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<book id="665723">
  <title><![CDATA[Last Rights: Rescuing the End of Life from the Medical System]]></title>
  <isbn><![CDATA[0312342241]]></isbn>
  <isbn13><![CDATA[9780312342241]]></isbn13>
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  <default_description>&lt;div&gt;&lt;div&gt;&lt;div&gt;&amp;#8220;This country is fairly crowded with doctors, families, and patients&amp;#8212;all possessed of good intentions&amp;#8212;failing to achieve the simple goal of allowing people to die with dignity and grace.&amp;#8221;&lt;br&gt;In the 1970s, most Americans died swiftly and brutally: of heart attacks, strokes, cancer, or in accidents. But in the past three decades, medical advances have extended our lives and changed the way we die. In &lt;i&gt;The Most Important Time In Your Life&lt;/i&gt;, Stephen Kiernan reveals the disconnect between how patients want to live the end of life&amp;#8212;pain free, functioning mentally and physically, surrounded by family and friends&amp;#8212;and how the medical system continues to treat the dying&amp;#8212;with extreme interventions, at immense cost, and with little regard to pain, human comforts, or even the stated wishes of patients and families. &lt;/div&gt;&lt;div&gt;Backed with surveys, interviews, and intimate portraits of people from all walks of life, from the dying and their families to the doctors and nurses who care for them, this book will be for our time what Elizabeth Kubler-Ross&amp;#8217;s books were for a previous generation. &lt;/div&gt;&lt;/div&gt;&lt;/div&gt;</default_description>
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  <original_publication_day type="integer">14</original_publication_day>
  <original_publication_month type="integer">11</original_publication_month>
  <original_publication_year type="integer">2006</original_publication_year>
  <original_title>Last Rights: Rescuing the End of Life from the Medical System</original_title>
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  <ratings_count type="integer">16</ratings_count>
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  <average_rating><![CDATA[4.12]]></average_rating>
  <ratings_count><![CDATA[16]]></ratings_count>
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  <url><![CDATA[http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System]]></url>
  <authors>
        <author id="357314">
      <name><![CDATA[Stephen P. Kiernan]]></name>
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    <review id="16876209">
    <user id="775264">
    <name><![CDATA[Leslie]]></name>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
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    <rating>4</rating>
  <votes>1</votes>
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      </shelves>
  <recommended_for><![CDATA[Anybody who wants a snapshot of death with chronic disease in the U.S. today]]></recommended_for>
  <recommended_by><![CDATA[Laura Yudusky]]></recommended_by>
  <read_at>Fri Sep 12 00:00:00 -0700 2008</read_at>
  <date_added>Sun Mar 02 21:56:04 -0800 2008</date_added>
  <date_updated>Fri Sep 12 15:02:13 -0700 2008</date_updated>
  <read_count>1</read_count>
    <body><![CDATA[This book is a fair assessment of many of the problems with dying in the U.S. right now.  Although I hope that some of it is out-of-date (ignoring advanced directives is unconscionable), it addresses many of the inadequacies of physician education, public awareness, and physician-patient communicati...<a href="http://www.goodreads.com/review/show/16876209">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/16876209]]></url>
</review>
    <review id="12409985">
    <user id="775149">
    <name><![CDATA[Laurel]]></name>
    <location><![CDATA[Austin, TX]]></location>        
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
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    <rating>4</rating>
  <votes>1</votes>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Mon Jan 01 00:00:00 -0800 2007</read_at>
  <date_added>Sun Jan 13 12:12:07 -0800 2008</date_added>
  <date_updated>Sun Jan 13 12:16:46 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[I read this for my Death and Dying class a couple of semesters ago and feel obligated to get the word out.  With this book the author exposes devastating flaws in the way our medical system approaches and handles death and dying patients.  He argues for a more holistic approach, embracing hospice th...<a href="http://www.goodreads.com/review/show/12409985">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/12409985]]></url>
</review>
    <review id="23277351">
    <user id="1197921">
    <name><![CDATA[Jamie]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1197921-jamie]]></url>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
</book>

