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First, I will talk about the right of self determination. You mentioned that it is important to respect patient decision, but we can’t absolutely believe what patient said. Patient couldn’t say their own mind because of their family. The patient would concern about the physical and mental suffering that his family receives and the formidable burden of treatment costs first than his own life that is hopeless. And it will not be the self determination anymore.

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bereaved family would be greater. Furthermore, as I mentioned above, there is alternative way, the hospice that eases the pain that family suffers. Moreover, hospice activity is alleviating the pain that the patient suffers from disease and making utmost efforts to set families mental and physics at rest. Hospice provides the atmosphere that the patient and his family can adapt to understanding and loves one another by helps their emotional expression.

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