Futility Determination as a Process: Problems with Medical Sovereignty, Legal Issues and the Strengths and Weakness of the Procedural Approach [Book Review]

Journal of Bioethical Inquiry 8 (2):155-163 (2011)
Abstract
Futility is not a purely medical concept. Its subjective nature requires a balanced procedural approach where competing views can be aired and in which disputes can be resolved with procedural fairness. Law should play an important role in this process. Pure medical models of futility are based on a false claim of medical sovereignty. Procedural approaches avoid the problems of such claims. This paper examines the arguments for and against the adoption of a procedural approach to futility determination
Keywords Futility  Law  Susbtitute decision-making  Best interests  Substituted judgment  Sovereignty  Professionalism
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Wayne Shelton (1998). A Broader Look at Medical Futility. Theoretical Medicine and Bioethics 19 (4):383-400.
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