Abstract
MEDICAL AND ethical guidelines state that the forgoing of artificial nutrition and hydration is no different from the forgoing of any other medical treatment. Yet a significant number of health professionals believe that artificial nutrition and hydration must always be continued, even when the burdens of this treatment outweigh the benefits of prolonging life. I believe that health professionals should accept the premise that artificial nutrition and hydration are medical treatment (which may be forgone under justifiable clinical and ethical conditions) rather than basic care (which morally cannot be forgone) because of (1) social meanings that create humans symbolically as persons; and (2) the permission medicine is given by society to touch the human body in various antisocial, but medically necessary, ways. While any decision to forgo life-supporting treatment may cause anxiety and anguish for even the most experienced physician,1the withholding or withdrawal of artificial nutrition
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