April 2004 -- The controversy last year over whether to withdraw a feeding tube from a 39-year-old Florida woman with severe brain damage has thrust questions regarding end-of-life decisions into the limelight once again. That debate has been intensified by divergent opinions about the woman's possibility of rehabilitation and by doubts raised about her husband's motivation in wishing not to prolong her life. The complexities of that case, however, should not be allowed to bias public response to a somewhat different but no less urgent ethical question: What is the most humane way to treat individuals who, at the end of a long life, express a clear-minded wish to die? As a society with an increasingly aged population, we need to confront this question head on.
