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Robert S. Olick, Associate Professor Emeritus of Bioethics and Humanities, SUNY Upstate Medical University

50 years ago, Karen Quinlan’s coma sparked the movement for patients’ rights near the end of life

Karen Ann Quinlan's case has remained a touchstone for other debates about end-of-life care. ljubaphoto/E+ via Getty Images

March 31, 2026, marks 50 years since a landmark decision that shapes American patients’ rights every day: the New Jersey Supreme Court ruling in the case of Karen Ann Quinlan, who had suffered an irreversible coma.

Quinlan’s case established for the first time that decisions near the end of life should be made by patients and families, not by doctors and hospitals alone. As a bioethicist, I have taught and written extensively about the profound impact the Quinlan case has had on law, bioethics and the pursuit of death with dignity.

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