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Abstract Standard theory and practice is to equate competence to make decisions regarding one’s medical treatment with the possession of certain rational capacities, including the capacity to understand and appreciate the prognosis of the available treatment options. Standard theory and practice also prefer to treat as competent patients who make treatment decisions on the basis of religious commitments, even when those commitments appear to interfere with the patients’ ability to understand the relevant information. This paper argues that such decision-makers are in fact incapacitated, but that community and societal commitments to respecting religion may nevertheless provide reasons to respect their decisions.
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