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- W3144488095 abstract "U.S. law treats parental decisions to size, shape, sculpt, and mine children’s bodies through the use of non-therapeutic medical and surgical interventions like decisions to send a child to a particular church or school. They are a matter of parental choice except in extraordinary cases involving grievous harm. This Article questions the assumption of parental rights that frames the current paradigm for medical decisionmaking for children. Focusing on cases involving eye surgery, human growth hormone, liposuction, and growth stunting, I argue that by allowing parents to subordinate their children’s interests to their own, the current paradigm distorts the parent-child relationship and objectifies children. I propose an alternative. Pushing analogies developed in family law and moral philosophy to respect children as complete but vulnerable human beings, I develop a trustee-based construct of the parent-child relationship, in which the parents are assigned trustee-like powers and responsibilities over a child’s welfare and future interests, and charged with fiduciary-like duties to the child. Application of the trustee-based construct separates medical decisions that belong to parents, from decisions that belong to children and those that should be made by a neutral third party. Introduction 2 I. Sculpting, Shaping, and Sizing Children: Focus Cases 5 A. Westernizing Asian Eyes 6 B. Hormones for Stature 7 C. Liposuction on a Twelve Year Old 8 D. Growth Stunting 9 II. The Law, Parental Rights, and Children’s Bodies 10 A. Background Law 11 B. Application in Shaping Cases 13 C. Room for Regulation 15 III. What is Really Wrong with Medical and Surgical Shaping of Children? 16 A. The Nonsubordination Priniciple as a Limit on Individual Rights 18 B. Children as Persons, Parental Rights 21 C. Medical and Surgical Shaping of Children is Different 24 IV. Concerning the Child: Another View of Parenthood 27 A. Alternative Models 28 B. Common Principles 31 V. Reconstructing the Role of the Parent in Medical Decisionmaking for Children ...... 32 A. Powers and Responsibilities of Trustees Generally 33 B. Powers and Responsibilities of Parent Trustees as Concerns Children’s Health.... 35 VI. Shaping Reconstructed 38 VII. Conclusion 39 * Associate Professor of Law, Albany Law School, Professor of Bioethics, Union/Mt. Sinai School of Medicine Program in Bioethics. © Alicia Ouellette 2009." @default.
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- W3144488095 date "2009-01-01" @default.
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- W3144488095 title "Shaping Parental Authority Over Children's Bodies" @default.
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