To the Editor: A recent Sounding Board contribution1 has led me for the first time to question the editorial judgment of the Journal in including a paper for publication. Dr. Leibel, in claiming that there is an erosion in the respect for the sanctity of human life, comes very close to advancing a conspiratorial theory. It is certainly true that anyone advocating nontreatment of terminally ill patients is obligated to answer one very important question, Is the justification a matter of maximum utility or of distributive justice? Does one advocate eliminating human beings because of their high cost and.
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