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Ravenscroft and Bell's study of end-of-life decision making in intensive care¹ provides valuable evidence for further debate about this ultimate and often subjective, aspect of practice. However, the comment that belated or absent measurement of Quality of Life is “clearly inadequate” ignores the contentious nature of measuring Quality of Life. Another recent review² concludes that Quality of Life cannot be measured either accurately or reliably, and so should not be used as a criterion for health care services.