«Нет» медицинской технике

Как рекомендуют всем пациентам, еще находясь в добром здравии, Дебейки составил документ, в котором изложил свои пожелания относительно медицинского ухода на случай, если он заболеет и не сможет самостоятельно принимать решения. Он специально указал, что не желает подвергаться серьезному хирургическому вмешательству.

Важнейшим принципом современной медицинской этики является то, что пациенты имеют право принимать такие решения, и что врачи обязаны следовать их желаниям. Пренебрегать желаниями пациента, когда он теряет способность самостоятельно принимать решения (как это произошло, когда, по рассказам очевидцев, жена Дебейки ворвалась на позднее заседание больничного комитета по этике и потребовала проведения операции), является неуважением к автономии пациента, с таким трудом приобретенной за последние 20 лет.

Большинство комментариев по этому поводу сосредоточились на вопросе, можно ли игнорировать желания пациента даже по просьбе его любящей семьи. Что осталось практически вне дебатов, так это этично ли делать инвазивную, рискованную и дорогостоящую операцию 97 летнему человеку, даже если он этого хочет сам.

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