The Problem of Proxies With Interests of Their Own: Toward a Better Theory of Proxy Decisions
Journal of Clinical Ethics. 1993 Spring; 4(1): 20-27.
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 are embodied in treatment decisions when someone else must speak for the patient. Proxy decisions are especially disturbing when we fear that the proxy's judgment is tainted by his own interests, so that the proxy is covertly requesting the treatment
Aged; Allowing to Die; Autonomy; Case Studies; Competence; Consent; Decision Making; Dementia; Deontological Ethics; Economics; Ethical Theory; Ethics; Family Members; Family Relationship; Informed Consent; Justice; Legal Aspects; Life; Marital Relationship; Medical Ethics; Moral Obligations; Moral Policy; Motivation; Patients; Physicians; Proxy; Quality of Life; Resource Allocation; Risks and Benefits; Spousal Consent; Standards; Third Party Consent; Treatment Refusal; Withholding Treatment;
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