Many have argued that, when medicine really has nothing left to offer, physicians should NOT ask surrogates, in an open-ended manner: "What would you like to do?" Nor should they ask: "Do you want us to restart her heart if it stops?" They should seek only assent to the (if there is one) only appropriate course of action.
Alex Kon has a nice expression for this in 9(4) AJOB: "informed non-dissent." The basic notion is that the physician does not "ask." Instead, she just informs the family of the already-made decision. This puts the ball in the surrogate's court. And the surrogate is not asked to and need not make a decision. But, if she so desires, may veto the declared/presumptive course of action.
Tidak ada komentar:
Posting Komentar