Precommitment: a misguided strategy for securing death with dignity
Precommitment is a seductive concept in bioethics. It is most popular as a strategy to resolve questions about the future use of life-sustaining treatment. The living will was an early focus of the death with dignity movement and its successor, the advance treatment directive, is central to medical...
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| Veröffentlicht in: | Texas law review 2003-06, Vol.81 (7), p.1823-1847 |
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| creator | Dresser, Rebecca |
| description | Precommitment is a seductive concept in bioethics. It is most popular as a strategy to resolve questions about the future use of life-sustaining treatment. The living will was an early focus of the death with dignity movement and its successor, the advance treatment directive, is central to medical ethics and law. This article explains why precommitment is an inferior strategy for making end-of-life decisions. It first reviews the literature and legal rules promoting advance choice as the preferred approach to resolving treatment questions. It describes empirical findings that expose problems with the advance directive approach. Then it discusses ethical and policy objections to relying on precommitment to answer treatment questions. It concludes that precommitment is an impractical and inappropriate strategy for securing humane and dignified death. |
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It is most popular as a strategy to resolve questions about the future use of life-sustaining treatment. The living will was an early focus of the death with dignity movement and its successor, the advance treatment directive, is central to medical ethics and law. This article explains why precommitment is an inferior strategy for making end-of-life decisions. It first reviews the literature and legal rules promoting advance choice as the preferred approach to resolving treatment questions. It describes empirical findings that expose problems with the advance directive approach. Then it discusses ethical and policy objections to relying on precommitment to answer treatment questions. 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It is most popular as a strategy to resolve questions about the future use of life-sustaining treatment. The living will was an early focus of the death with dignity movement and its successor, the advance treatment directive, is central to medical ethics and law. This article explains why precommitment is an inferior strategy for making end-of-life decisions. It first reviews the literature and legal rules promoting advance choice as the preferred approach to resolving treatment questions. It describes empirical findings that expose problems with the advance directive approach. Then it discusses ethical and policy objections to relying on precommitment to answer treatment questions. It concludes that precommitment is an impractical and inappropriate strategy for securing humane and dignified death.</abstract><cop>United States</cop><pub>University of Texas, Austin, School of Law Publications, Inc</pub><pmid>15478265</pmid><tpages>25</tpages></addata></record> |
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| identifier | ISSN: 0040-4411 |
| ispartof | Texas law review, 2003-06, Vol.81 (7), p.1823-1847 |
| issn | 0040-4411 1942-857X |
| language | eng |
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| source | MEDLINE; Business Source Complete |
| subjects | Advance Directive Adherence - ethics Advance directives Advance Directives - ethics Advance Directives - legislation & jurisprudence Advance Directives - statistics & numerical data Beneficence Bioethics Commitments Comprehension Decision making Decision Making - ethics Dementia Empirical Research Ethics Evaluation Studies as Topic Family Humans Jurisprudence Law Life Support Care - ethics Medical ethics Mental Competency Palliative care Paternalism - ethics Patients Personal Autonomy Philosophers Philosophy Physicians Quality of Life Right to die Terminal Care - ethics Terminal Care - standards Third-Party Consent - ethics Values Withholding Treatment - ethics |
| title | Precommitment: a misguided strategy for securing death with dignity |
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