux Hopitaux Universitaire de Geneve.

Implementation of a Pilot Accountable Care Organization Payment Model and the Use of Discretionary and Nondiscretionary Cardiovascular Care

Implementation of a pilot accountable care organization did not limit the use of discretionary or nondiscretionary cardiovascular care in 10 large health systems.



The Conversation Around CPR/DNR Should Not Be Revived—At Least for Now

  • R. Truog
  • Medicine
    The American journal of bioethics : AJOB
  • 2010
There are a number of reasons why there should be no focus upon futile CPR as a way of addressing the global problem of overtreatment, and it would be misguided and counterproductive to make elimination of inappropriate CPR a focus of efforts.

Restricting CPR to Patients Who Provide Informed Consent Will Not Permit Physicians to Unilaterally Refuse Requested CPR

  • T. Pope
  • Medicine
    The American journal of bioethics : AJOB
  • 2010
The presumptions in the U.S. about providing in-hospital CPR are addressed and a connection with the UK model of CPR presumption is drawn, which is far flimsier and weaker than Bishop and colleagues advance.

Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer.

Positive religious coping in patients with advanced cancer is associated with receipt of intensive life-prolonging medical care near death and further research is needed to determine the mechanisms for this association.

Resuscitation Strategies in the United States: Realities of Hospital and Prehospital Treatment

  • K. Iserson
  • Medicine
    The American journal of bioethics : AJOB
  • 2010

Leave Current System of Universal CPR and Patient Request of DNR Orders in Place

  • E. Feen
  • Medicine
    The American journal of bioethics : AJOB
  • 2010

Levels of Intervention: Communicating with More Precision About Planned Use of Critical Interventions

  • C. Ells
  • Medicine
    The American journal of bioethics : AJOB
  • 2010
A shift in how healthcare professionals talk to patients, the general public and each other is urged, and one hospital’s experience in striving for more precise communication through practice assessment and policy change is shared.

History Matters

Practical Considerations for Reviving the CPR/DNR Conversation