Futility Without a Dichotomy: Towards an Ideal Physician–Patient Relationship

The futility debate may be considered as an effort to provide a clear and justified borderline between physician and patient decision–making authority. In this paper we argue that the search for a definition of futility that provides physicians with a final argument in discussions about life–prolong...

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Bibliographic Details
Authors: Lelie, Annique (Author) ; Verweij, Marcel (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell 2003
In: Bioethics
Year: 2003, Volume: 17, Issue: 1, Pages: 21-31
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520 |a The futility debate may be considered as an effort to provide a clear and justified borderline between physician and patient decision–making authority. In this paper we argue that the search for a definition of futility that provides physicians with a final argument in discussions about life–prolonging treatment, is misplaced. An acceptable and meaningful criterion of futility that satisfies this effort seems impossible. As a consequence, we reject a dichotomous domain of decision–making power as the starting point for definitions of futility. A good decision about withholding life–sustaining treatment should be justified from the perspectives of both physician and patient. In this light, a range of definitions of futility is still useful as it can clarify intuitions that a treatment is inappropriate. 
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