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35 Duq. L. Rev. 311 (1996-1997)
Defining the Terminally Ill: Insights from SUPPORT

handle is hein.journals/duqu35 and id is 291 raw text is: Defining the Terminally Ill: Insights
Joanne Lynn, M.D.*
Frank E. Harrell, Jr., Ph.D.**
Felicia Cohn, Ph.D.***
Mary Beth Hamel, M.D., M.P.H.****
Neal Dawson, M.D.*****
Albert W. Wu, M.D.******
For the SUPPORT Investigators
Being classified as terminally ill conveys a special status for
certain public policies. Terminally ill individuals are eligible for
hospice care funded by Medicare and also qualify to effectuate
their living wills.' Under several current proposals, terminally
ill individuals would also be permitted to have physician assist-
ance in suicide.2 The cases currently before the United States
*  Professor of Health Care Sciences and Medicine and Director, The Center to
Improve Care of the Dying, George Washington University, Washington, DC. B.S. Dick-
inson College, 1970; M.D., Boston University School of Medicine; M.A., Philosophy and
Social Policy, George Washington University, 1984; M.S., Clinical Evaluative Sciences,
Dartmouth College, 1995.
** Director, Division of Biostatistics and Epidemiology, Department of Health
Evaluation Sciences, University of Virginia School of Medicine. B.S. University of Ala-
bama, 1973; Ph.D., University of North Carolina, 1979.
*** Senior Scientist and Adjunct Assistant Professor, The Center to Improve Care
of the Dying, George Washington University, Washington, DC. B.A., University of Vir-
ginia, 1989, M.A., University of Virginia, 1991; Ph.D., University of Virginia, 1996
**** Instructor of Medicine, Beth Israel Hospital Boston, Harvard Medical School.
A.B., Princeton University, 1985; M.D., University of North Carolina, 1989; M.P.H.,
Harvard University, 1994.
*****  Associate Professor of Medicine and Epidemiology and Biostatistics, Case
Western Reserve University at MetroHealth Medical Center. A.B. University of Missouri
at Columbia, 1971; M.D. University of Missouri at Columbia School of Medicine, 1976.
******  Assistant Professor of Health Policy and Management, Johns Hopkins Univer-
sity, Baltimore, Maryland. B.A. Cornell University College of Arts and Sciences, 1980;
M.D. Cornell University Medical College, 1984; M.P.H. University of California at Berke-
ley, 1990.
1. 42 USCA § 1395d(4); Miesel A. The Right to Die; 2nd ed. (John Wiley & Sons
Inc., NY) 1989.
2. See Compassion in Dying v. Washington, 79 F.3d 790 (9th Cir. 1996), en banc,
cert. granted, Washington v. Glucksberg, 65 U.S.L.W. 3254 (U.S. Oct. 1, 1996) (No. 96-


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