Hacker News new | ask | show | jobs
by DanBC 2895 days ago
> If the children decide for mom,

Where are you living that children are allowed to make medical decisions for their dying parent? What legal powers are the hospitals using to follow the wishes of the children? I guess the brother can't sue if those legal powers are in place.

3 comments

>>Where are you living that children are allowed to make medical decisions for their dying parent?

https://www.nia.nih.gov/health/understanding-healthcare-deci... "Joseph’s 90-year-old mother, Leilani, was in a coma after having a major stroke. The doctor said damage to Leilani’s brain was widespread and she needed to be put on a breathing machine (ventilator) or she would probably die. The doctor asked Joseph if he wanted that to be done. Joseph remembered how his mother disapproved when an elderly neighbor was put on a similar machine after a stroke. He decided to say no, and his mother died peacefully a few hours later."

"Ali’s father, Wadi, is 80 and has lung cancer, as well as advanced Parkinson’s disease. He is in a nursing facility and doesn’t seem to recognize Ali when he visits. Wadi’s doctor suggested that surgery to remove part of a lung might slow down the course of the cancer and give Wadi more time. But, Ali thought, “What kind of time? What would that time do for Dad?” Ali decided that putting his dad through surgery and recovery was not in Wadi’s best interests. After talking with Wadi’s doctors, Ali believed that surgery would not improve his father’s quality of life but would cause him pain and discomfort.*"

> Where are you living that children are allowed to make medical decisions for their dying parent?

Given the prevalence of mental deterioration and incapacitation in many end of life scenarios, it is very common for children or a spouse to have power of attorney and decision making ability for someone who is near death.

In fact, many people take care of filing a durable power of attorney for medical decisions before it gets that far. I know I’d prefer my children have the ability to end my life if I were suffering.

>>Where are you living that children are allowed to make medical decisions for their dying parent? What legal powers are the hospitals using to follow the wishes of the children?

Child in coma, doctors say it's over. Parents decide to pull plug or not. Never heard of this scenario in USA?

No, fucking horrific. Who's looking after the best interests of the patient?

Also, it doesn't happen like that in all US states where the hospital makes a decision and presents it to the family, who'll need to go to court if they disagree.

http://medicalfutility.blogspot.com/2018/04/medical-futility...

> First, in California, Texas, and Virginia the burden is flipped: the families must go to court to stop the clinicians. Moreover, that is a widely recommended approach at the institutional level: announce the plan and give the family time to challenge, but do not seek permission from the court.