courts%~d the ge%i&l pu& iime intemion~",~~hearabie pain, `::Y..: + i :: Surgeon Ceneraf'C;`Rverett Koop has',&& ~`respirator, m%ponents of euth&asia stressed no trouble getting press attention for his ' `. ' : that they wanted death to be mercifully has? al killing, by on&&on or diiv&@tion, of those refusal to engage in euphemi&stith regGd- : t&red only4vhen it was voluntary, when `the to curbing the spread of AIDSHe has`been, -a' patient was sufferingunbearable pain and was +,: nor, though incurable, was she.&.& to death. whose lives are cons&red &&fficient.vaab;. :i`bqf. fn 1985i a court went further in expanding less successful in,makihg th$c@enry awar&4rear death. Karen Ann Quinlan could not make of another of hii&occup&ons `ur wtiich he:!` any decisions ue to maintain," The'surg@6g&eral..means. ;::the power to.. let someone else die. Claire euthanasia-passive?and "&tive+for.- those.> &onroy, a- nursing home patient, FIS ,,senile `:!.- ;. who are~"biologically `temidieu~f& that they I .$do not die wjthin-sn Acceptable, time frames as,. also disdaiia `newspeak *' -' `P:,TL'.fir herselfi I' :. ._) ' ,-ibut capable of shofing pleasure while receiv- `4ng car& smihng during a back rub, for:& I' , I.. 1 In lectures and&i&s, Dr.Koop has been ::-:wzis not -sitf- warning of the i&easing acceptance -by the :`>fering 9 W E E T L A N J) un- a' ruled for the first time that a feeding tube ' could be considered optional treatment and be removed from patients under certain circum- `Stan&s. I :`I `Since then, there have'beea other cases in .,,`.i : / j which judges . i have decided determined by theirfamilies ol"so6iety.Y (. .l_. .._, . .&ance. ' r.::.,$-; `;8. Another critic.of the burgeoniujg "right-to-., `.L: A relative wanted to remove' her feeding die" movement is ,Hniversity of Michigan. law,! z-i tube, but the eiderly lady died whjle the Case professor Yale Kamisar; an expert on cOtiⅈ _ was still going up the..judicial ladder. Since ,it tional law `with spe;c@ `focus on the due.,pr& :_ ,&rcemed an important issue,. the New Jersey cess proteciionsoff'the Fourth Amend$$t' `,~~~~~u~re~Court considered the csse anyway. It Kamisar pintao#t@$,hefqre4he~97~~$u$ $&rd'impt$6 a number of safeguards regardiig +&ion discori~Ka&FA& Qum n 8' euthanasu~, but, Kannsar notes, .the `c@ut . . . :. I' .!' :`ciotis pa- " tieids, ihi&h not in acute &II or near death, -have stayed too `long. In New Jersey, Nancy Ellen Jobes, allegedly in a @&tent vegeta- trve state, was examined by Dr. AUan Ropper, professor- of neurology at Harvard Medical School, who `found that she could perform certain movements requested of her and show . resultant satisfaction. The judge, however, preferred to go with contrary testimony and ruled that she be denied food and water. The `case is now before the Neti Jersey Supreme ,&u& ."`I 0 F -,;: `Another current ca& &Id mark a signifi- L.1 B E R T Y that biologi- cant breakthrough for partisans of eut$asii. callv tena- In Arisona, 79-year-old Mildred Rasmu.&ed~ `+ `, If tiis. i&y: of termhta*S' the liiilogicaily diagnosed as in "a chronic vegetative state;' k iA ii approved by the ArizonaSupreme responded to painful stimuli, could swallow on ,. ) ), . ..~~.~@rt. ihese~decisions by those on the list will her own and according to some testjmony was, ,,,~;~~&&ceforth `be vhtuahy wjthout any further S~OfherSunOundiags.Although~~~~.~'j;l;iiciaI~~and~~~.~tdue of complications following pneumonia in 1986, iA hercasehasacquiredalifeofitsown,~~.c., -~meprivatized~ ,,, ::3.,,i !>:, : + 2. plmcek The power to end` life witl have ithascontinuedtoexpGlnditsboundarie9~~~~... !-. At one point, the Arizona intermediate :' `": 5: .me * SUpreme && .a &J a>n- ~~ofAppeals~~t~if&`$&Jlt ~.~siderwhetherthisprMisationofeu&uka were not terminally ill, life-saving treatment y; should he extended beyond patients in comas (mcluding food and fluids) could be discontin- Cto any @tient-regarded by physicians as %I- ued under certain conditions: the attendhrg `.,competent or +apacitakL~ Accordingiy, a physician .would have' to determine that the .: :*.number ofla@med disabilityr@hm organ& patient LJ comatd and KS conG%a $.IFT+$ tions have .entixed the case. whey ee the able and irreversible. __.. f *,A.. When this situation exists, those en~&&`~";~ j'. possibiity of people bemg dispatched hecause ,thei are. inentally retarded or otherwise de- ered by the courts to tell the physician that he .. fenseless~ T ' can let the person die constitute a consider- ,.i able list-ranging from, among others,' a . . I _ L "A few years ago," Kamisar observes, "pea- spouse' to an adult child to a majority. vote of 1,. ! $e would have been astounded at the idea of the adult children to the nearest living relative i,removing: food and water from a patient." But of the patient; .and if. none of the, above is, * ~ ,how that way to death has the imprimatllr of available, the attend@ physician haa the vote. `the An&can Medical w.tior~