Journal of medical ethics
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The prospect of dealing with a rapidly and inexorably bleeding patient fills most medical practitioners with alarm. When that patient is a Jehovah's Witness, the knowledge that a blood transfusion is likely to be refused turns that alarm into a state of acute anxiety and conflict. ⋯ In the last 25 years in England, Wales, Scotland and Northern Ireland, there has been one maternal death in which the refusal to accept a blood transfusion has been considered to be an avoidable factor. In this article I have attempted to identify the magnitude of the problem in obstetric practice and have sought to clarify the moral and legal aspects.
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This paper outlines briefly some of the research which has been carried out on attitudes to terminal illness and its care. The writer feels that not enough effort is being put into the teaching of this subject in our medical schools and Universities, and that doctors themselves are the ones who often wish to 'duck' the issue of dealing with disability and the dying. However, with the increasing awareness, through both the research and the growing allied literature, the writer feels that there is no longer any excuse for omitting this subject from the curricula for doctors and nurses in training.
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Journal of medical ethics · Dec 1976
The just provision of health care: a reply to Elizabeth Telfer.
Dr Hillel Steiner in this reply to Elizabeth Telfer takes each of her arguments for different arrangements of a health service and examines them--'four positions which can be located on a linear ideological spectrum'--and adds a fifth which could have the effect of 'turning the alleged linear spectrum into a circle'. Underlying both Elizabeth Telfer's article and Dr Steiner's reply, the base is inescapably a 'political' one, but cannot be abandoned in favour of purely philosophical concepts. Whatever the attitude of mind of the reader of these two papers to the provision of a health service, the stimulus to more careful assessments of our own National Health Service and its problems can only be good.