30 Years of IJSE: Festschrift in honour of Professor John by Guest editor: Barrie Pettman.

By Guest editor: Barrie Pettman.

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Thus, the beef industry has not become a major contributor to rural development in the way that some government officials anticipated. Nonetheless, in many areas, cattle and beef may be no worse than other “pillar” industries being used to promote rural development. That is, they may be a loss minimising option to development when other more drastic options such as wholesale transmigration are politically and socially undesirable. Under these circumstances, the government should view any beef industry support from a social perspective rather than from an industry efficiency perspective.

Other rulings revealed the struggle the Court was having with basic concepts. The case that revealed some of the differences of interpretation among the justices of the New Jersey Supreme Court was that of Nancy Jobes, a patient in a PVS condition. While it favored, as do other courts, clear and convincing evidence of the patient’s wishes, it found Jobes’ prior statements to be “remote, general, spontaneous, and made in casual circumstances,” and therefore not constituting “clear proof of a patient’s intent” (In re Jobes, 1987, 108 NJ at 412).

These problems are complicated by poor physician-patient communication, the ineffective use of advance directives and the impact of the market economy on comprehensive palliative care. These call for reform to protect personal rights and dignity at the end of life. Originality/value – A historical approach, too often lacking, promotes insight into the complexities of end-of-life care. An analysis flowing from such a perspective pin-points not only the advances in ethical, legal and medical practice but also the flaws and inconsistencies that call for a more realistic approach in reasoning and practice.

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