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- Publisher
- American Medical Association
- Copyright
- Copyright 2019 American Medical Association. All Rights Reserved.
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- DOI
- 10.1001/jama.2019.1198
- Publisher site
- See Article on Publisher Site
Abstract
Letters 3. DeMartino ES, Dudzinski DM, Doyle CK, et al. Who decides when a patient lost, these tenets can still be upheld by using advance direc- 5 can’t? statutes on alternate decision makers. N Engl J Med. 2017;376(15):1478- tives or by respecting the choices of surrogate decision makers. 1482. doi:10.1056/NEJMms1611497 However, this analysis suggests that a majority of US states re- 4. 20 Pa CS §5429 (2016). strict the health care options available to decisionally inca- 5. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 7th ed. New York, pacitated women during pregnancy and do not disclose these NY: Oxford University Press; 2013. restrictions in advance directive forms. 6. Manninen BA. Sustaining a pregnant cadaver for the purpose of gestating a Although states have an obligation to be transparent about fetus: a limited defense. Kennedy Inst Ethics J. 2016;26(4):399-430. doi:10. pregnancy restrictions, the heterogeneity among state laws and 1353/ken.2016.0036 the justification for these restrictions warrant further ethical and legal scrutiny. Neither the frequency with which these stat- COMMENT & RESPONSE utes are encountered nor their effect on clinical practice is known. It is unclear whether the current legal framework To the Editor Dr Goligher and colleagues used a Bayesian
Journal
JAMA – American Medical Association
Published: Apr 23, 2019