States is comprised of infants who have multiple congenital anomalies. An additional 7
percent of live births, or 230,000 infants, weigh 2500 grams or less at birth and sustain high
risks for developing significant anomalies as well as premature death." Although many of
these infants have been clear beneficiaries of new and aggressive medical therapies,
significant questions have been raised about the appropriateness of such treatment for
certain infants, for exam-ple, those who are irreversibly dying, those for whom treatment …