How Seeking Transfer Often Fails to Help Define Medically Inappropriate Treatment

On September 1, 2023, Texas made important revisions to it its decades-old statute granting legal safe harbor immunity to physicians who withhold or withdraw life-sustaining treatment over the objection of critically ill patients’ surrogate decision-makers. However, lawmakers left untouched glaring...

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Bibliographic Details
Authors: White, Douglas B. (Author) ; Pope, Thaddeus M. (Author)
Format: Electronic Article
Language:English
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Published: Wiley 2024
In: The Hastings Center report
Year: 2024, Volume: 54, Issue: 2, Pages: 2
Further subjects:B potentially inappropriate treatment
B Futility
B physician-family conflict
B surrogate decision-making
B clinical ethics
B end-of-life care
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Summary:On September 1, 2023, Texas made important revisions to it its decades-old statute granting legal safe harbor immunity to physicians who withhold or withdraw life-sustaining treatment over the objection of critically ill patients’ surrogate decision-makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients—the transfer option. The transfer option is ethically important because, when no hospital is willing to accept the patient in transfer, that fact is taken as strong evidence that the surrogates’ treatment requests fall outside accepted medical practice. But there are serious shortcomings in how the transfer option is carried out in Texas and many other states, which undermines the ethical usefulness of the process. We identify these shortcomings and recommend revisions to state statutes and professional guidelines to overcome them.
ISSN:1552-146X
Contains:Enthalten in: Hastings Center, The Hastings Center report
Persistent identifiers:DOI: 10.1002/hast.1572