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16 Sing. L. Rev. 360 (1995)
To Treat or Not to Treat: Autonomy, Beneficence and the Sanctity of Life

handle is hein.journals/singlrev16 and id is 364 raw text is: To Treat or Not to Treat:
Autonomy, Beneficence and
the Sanctity of Life?
JOHN KEOWN
I. INTRODUCTION
Should a baby born prematurely at 22 weeks gestation be rushed
to the nearest neonatal intensive care unit? Should a 90 year-old
patient with senile dementia who has just suffered a heart attack
be resuscitated? Should antibiotics be administered to a patient
in a persistent vegetative state (pvs)? The question whether or
not to treat a patient can, as these cases illustrate, prove ethically
and legally problematic, particularly at the beginning and end
of life. Developments such as advances in medical technology
which allow increasingly premature babies to be saved and the
growing proportion of elderly patients in many countries serve
only to highlight the growing importance of this question in
medical practice.
This paper cannot hope to explore and resolve all the complex-
ities raised by treatment and non-treatment decisions, nor does
it attempt to do so. Rather, it offers, in a simple but not simplistic
way, an analysis which it is thought offers the best way of deciding
John Keown, BA, MA (Cantab), DPhil (Oxon), Barrister-at-Law (MT) is a
Visiting Fellow at National University of Singapore, Academic Year 1994-95.

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