Palliative care is now established as a speciality in many advanced countries. Painstaking work some 30 years ago changed the connotation of what was then practised as terminal care. Besides cancer, such care now encompasses symptom control in patients with other chronic conditions like multiple sclerosis. The practice of this kind of care involves many ethical challenges in terms of its legal, social, and fiscal aspects. The book under review discusses the ethical issues in the management of persons with chronic illnesses.