To the Editor: Drs Bascom and Tolle1 described the case of a patient in Oregon who requested
PAS from his physician under the Death With Dignity (DWD) law. The physician,
opposed to his patient's choice, discontinued his care and referred the patient
to hospice. Once there, the patient and his new physician embarked on an open
exploration of health care options. It was only after this dialogue—a
dialogue that all patients in these circumstances should be afforded—that
the patient made a new decision. He and his physician collaborated on a treatment
plan and the patient was able to end his days in a manner of his choosing.
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