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Health-care providers in European, Canadian, and US ICUs acknowledge that they sometimes provide futile treatments to patients [ 4- 7].
In most states, a medical resident who is unwilling to provide futile care can be fired.
The Advance Directives Act of 1999, which then Governor George W. Bush championed as the product of careful negotiations between liberal and conservative legislators, was the first state statute to guarantee legal immunity to physicians and hospitals who refuse to provide futile care.
As it has been shown in a survey in Canada, physicians were cited to provide futile care because of prognostic uncertainty (84%) and legal pressures (75%), [ 15].
In this case, vasopressors would just provide futile cardiac resuscitation to patients destined to die shortly afterwards from irreversible organ damage.
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Providing futile care is not merely a moral neutral, but a moral evil.
However, they are unwilling to accept that many physicians find providing futile care to be not merely inconvenient, but morally repugnant.
As expected, communication was another major reason for providing futile treatments (Table 3).
88.3% of the physicians had practical experience of providing futile treatment.
Among 401 physician-respondents, 88.3 percent had experienced providing futile treatment: 15939.7.7%) several times a year, 95 (23.7%) several times a month, 66 (16.5%) several times a week, and 34 (8.5%) almost every day.
Based on findings from that survey, we designed a questionnaire survey directed at Japanese laypeople and physicians to evaluate differences in attitudes regarding medical futility, including whether to provide potentially futile treatments and factors for judging a certain treatment futile at the bedside level.
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CEO of Professional Science Editing for Scientists @ prosciediting.com