Abstract

Some doctors closely involved with children suffering from severe spina bifida believe that the lives of those worst affected are so miserable that it is wrong to resort to surgery to keep them alive. Published descriptions of the lives of these children support the judgment that they will have lives filled with pain and discomfort. When the life of an infant will be so miserable it would not be worth living, and there are no 'extrinsic' reasons - such as the feelings of the parents - for keeping the infant alive, it is better that the child should be helped to die without further suffering.