Alta Fixsler:英国儿科最佳利益决策中的医疗法律家长主义。

IF 0.5 4区医学 Q3 LAW Issues in Law & Medicine Pub Date : 2022-01-01

Michal Pruski

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引用次数: 0

摘要

法官裁定撤销维持生命护理符合她的最大利益，而不是像她父母希望的那样将她转移到以色列，这是一系列有争议的儿科最佳利益决定中最新的一个。利用这个案例，以及最近的一些其他案例，我认为英国在最佳利益决策中表现出高度的医疗法律家长式作风，尽管家长式作风似乎在医学伦理中无处不在地被认为是负面的。首先，我解释了我所说的医学法律家长主义是什么意思，并为我的观点辩护，即这种现象在英国是存在的。然后我认为，至少在哲学上(而不是法律上)，这种情况在世俗国家是不可能证明的，我们如何对待儿科最佳利益决定与其他医疗法领域非常不同。最后，我讨论了旨在纠正这种情况的建议。

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Alta Fixsler: Medico-legal Paternalism in UK Paediatric Best Interest Decisions.

The case of Alta Fixsler, where a judge ruled that withdrawing life sustaining care was in her best interest rather than transferring her to Israel, as her parents wanted, is the latest in a series of controversial paediatric best interest decisions. Using this case, as well as some other recent cases, I argue that the UK exhibits a high degree of medico-legal paternalism in best interest decisions, even though paternalism seems to be ubiquitously negatively perceived in medical ethics. Firstly, I explain what I mean by medico-legal paternalism and defend my claim that this phenomenon is present in the UK. I then argue that at least philosophically (rather than legally) such a situation is impossible to justify in a secular state and that how we treat paediatric best interest decisions is very different from other areas of medical law. Lastly, I discuss proposals that aim to rectify this situation.

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来源期刊

Issues in Law & Medicine Medicine-Health Policy

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Issues in Law & Medicine is a peer reviewed professional journal published semiannually. Founded in 1985, ILM is co-sponsored by the National Legal Center for the Medically Dependent & Disabled, Inc. and the Watson Bowes Research Institute. Issues is devoted to providing technical and informational assistance to attorneys, health care professionals, educators and administrators on legal, medical, and ethical issues arising from health care decisions. Its subscribers include law libraries, medical libraries, university libraries, court libraries, attorneys, physicians, university professors and other scholars, primarily in the U.S. and Canada, but also in Austria, Australia, Belgium, Brazil, Italy, The Netherlands, New Zealand, Japan, Russia, South Korea, Spain, Taiwan, and the United Kingdom.