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The Problem of Proxies With Interests of Their Own: Toward a Better Theory of Proxy Decisions
Patient autonomy is the cornerstone of our medical ethics. Given this commitment to autonomy, proxy decisions will always strike us as problematic: it is always more difficult to ensure that the wishes of the patient ...
Is the Patient Self-Determination Act Appropriate for Elderly Persons Hospitalized for Depression?
The goal of the PSDA is to foster communication between patients and physicians about patients' preferences for life-sustaining therapies. Compliance with the PSDA is a condition for reimbursement by Medicaid and Medicare. ...
A Catholic Perspective on Human Gene Therapy
The questions of changes in the human genetic program have been debated by world legislatures, churches, and scientific communities. Papal teachings emphasize a global respect for each patient and the sacred dignity of all ...
Medical Futility: The Duty Not to Treat
In this paper, we examine in closer detail the ethical implications of medical futility. Section one introduces an illustrative case involving a clearly futile medical treatment. Section two outlines three contrasting positions ...
Allowing Patients to Decide
...allowing physicians to withhold life support and resuscitation because they feel it is futile, no matter how beneficent their intentions, would be an unwarranted step backwards toward the type of paternalism modern American ...
Given the Choice
A young physician recounts his change in attitude toward dying after the deaths of two friends, and the impact the deaths had on the men's families. One friend died suddenly in a car crash, and the other after battling ...