British medicine has lessons for North American medicine

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6995.1672 (Published 24 June 1995) Cite this as: BMJ 1995;310:1672
  1. Kevin Stewart,
  2. Adrian Wagg,
  3. Mark Kinirons
  1. Consultant physician Newham General Hospital, London E13 8RU
  2. Senior registrar in geriatric medicine University College London Hospitals NHS Trust, London WC1E 6DB
  3. Lecturer Department of Medicine for the Elderly, King's College Hospital, London SE5 9RS

    EDITOR,—The editorial on futility by Charles Weijer and Carl Elliott had a distinctly North American flavour, which will limit its relevance to British clinicians.1 We do not agree that withdrawing life supporting care from a patient in a persistent vegetative state presents a dilemma; it is common sense to us that such care is futile.

    The context in which such decisions are made in North America, or in the United States at least, is …

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