It's All Relative

Adira Hulkower, Lauren S. Flicker

Research output: Contribution to journalComment/debate

1 Citation (Scopus)

Abstract

In this issue of the Hastings Center Report, Daniel Brudney suggests that clinicians have an overly deferential attitude toward their patients’ surrogate decision-makers that is rooted in a wrongful investment of moral authority. He maintains that surrogate decision-makers have no moral right to decide for their loved ones and that their value in the decision-making process is limited to their knowledge of their loved one's preferences. If operationalized, Brudney's framework would ease the way for clinicians to remove a surrogate who cannot provide information relevant to the patient's preferences and to resort to a paternalistic model of decision-making. Brudney fails to consider that the value of the surrogate does not flow from the surrogate, but rather from the patient's moral claim to have decisions made for him or her by a loved one. This claim recognizes that surrogates have intrinsic value through their relationship to and knowledge of the patient. Bioethics consultation services can assist clinical teams in engaging with the human crowd that surrounds each patient and navigating conflicting values and goals. This relational approach embraces the “mire and blood” that is endemic to relationships and clinical encounters.

Original languageEnglish (US)
Pages (from-to)43-44
Number of pages2
JournalHastings Center Report
Volume48
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

decision maker
Values
Decision Making
bioethics
Bioethics
decision-making process
Patient Preference
decision making
Referral and Consultation
Clinicians
Moral Status
Moral Rights
Intrinsic Value
Crowds
Blood
Decision-making Process
Authority

ASJC Scopus subject areas

  • Health(social science)
  • Issues, ethics and legal aspects
  • Philosophy
  • Health Policy

Cite this

It's All Relative. / Hulkower, Adira; Flicker, Lauren S.

In: Hastings Center Report, Vol. 48, No. 1, 01.01.2018, p. 43-44.

Research output: Contribution to journalComment/debate

Hulkower, Adira ; Flicker, Lauren S. / It's All Relative. In: Hastings Center Report. 2018 ; Vol. 48, No. 1. pp. 43-44.
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