Thank you for your response--and I just have to tell you that it comes down to the individual.What I mean by that is when I talk with a family or a patient about matters such as these,I present my moral basis and then I turn the tables and ask them about their value-based descion process.YES--it does come down to a very fundamnetal clearing of the ethical and moral mine-field we all walk upon when dealing with our mutual sense of what is right and what is wrong.In the almost 30 years in which I have done this work,I am always surprised when I see the reaction of people when I bring them to this rather seismic moment.Only then can we have a fair and honest discussion. That is why I motivate my students to think about these issues now--as we all should.By exploring those diffilcult emotions when we are not confronted by eternity,it helps us make better judgements later on.