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The Patient Self-Determination Act Daniel O. Livvarcin Putting pressure on herself andThe Patient Self Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using the act as an important vehicle for improving the health care decision making process, this book explains the act's social, legal, and ethical background by focusing on well known cases such as those of Karen Ann Quinlan and Nancy Cruzan and explores ways in which
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