In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Frank Miller and Bob Truog have some bad news for us: doctors kill people. They do it routinely, not rarely, nor merely by mistake or accident. All the venerable distinctions, all the new conceptual innovations that contemporary medical ethics uses to deflect this conclusion, creak and crack and tumble down under sufficient scrutiny. Yet Miller and Truog have good news, too: killing people (or as they prefer to say, strictly to avoid the negative resonances of “killing,” “causing people to die”) is like most other things. Whether it’s okay or not is all in why you do it and how you do it, and that’s true as much for doctors as for anyone else.