Review of Muriel Gillick: Old and Sick in America

I began following the work of Muriel Gillick in the 1990s, when I was a doctoral student in health care ethics. At a time when the ethics literature was focused on genetics and new technologies driving critical care in academic medical centers, Gillick was one of the few writing cogently about the ethical questions I found compelling: how best to care for elderly persons outside the hospital, especially when such persons can no longer make decisions for themselves. From frequent nursing-home-to-hospital transfers, to feeding tubes for dementia patients, to the possibilities and limitations of advance care planning, Gillick writes with a clarity and real-world perspective that I have always found helpful.

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