A solution to the dilemma of dying by passive or active euthanasia is a complex one. First, there has to be a  51  within the medical community and the legal community about what can be done to free physicians from  52  should they be asked to assist a patient in dying. The appropriate measures need to be  53  to ensure the safety of everyone involved.

Second, there needs to be an established measure for each  54  patient and his family as to what they determine "extraordinary" and what they consider "ordinary." Currently there seems to be  55  physicians who are willing to engage in this dialogue, and those who will are  56  the peer pressure of the general medical establishment.

Finally, there needs to be a shift in the way physicians are educated. Saving the patient shouldn't be the sole  57  of a physician's success. While this is an easy yardstick, since life is a  58  and measurable occurrence when contrasted to death, there should be a higher standard of success based upon following the specific wishes of a patient and his family. While this can be a little more ambiguous than the black and white "life or death," it will  59  better medical treatment and will ensure that more people are dying the way they  60  to.