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• W1569856510 abstract "Abstract Respect for autonomy grounds a patient's right to refuse medical even when the resulting consequence will be death of the patient. This, in policy, guarantees a patient the right to commit suicide by refusing treatment. However, individuals who attempt suicide by active measures are often subjected to prolonged intervention. This creates an inconsistency in the policies of refusal and suicide intervention. In this paper, I examine the reasons commonly given to justify prolonged suicide intervention and extrapolate their faults. Given the strong value placed on autonomy, the common arguments for prolonged suicide intervention are fatally flawed. Introduction To deny someone control of what is one of the most important decisions of life is a blatant disrespect for autonomy and an act of paternalistic tyranny. Prolonged suicide intervention is such a denial and, to be rightfully tolerated, there must be a strong justification for the utility of doing so in order to remain respectful of the value of autonomy. (1) It is this respect for autonomy that, in policy, grounds a patient's right to refuse medical treatment. In fact, it is generally concluded that physicians are both morally and legally obligated to honor refusals of treatment, even when the resulting consequence will be death of the patient (Beauchamp, 1996). Therefore, according to current policy, one can, in certain circumstances, commit suicide by refusing treatment. However, this right to commit suicide by passive means does not extend to more active measures. For those who attempt suicide by active measures, their attempts are often thwarted and subject to prolonged intervention. This creates an inconsistency in the policies of refusal and suicide intervention. If persons should have the liberty to end their lives by refusing without intervention, they should have the right to end their lives by utilizing other methods without intervention. However, many arguments have been offered in support of prolonged suicide intervention. In what follows, I will examine these arguments and extrapolate their failings. Autonomy and relief of suffering are values that, generally, are not disputed. (2) To quote R.G. Frey, Control over our own lives is one of the most important goods we enjoy (Frey, 1998: p. 17). It is this realization of the importance of individual autonomy that grounds the justification for a patient's right to refuse medical treatment. The Hastings Center Project Group gives voice to this respect for patient autonomy when they write: If the patient has decision-making capacity, then the patient is the ultimate judge of the benefits and burdens of a life-sustaining treatment, and whether the burdens outweigh the benefits. Individuals differ in what they see as a burden and a benefit (The Hasting Center project Group, 1987). (3) Generally, this right is so firmly grounded in theory that, as Dan W. Brock suggests, there is a firm consensus that competent patients are entitled or have a moral right to refuse life-sustaining treatment (Brock, 1996: p. 144). This right to refuse includes patients who would, otherwise, return to a state of health if given treatment. A case that illustrates this is Lane v. Candura (Lane v. Candura, 1978). In this case, 77 year-old Mrs. Candura was informed that she would die without an amputation on her gangrenous leg. Her right to refuse was upheld even after her daughter launched a legal battle protesting her decision (Angell, 1998). Likewise, a Jehovah's Witness, who is otherwise in good heath and requires a routine blood transfusion, can decline. The Jehovah's Witness has a right to refuse because it is his/her autonomous choice to do so. (4) In fact, in policy, all competent patients have the right to refuse medical for any reason at any time. However, the story is much different for autonomous choices to commit suicide. …" @default.
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• W1569856510 date "2004-04-01" @default.
• W1569856510 modified "2023-09-23" @default.
• W1569856510 title "Refusal of Treatment, Suicide Intervention and Autonomy" @default.
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