Health Policy

Download e-book for kindle: Deciding for Others: The Ethics of Surrogate Decision Making by Allen E. Buchanan

By Allen E. Buchanan

ISBN-10: 0521311969

ISBN-13: 9780521311960

ISBN-10: 052132422X

ISBN-13: 9780521324229

This ebook is the main entire therapy to be had of 1 of the main urgent--and but in a few respects so much neglected--problems in bioethics: decisionmaking for incompetents. half I develops a normal concept for making remedy and care judgements for sufferers who're now not powerfuble to make a decision for themselves. It offers an in-depth research of competence, articulates and defends a coherent set of rules to specify compatible surrogate decisionmakers and to lead their offerings, examines the worth of increase directives, and investigates the function that issues of price should play in judgements pertaining to incompetents. half II applies this theoretical framework to the precise difficulties of 3 vital periods of people, lots of whom are incompetent: minors, the aged, and psychiatric sufferers. The authors' strategy combines a probing research of primary concerns in moral thought with a delicate information of the concrete realities of future health care associations and the hugely own and person personality of adverse useful difficulties. Its wide scope will entice future health pros, ethical philosophers and attorneys alike.

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Additional resources for Deciding for Others: The Ethics of Surrogate Decision Making

Example text

Instead, the challenge is to strike the appropriate balance and thereby minimize the overall incidence of the errors noted above. No set of procedures will guarantee that in practice all and only the incompetent are judged to be incompetent. But procedures and standards for competence are not merely inevitably imperfect. They are inevitably controversial as well. In the determination of competence, there is disagreement not only about which procedures will minimize errors, but also about the proper standard that the procedures should be designed to approximate.

Thus, a crucial issue at the outset is how to incompetent and thus become determine who is properly deemed under our theory. As will as falling clear in this chapter, that may question than is a far more complex be apparent. In particular, the determination of competence is not simply an "objective" factual determination based on some measurable property of an individual. Nor is its complexity simply psychological or more broadly empirical and so to be sorted out by psychologists or psychiatrists before the ethical and legal analysis comprising a theory of decision making for incompetents is done.

What the incompetent individual, if competent, would choose. , acting according to well-being) of the incompetent in- dividual. Authority principles: principles that identify appropriate surrogate decision-makers for incompetent individuals. Intervention principles: ditions principles specifying under which the courts, the conof representatives Introduction 11 government protective agencies, or others stitutional roles are to intervene, or may in various in- intervene, so as to take decisions out of the hands of those whose presumptive authority to decide was acknowledged in the authority principles.

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Deciding for Others: The Ethics of Surrogate Decision Making by Allen E. Buchanan


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