The author presents current (1986) thought on the provision of nutrition & hydration to those patients who either are unable to eat & drink because of their medical condition, or have refused to eat as a part of their self-destructive behavior. Part 1 is the issues; part 11, considerations in formulating a moral response; part 111, perspectives on the law; part 1V, special consideraions for particular populations, part V, in re Claire C. Conroy. A case study. (NBB)