''In re Quinlan'' (70 N.J. 10, 355 A.2d 647 (NJ 1976)) was a landmark 1975 court case in the United States in which the parents of a woman who was kept alive by artificial means were allowed to order her removal from artificial ventilation.
Karen Ann Quinlan
Karen Ann Quinlan was 21 years old in 1975. After a night of drinking alcohol and ingesting
tranquilizer
A tranquilizer is a drug that is designed for the treatment of anxiety, fear, tension, agitation, and disturbances of the mind, specifically to reduce states of anxiety and tension.
Etymology
Tranquilizer, as a term, was first used by F.F. Yonk ...
s, Quinlan passed out and ceased breathing for two 15-minute periods. After it was determined that she was in a
persistent vegetative state
A persistent vegetative state (PVS) or post-coma unresponsiveness (PCU) is a disorder of consciousness in which patients with severe brain damage are in a state of partial arousal rather than true awareness. After four weeks in a vegetative stat ...
, her father, Joseph Quinlan, wished to remove her from the
medical ventilator
A ventilator is a piece of medical technology that provides mechanical ventilation by moving breathable air into and out of the lungs, to deliver breaths to a patient who is physically unable to breathe, or breathing insufficiently. Ventilators ...
. Quinlan's primary physician and the hospital both refused.
Legal case
Quinlan's father retained attorneys Paul W. Armstrong, a Morris County, New Jersey, Legal Aid attorney, and James M. Crowley, an associate at the New York City law firm of Shearman & Sterling with degrees in theology and Church law, and filed suit in the
New Jersey Superior Court
The Superior Court is the state court in the U.S. state of New Jersey, with statewide trial and appellate jurisdiction. The New Jersey Constitution of 1947 establishes the power of the New Jersey courts.Jeffrey S. Mandel, New Jersey Appellate Pr ...
in
Morris County, New Jersey, on September 12, 1975, to be appointed as Quinlan's
legal guardian so that he could act on her behalf. Armstrong would later become involved in the
Nancy Cruzan case and later still become a judge. Crowley is, as of 2017, legal counsel and advisor to several
Vatican
Vatican may refer to:
Vatican City, the city-state ruled by the pope in Rome, including St. Peter's Basilica, Sistine Chapel, Vatican Museum
The Holy See
* The Holy See, the governing body of the Catholic Church and sovereign entity recognized ...
-related entities.
The Court denied his request on November 10, 1975. Joseph Quinlan appealed the decision to the
Supreme Court of New Jersey
The Supreme Court of New Jersey is the highest court in the U.S. state of New Jersey. In its current form, the Supreme Court of New Jersey is the final judicial authority on all cases in the state court system, including cases challenging th ...
, which on March 31, 1976, held that he could authorize the cessation of ventilation; and that
Saint Clare's Hospital was bound to proceed with this order.
Aftermath
After being removed from the ventilator, Quinlan continued to breathe until her death, in 1985, from
pneumonia
Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severi ...
.
The
autopsy of Quinlan's brain found extensive damage to the bilateral
thalamus
The thalamus (from Greek θάλαμος, "chamber") is a large mass of gray matter located in the dorsal part of the diencephalon (a division of the forebrain). Nerve fibers project out of the thalamus to the cerebral cortex in all directions, ...
.
See also
* ''
Betancourt v. Trinitas Hospital'': another New Jersey case on end of life care
References
External links
Full text of decision
{{DEFAULTSORT:In Re Quinlan
New Jersey state case law
1976 in United States case law
1976 in New Jersey
Morris County, New Jersey
Medical controversies in the United States
Euthanasia in the United States
Euthanasia law