Skip to main content

A Review of the Empirical Studies of the DNR Law and a Rejoinder to Tracy Miller

  • Chapter
Legislating Medical Ethics

Part of the book series: Philosophy and Medicine ((PHME,volume 48))

  • 83 Accesses

Abstract

Tracy E. Miller, Executive Director of the New York State Task Force on Life and the Law, charges that “studies of actual [clinical] practice presented in this volume… show that [the Union College Study] rest[s] on false factual assumptions” [12, p. 325]. These charges, and those she levels against the implications we draw from similar findings made independently by Dr. Norton Spritz [18], are serious, but they arise from fundamental misunderstandings about the nature of clinical phenomena and of the findings of the five empirical studies of the DNR law. In this chapter I will show that Miller’s readings of the empirical studies are incorrect, that her charges are therefore unfounded, and that her misreading of the empirical studies obscures the extent to which the DNR law successfully empowered patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ahronheim, J., Maheswaran, S. Rosenberg, C.: 1992, ‘Impact of Do-Not Resuscitate Legislation on the use of Cardiopulmonary Resuscitation in Three Teaching Hospitals,’ New York State Journal of Medicine 92, 181–185.

    Google Scholar 

  2. Ahronheim, J., Maheswaran, S. Rosenberg, C.: 1995, ‘Does the New York State DNR Law Prevent Medically Inappropriate DNR?’, this volume, pp. 235–240.

    Google Scholar 

  3. Baker, R., Strosberg, M., 1995, ‘Introduction’, this volume, pp. xiii–xvi.

    Google Scholar 

  4. Baker, R., Dersch, V., Fein I. A. et al.: 1989, ‘Physicians’ Attitudes Towards Using Deception’, Journal of the American Medical Association 266, 22–33.

    Google Scholar 

  5. Baker, R., Strosberg, M., Schmee, J. et al.: 1995, ‘The 1988 DNR Reforms: A comparative study of the New York DNR Law and the JCAHO accreditation requirements for DNR policy’, this volume, pp. 263–301 (Also referred to as The Union College Study).

    Google Scholar 

  6. Dersch, V.: 1995, ‘Differences in Clinician Reactions to the New York State DNR Law’, this volume, pp. 303–321.

    Google Scholar 

  7. Hastings Center: 1987, Guidelines on the Termination of Life-Sustaining Treatment and the Care of the Dying, Indiana University Press, Bloomington, Indiana.

    Google Scholar 

  8. Kamer, R., Dieck, E., McClung, J., White, P.: 1990, ‘Effect of New York State’s DoNot-Resuscitate Legislation on In-Hospital Cardiopulmonary Resuscitation Practice’, American Journal of Medicine 88, 108–111.

    Article  Google Scholar 

  9. Kamer, R., McClung, J.: 1995, ‘New York’s Do-Not-Resuscitate Law: Benefit or burden’, this volume, pp. 227–234.

    Google Scholar 

  10. Medical Society of the State of New York: 1982, Guidelines for Hospitals and Physicians on ‘Do Not Resuscitate’, Lake Success, New York; reprinted, this volume, pp. 369–370.

    Google Scholar 

  11. Miller, T.: 1995, ‘Taking Stock of Do-Not-Resuscitate Orders: Perception and Practice’, this volume, pp. 105–132.

    Google Scholar 

  12. Miller, T.: 1995, ‘An Assessment of the Union College Study and a Response to Robert Baker’s Analysis of the DNR Law’, this volume, pp. 325–332.

    Google Scholar 

  13. New York State Task Force on Life and the Law: 1986, Do Not Resuscitate Orders: The Proposed Legislation and Report of the New York State Task Force on Life and the Law, Second Edition, New York, N.Y., this volume, pp. 381–413.

    Google Scholar 

  14. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research: 1983, Deciding to Forego Life-Sustaining Treatment: A Report on the Ethical, Medical, and Legal Issues in Treatment Decisions, U.S. Government Printing Office, Washington, D.C. Excerpts in this volume, pp. 371–379.

    Google Scholar 

  15. Quill, T., Bennett, N.: 1992, ‘The Effects of A Hospital Policy and State Legislation on Resuscitation Orders for Geriatric Patients’, Archives of Internal Medicine 152, 569–572.

    Article  Google Scholar 

  16. Quill, T., Bennett, N.: 1995, ‘The Effects of A Hospital Policy and State Legislation on Resuscitation Orders for Geriatric Patients’, this volume, pp. 241–250.

    Google Scholar 

  17. Rest, J.: 1979, Moral Development: Advances in Research and Theory, Praeger Publishers, New York, N.Y.

    Google Scholar 

  18. Spritz, N.: 1995, ‘The New York State DNR Law: Views of the members of the New York Chapter of the American College of Physicians’, this volume, pp. 251–261.

    Google Scholar 

  19. Zussman, R.: 1995, ‘The Do-Not-Resuscitate Order as Ritual’, this volume, pp. 215–225.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Baker, R. (1995). A Review of the Empirical Studies of the DNR Law and a Rejoinder to Tracy Miller. In: Baker, R., Strosberg, M.A., Bynum, J. (eds) Legislating Medical Ethics. Philosophy and Medicine, vol 48. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8593-4_23

Download citation

  • DOI: https://doi.org/10.1007/978-94-015-8593-4_23

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4438-9

  • Online ISBN: 978-94-015-8593-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics