AMA Journal of Ethics 21 (7):566-574 (2019)

Nathaniel Sharadin
University of Hong Kong
Patient preference predictors aim to solve the moral problem of making treatment decisions on behalf of incapacitated patients. This commentary on a case of an unrepresented patient at the end of life considers 3 related problems of such predictors: the problem of restricting the scope of inputs to the models (the “scope” problem), the problem of weighing inputs against one another (the “weight” problem), and the problem of multiple reasonable solutions to the scope and weight problems (the “multiple reasonable models” problem). Each of these problems poses challenges to reliably implementing patient preference predictors in important, high-stakes health care decision making. This commentary also suggests a way forward.
Keywords patient preference predictors  incapacity  surrogacy  advance directive  predictive medicine
Categories (categorize this paper)
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

 PhilArchive page | Other versions
External links

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.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Reflections on the Patient Preference Predictor Proposal.D. W. Brock - 2014 - Journal of Medicine and Philosophy 39 (2):153-160.
Law, Ethics, and the Patient Preference Predictor.R. Dresser - 2014 - Journal of Medicine and Philosophy 39 (2):178-186.
The Medical Surrogate as Fiduciary Agent.Dana Howard - 2017 - Journal of Law, Medicine and Ethics 45 (3):402-420.
The Surrogate's Authority.Hilde Lindemann & James Lindemann Nelson - 2014 - Journal of Medicine and Philosophy 39 (2):161-168.
Patient Preference Predictors, Apt Categorization, and Respect for Autonomy.S. John - 2014 - Journal of Medicine and Philosophy 39 (2):169-177.
Non-Patient Decision-Making in Medicine: The Eclipse of Altruism.Margaret P. Battin - 1985 - Journal of Medicine and Philosophy 10 (1):19-44.
Some Comments on the Substituted Judgement Standard.Dan Egonsson - 2010 - Medicine, Health Care and Philosophy 13 (1):33-40.


Added to PP index

Total views
140 ( #77,153 of 2,455,360 )

Recent downloads (6 months)
18 ( #38,557 of 2,455,360 )

How can I increase my downloads?


My notes