The PSDA of 1991: What Does It Mean for Health-Care Organizations
Journal of Clinical Ethics. 1991 Fall; 2(3): 205-207.
While much attention has been devoted in the last few months to the implementation of the PSDA [Patient-Self Determination Act], and while the PSDA defines advance health-care directives as written instructions that apply only when the patient is incapacitated, it is important to note that the PSDA leaves unaddressed the fact that most patients coming to health-care providers will retain the capacity for decision making. Further, the public often believes that advance directives are supposed to determine the scope of medical care a patient will receive, regardless of the patient's decision-making capabilities. Thus, it is the educational requirement of the PSDA that will begin to take on a greater significance. Health-care organizations must continue to do as much as we can to help the public to understand the difference between a living will, a durable power of attorney, and a health-care proxy, and to understand when each of these instruments takes effect....
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Reagan, Michael D. (1988-10-27)It is argued that the definition of "rationing" should encompass the notions that (1) it is not primarily a response to a money problem and, therefore, cannot be resolved by the price system, and (2) it is a deliberate, conscious ...