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Reply from the Authors: Dr. Burke's intemperate letter simultaneously misrepresents our editorial and misstates the facts on which it was based. His letter does, however, succeed in demonstrating the importance that the American Academy of Neurology issue clear statements on ethical issues of neurological practice for its members that cannot be sidetracked by emotionally charged hyperbole and factual distortion such as that which he proffers.
Dr. Burke cites the Missouri Supreme Court in Cruzan, [2] purportedly to show that artificial hydration and nutrition are not medical therapies. Disingenuously, however, he fails to mention that, on appeal, the United States Supreme Court ruled that artificial hydration and nutrition clearly …
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