    <rating>3</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Wed Jun 18 20:10:12 -0700 2008</read_at>
  <date_added>Thu May 29 20:46:40 -0700 2008</date_added>
  <date_updated>Wed Jun 18 20:10:12 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[not quite a sad read... interesting how this book confirms some of my thoughts on dying and how we treat people. I would say that this book for the people ready to &quot;let go&quot; and not for the fighters. ]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/23277351]]></url>
</review>
    <review id="21043039">
    <user id="777633">
    <name><![CDATA[Deb]]></name>
    <location><![CDATA[Saint Helena, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/777633-deb]]></url>
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  <ratings_count type="integer">16</ratings_count>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
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    <rating>4</rating>
  <votes>0</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sat Sep 01 00:00:00 -0700 2007</read_at>
  <date_added>Sat Apr 26 12:35:27 -0700 2008</date_added>
  <date_updated>Tue May 20 18:45:45 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[A Weinstein recommendation. Powerful, and painful at times, to read. The book helped inform and guide me at a critical time in my life, placing me on a firmer ground to cope with an immense loss.]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/21043039]]></url>
</review>
    <review id="5595581">
    <user id="329525">
    <name><![CDATA[Margena]]></name>
    <location><![CDATA[Galveston, TX]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/329525-margena]]></url>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
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    <rating>3</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Wed Aug 01 00:00:00 -0700 2007</read_at>
  <date_added>Mon Sep 03 14:24:14 -0700 2007</date_added>
  <date_updated>Mon Sep 03 14:24:14 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[This isn't light reading but there is valuable thought-provoking information here.  ]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/5595581]]></url>
</review>
    <review id="26914935">
    <user id="27056">
    <name><![CDATA[Ainsley]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/27056-ainsley]]></url>
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  <ratings_count type="integer">16</ratings_count>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
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    <rating>4</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
  <shelves>
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        <shelf name="assorted-nonfiction" />
      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Wed Jul 30 00:00:00 -0700 2008</read_at>
  <date_added>Thu Jul 10 19:59:05 -0700 2008</date_added>
  <date_updated>Thu Jul 31 06:27:47 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[A little repetitive at times, but definitely worthwhile.]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/26914935]]></url>
</review>
    <review id="18004903">
    <user id="911860">
    <name><![CDATA[Andrea]]></name>
    <location><![CDATA[Madison, WI]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/911860-andrea]]></url>
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  <ratings_count type="integer">16</ratings_count>
  <text_reviews_count type="integer">9</text_reviews_count>
  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
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    <rating>5</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
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      </shelves>
  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at></read_at>
  <date_added>Tue Mar 18 07:39:35 -0700 2008</date_added>
  <date_updated>Tue Mar 18 07:40:26 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[Important topic.  I hope all my friends read this book.]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/18004903]]></url>
</review>
    <review id="38011036">
    <user id="1530816">
    <name><![CDATA[Autumn]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1530816-autumn]]></url>
    <image><![CDATA[http://photo.goodreads.com/users/1227286129p3/1530816.jpg]]></image>
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    <book>
  <id type="integer">665723</id>
  <isbn>0312342241</isbn>
  <isbn13>9780312342241</isbn13>
  <ratings_count type="integer">16</ratings_count>
  <text_reviews_count type="integer">9</text_reviews_count>
  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
</book>

    <rating>5</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sat Nov 01 00:00:00 -0700 2008</read_at>
  <date_added>Mon Nov 17 21:06:06 -0800 2008</date_added>
  <date_updated>Mon Nov 17 21:06:52 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[Everyone who will die should read this book. ]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/38011036]]></url>
</review>
    <review id="22445803">
    <user id="1146252">
    <name><![CDATA[Jeanne]]></name>
    <location><![CDATA[Petaluma, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1146252-jeanne]]></url>
    <image><![CDATA[http://photo.goodreads.com/users/1211062258p3/1146252.jpg]]></image>
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    <book>
  <id type="integer">665723</id>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
</book>

    <rating>5</rating>
  <votes>0</votes>
  <spoiler_flag>false</spoiler_flag>
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        <shelf name="death-dying" />
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Mon Jan 01 00:00:00 -0800 2007</read_at>
  <date_added>Sat May 17 14:11:04 -0700 2008</date_added>
  <date_updated>Sat May 17 14:25:48 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[For anyone who is going to die this is a must read]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/22445803]]></url>
</review>
    <review id="62004090">
    <user id="1509274">
    <name><![CDATA[Squeezemyorange]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1509274-squeezemyorange]]></url>
    <image><![CDATA[http://www.goodreads.com/images/nophoto-U-111x148.jpg]]></image>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
  <link>http://www.goodreads.com/book/show/665723.Last_Rights_Rescuing_the_End_of_Life_from_the_Medical_System</link>
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  <read_at>Fri Jul 03 00:00:00 -0700 2009</read_at>
  <date_added>Fri Jul 03 06:08:55 -0700 2009</date_added>
  <date_updated>Fri Jul 03 06:09:12 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/62004090]]></url>
</review>
    <review id="58274220">
    <user id="1497796">
    <name><![CDATA[Teresa]]></name>
    <location><![CDATA[Eau Claire, WI]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1497796-teresa]]></url>
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  <title>Last Rights: Rescuing the End of Life from the Medical System</title>
  <average_rating>4.12</average_rating>
  <image_url>http://photo.goodreads.com/books/1176923432m/665723.jpg</image_url>
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    <rating>4</rating>
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  <date_added>Wed Jun 03 06:25:40 -0700 2009</date_added>
  <date_updated>Wed Jun 03 06:25:40 -0700 2009</date_updated>
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    <body><![CDATA[]]></body>
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    <review id="53670240">
    <user id="2131000">
    <name><![CDATA[Tish]]></name>
    <location><![CDATA[Freehold, NJ]]></location>        
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