Stopping a treatment of drugs or a procedure seems to be a violation of the agreed terms when the treatment was started – it is assumed that when a medical treatment is begun, it will be carried out to its full extent. There is also a causal burden of responsibility when a doctor withdraws treatment. Generally, withdrawing treatment leads to a faster death of the patient, causing the doctor and caregiver and to feel responsible for that death. Withholding treatment does not have these same effects, so it is easier for both the physician and the medical decision maker to agree to not start treatment opposed to starting and then withdrawing. Beauchamp and Childress state that withdrawing treatment and withholding treatment are not as different as originally thought to be, however, I disagree with