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I was worried I see a lot of comments like this. Your concerns are legit, but it's far worse for people to watch their loved ones suffer.

The discussion I have with families is usually very up-front about the fact that our comfort-care medications can hasten death. But in the ICU that I practice in, that's almost always a good thing. Sometimes use continues infusions to avoid the correlation between a dose given and subsequent respiratory arrest. But I have no doubts about the ethical nature of this. Just wish we could be more open about it, as the article suggests.