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some tomorrow. People who cannot be here tomorrow, whether<br />

they are on the subcommittee or on the full commission,<br />

please give us any suggestions you have. We focused really<br />

on one part of the report. We paid most of the attention<br />

to that. A very important one and very critical to what we<br />

are do<strong>in</strong>g but there is a lot more there and we hope that<br />

you will give us suggestions so that we can move forward<br />

with the draft.<br />

Jonathan?<br />

DR. MORENO: Can I just say two th<strong>in</strong>gs?<br />

I have lots of th<strong>in</strong>gs I would like to say but I<br />

have exercised remarkable restra<strong>in</strong>t, I th<strong>in</strong>k, over the last<br />

hour.<br />

It does seem to me that with respect to<br />

research advance directives or whatever you want to call<br />

them that this analogy with regard to end of life <strong>in</strong> a<br />

cl<strong>in</strong>ical sett<strong>in</strong>g is important. Nobody has mentioned one<br />

that the <strong>in</strong>vestigator has an <strong>in</strong>centive to sign up subjects<br />

and use whatever device is available, which is not the<br />

case, although I have tried to conv<strong>in</strong>ce my physician<br />

colleagues it is <strong>in</strong> their best <strong>in</strong>terest to get their<br />

patients sign<strong>in</strong>g advance directives <strong>in</strong> New York I have not<br />

succeeded but I th<strong>in</strong>k <strong>in</strong>vestigators have an <strong>in</strong>herent<br />

<strong>in</strong>centive to use devices such as this.

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