Abstract

ABSTRACT To the Editor.— The case of Karen Ann Quinlan again focuses attention on the ethical and moral problems of scientific advances and technological innovation as applied to medical practice. But while individual practitioners and ethics committees of medical institutions regularly tackle these issues, occasionally some become exposed to the public media to provide subjects for controversy and debate.The system for assessing ethical issues depends essentially on ad hoc criteria, and the solutions are often examined retrospectively or as a reaction to a problem when it actually arises. When a case involving ethics rises abruptly, often there is not enough time to inquire into all aspects. It is realized that an ad hoc solution may not be a right or a general solution, particularly if there are emotional overtones. A more appropriate solution for ethical problems may only be derived if there is adequate time to investigate them thoroughly. This

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