TO THE EDITOR:
Re "Easing a Difficult Passage" (Books, Sept. 24): Abigail Zuger has focused attention on a medical dilemma that affects increasing numbers of older people. I work with patients and their families who are confronting end-of-life decisions, and I recognize the impulse among some physicians to wage a relentless war against death, seemingly unaware of the cost in suffering to both patient and family.
In military affairs, we recognize that civilian authority must prevail if the expectations of generals exceed what can reasonably be accomplished. So, too, a patient or patient's family must have the final say if a physician's efforts to win the war against death ignore the wishes or best interests of the patient.
Faced with overzealous efforts, we must realize, with Swinburne, "that even the weariest river winds somewhere safe to sea."
Peter Rogatz, M.D.
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