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PDF Editor FAQ

What are the possible misuses of the “living will" clause in the passive euthanasia verdict by the Supreme Court of India?

What are the possible misuses of the “living will" clause in the passive euthanasia verdict by the Supreme Court of India?I graduated from medical school in India, but have lived and worked in the United States for the past several years.As a geriatrician and hospice medical director, I talk to practically all of my patients about completing a living will. Different states in the US have slightly different terminology. In Arkansas (AR), there are two kinds of living will.Process directive or Durable Power of Attorney for Health Care. The patient (legal term ‘principal’) designates someone (typically spouse, adult child, sibling etc) to make medical decisions on their behalf if they lose decisional capacity.Substantive directive or living will. The patient specifies the type of care they want to have or to withhold towards ends of life- this could include CPR (Cardiopulmonary resuscitation), chemotherapy, dialysis, artificial nutrition and hydration, antibiotics etc.Some states need notarization, but in AR, you only need two witnesses.A living will only comes into play when an individual has lost decision making capacity- is terminally ill or is permanently unconscious.Man is still mortal. We can technically keep someone’s vital organs going. It is important to explore and respect individual preferences.I believe that in India, medical practice is still pretty paternalistic. On one hand, the physician acts like a demi-god, beyond question. On the other, there’s also news about acts of violence against physicians/ hospitals after adverse health outcomes.It is high time we have conversation regarding living wills in India so we can explore and respect patient autonomy, in which case the possibility of misuse of living will is pretty slim. Of course, this is just my theory.Masil George's answer to What are your thoughts on physician-assisted suicide?

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