In a letter in the latest New England Journal of Medicine [363(3): 295], French and Canadian physicians comment on an April 2010 article by Silveira et al. on surrogate decision making: "From a European viewpoint we are very . . . surprised by the power of a surrogate to overrule all decisions, even when surrogate decisions are inconsistent with the patient’s written preferences."
"Surprised"? That was my initial reaction too. But the terms that now best describe my reaction include "puzzled," "shocked," and "angry."
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