Medicine, Health Care and Philosophy 19 (4):563-568 (2016)

Advance directives have been hailed for two decades as the best way to safeguard patients’ autonomy when they are totally or partially incompetent. In many national contexts they are written into law and they are mostly associated with end-of-life decisions. Although advocates and critics of ADs exchange relevant empirical and theoretical arguments, the debate is inconclusive. We argue that this is so for good reasons: the ADs’ project is fraught with tensions, and this is the reason why they are both important and deeply problematic. We outline six such tensions, and conclude with some positive suggestions about how to better promote patients’ autonomy in end-of-life decision. We argue that ADs should continue to be an option but they cannot be the panacea that they are expected to be.
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DOI 10.1007/s11019-016-9704-7
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References found in this work BETA

Advance Directives and the Personal Identity Problem.Allen Buchanan - 1988 - Philosophy and Public Affairs 17 (4):277-302.
Enough: The Failure of the Living Will.Angela Fagerlin & Carl E. Schneider - 2004 - Hastings Center Report 34 (2):30-42.

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Challenges to ART Market: A Polish Case.Anna Alichniewicz & Monika Michałowska - 2015 - Medicine, Health Care and Philosophy 18 (1):141-146.

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