The Concept of Futility: Recognizing the Importance of Context

Perspectives in Biology and Medicine 60 (3):428-432 (2018)
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Abstract

As a member of the committee that authored the Multiorganization Policy Statement under discussion, I fully endorse the response of Bosslet and my colleagues to the provocative article by Schneiderman, Jecker, and Jonson. In addition, I would like to offer some thoughts about how the different positions reflected here may be at least partially reconciled by considering the different contexts in which the word and the concept of futility may be invoked. The main thrust of the classic paper by Schneiderman, Jecker, and Jonsen, which is that medicine should not offer or perform treatments that are futile, still resonates with many clinicians, including myself. I...

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