@article{ART003351148},
author={JUNHEWK KIM},
title={Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination},
journal={Korean Journal of Medical Ethics },
issn={2005-8284},
year={2026},
volume={29},
number={2},
pages={93-98}
TY - JOUR
AU - JUNHEWK KIM
TI - Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination
JO - Korean Journal of Medical Ethics
PY - 2026
VL - 29
IS - 2
PB - The Korean Society For Medical Ethics
SP - 93
EP - 98
SN - 2005-8284
AB - This commentary examines the relationship between reduced life-sustaining treatment expenditures and family caregiving burdens in end-of-life care. Responding to Kim et al.’s analysis of advance preference formation and barriers to implementing end-of-life choices in South Korea, it argues that health insurance savings, out-of-pocket medical expenses, paid caregiving costs, and family income loss should not be treated as interchangeable categories. Using a personal caregiving case as an analytic vignette, it illustrates how substantial burdens persist even when high-intensity life-sustaining treatment is forgone. Drawing on Korean and Japanese studies, this commentary further shows that anticipated family burden shapes end-of-life preferences, decision-making authority, and the preferred place of care. It therefore cautions that expanding patient choice without adequate hospice, home care, visiting nursing services, long-term care, public caregiving support, and income protection for family caregivers may reframe unresolved social care burdens merely as matters of individual or family choice.
KW - advance care planning;terminal care;caregivers;cost of illness;family;ethics of care
DO -
UR -
ER -
JUNHEWK KIM. (2026). Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination. Korean Journal of Medical Ethics , 29(2), 93-98.
JUNHEWK KIM. 2026, "Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination", Korean Journal of Medical Ethics , vol.29, no.2 pp.93-98.
JUNHEWK KIM "Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination" Korean Journal of Medical Ethics 29.2 pp.93-98 (2026) : 93.
JUNHEWK KIM. Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination. 2026; 29(2), 93-98.
JUNHEWK KIM. "Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination" Korean Journal of Medical Ethics 29, no.2 (2026) : 93-98.
JUNHEWK KIM. Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination. Korean Journal of Medical Ethics , 29(2), 93-98.
JUNHEWK KIM. Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination. Korean Journal of Medical Ethics . 2026; 29(2) 93-98.
JUNHEWK KIM. Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination. 2026; 29(2), 93-98.
JUNHEWK KIM. "Between Cost Containment and Care Burden: Relational Conditions of End-of-Life Self-Determination" Korean Journal of Medical Ethics 29, no.2 (2026) : 93-98.
