David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Res Publica 1 (2):147-162 (1995)
Autonomous decision-making over therapy options is not reducible to the refusal of unwanted medical intervention. This is a myth that has been imported from questionable assumptions in political economy, and is of little benefit to medical practice and the sometimes agonizing decisions which have to be taken by patients and their relatives. An individual's right to therapy abatement can be protected from abuse only in the context of a full understanding of autonomous choice; not merely the right to refuse, but the opportunity to receive assistance and consider alternatives. Limits are also required on the role of the surrogate in the refusal of therapy. Policies endorsing therapy abatement and exercise of the right to forego life-sustaining therapy should carry cast iron guarantees that they will not be disadvantageous to the poor and undereducated members of society. It should also be noted that fears of unlimited life-prolongation have been greatly exaggerated. In an atmosphere of governmental indifference to the plight of the sick, with the notion of welfare tuned to market forces, there is a danger that self-determination can have a restricted meaning; the option of death in the context of an underfunded health service. This may not be the time to campaign for the right to refuse therapy, but rather the time to campaign for improvements to existing therapy
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Mark Bratton (2010). Anorexia, Welfare, and the Varieties of Autonomy: Judicial Rhetoric and the Law in Practice. Philosophy, Psychiatry, and Psychology 17 (2):159-162.
Sheila McLean (2010). Autonomy, Consent and the Law. Routledge-Cavendish.
H. Kuhse & P. Singer (1991). Prolonging Dying is the Same as Prolonging Living--One More Response to Long. Journal of Medical Ethics 17 (4):205-206.
Michael Quante (1999). Precedent Autonomy and Personal Identity. Kennedy Institute of Ethics Journal 9 (4):365-381.
H. Draper (1996). Therapy Abatement, Autonomy and Futility: Ethical Decisions at the Edge of Life. Journal of Medical Ethics 22 (5):317-318.
Ben Colburn (2008). Forbidden Ways of Life. Philosophical Quarterly 58 (233):618-629.
Kasper Lippert-Rasmussen (1999). Life-Prolonging Killings and Their Relevance to Ethics. Ethical Theory and Moral Practice 2 (2):135-147.
Simona Giordano (2010). Anorexia and Refusal of Life-Saving Treatment: The Moral Place of Competence, Suffering, and the Family. Philosophy, Psychiatry, and Psychology 17 (2):143-154.
A. Dreyer, R. Forde & P. Nortvedt (2009). Autonomy at the End of Life: Life-Prolonging Treatment in Nursing Homes--Relatives' Role in the Decision-Making Process. Journal of Medical Ethics 35 (11):672-677.
Added to index2009-01-28
Total downloads11 ( #291,349 of 1,789,999 )
Recent downloads (6 months)1 ( #424,764 of 1,789,999 )
How can I increase my downloads?