Friends and Fans — I have retired from my work as a public intellectual, so Philosophy in Action is on indefinite hiatus. Please check out the voluminous archive of free podcasts, as well as the premium audio content still available for sale. My two books — Responsibility & Luck: A Defense of Praise and Blame and Explore Atlas Shrugged — are available for purchase too. Best wishes! — Diana Brickell (Hsieh)

Dr. William Dale on End-Of-Life Medical Choices

Radio Interview: 28 November 2012

I interviewed Dr. William Dale on "End-Of-Life Medical Choices" on 28 November 2012. Listen to or download this episode of Philosophy in Action Radio below.

Many people struggle with difficult decisions about complex medical problems as they near the end of their lives. That time is wrenching for family too. How can people make good decisions about medical care? What mistakes should they try to avoid? How can people prepare for that future now?

Dr. William Dale is a geriatrician at The University of Chicago Medicine with a doctorate in health policy and extensive experience in oncology. He has devoted his career to the care of older adults with cancer – particularly prostate cancer. Dr. Dale has a special interest in the identification and treatment of vulnerable older patients who have complex medical conditions, including cancer. He is actively researching the interactions of cancer therapies with changes associated with aging.

Tags: Adult Children, Communication, Conflict, Death, Emotions, Family, Health, Introspection, Law, Medicine, Rationality, Values

Note: This was one of my favorite episodes ever, because I learned so much more than I expected. I recommend that you invite your spouse, siblings, parents, and adult children to listen to it with you, and then talk about these difficult issues with them.


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  • Duration: 59:09
  • Download: MP3 File (13.6 MB)

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About the Podcast

The topics covered in this episode were:
  • Dr. Dale's work
  • End-of-life challenges for the patient
  • End-of-life challenges for others
  • The choice of more versus less treatment
  • Doctors telling patients the whole truth
  • What patients can do to get more and better information
  • Patients' regrets about treatment
  • The importance of knowing one's own preferences
  • Dealing with family problems
  • Living will versus power of attorney
  • Talking to the person with your power of attorney
  • The emotions of dealing with death
  • Being a supportive and reasonable family member
  • Conflicts between in-town-and out-of-town family
  • Conflicts in the family over care
  • The "five stages of grief"
  • Differences between ethnic groups about end-of-life care

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About Philosophy in Action

I'm Dr. Diana Brickell. I'm a philosopher specializing in the application of rational principles to the challenges of real life. I received my Ph.D in philosophy from the University of Colorado at Boulder in 2009. My book, Responsibility & Luck: A Defense of Praise and Blame, is available for purchase in paperback and Kindle. The book defends the justice of moral praise and blame of persons using an Aristotelian theory of moral responsibility, thereby refuting Thomas Nagel's "problem of moral luck."

My radio show, Philosophy in Action Radio, broadcasts live over the internet on most Sunday mornings and some Thursday evenings. On Sunday mornings, I answer questions applying rational principles to the challenges of real life in a live hour-long show. Greg Perkins of Objectivist Answers co-hosts the show. On Thursday evenings, I interview an expert guest or discuss a topic of interest.

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