As physicians, we know that the patients are suffering. We know that their chances of returning to the life they desire are nonexistent. We know that this is a difficult decision. Should we respect their right to self-determination and help them continue this difficult existence until they decide to stop?
If we care about our health, we must address physician health. This can only happen with a shift in the culture of care and wellness of doctors. Self-care must become a core competency in medical training. Such radical change requires the involvement of all stakeholders, the doctors, the health policy makers and most importantly, the public.