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Originally Posted by hwnorth The other thing and my major point .... is this not a form of suicide ? By refusing treatment in a terminal condition ... I thought many of you were against that ... and I thought it was illegal ?? |
Refusing treatment generally is not considered suicide and is allowed under most situations as an expression of a patient's autonomy. To be ethical, the patient usually has to have proper decision-making capacity (which is different than competency). This allows for advanced directives such as living wills. A patient who has full decision-making capacity is even allowed by law to refuse life-saving treatment.
There are exceptions to this when societal interest in completing the treatment outweighs the patient's right to refuse.
And societal interest takes on greater weight when it comes to children. A parent generally can't refuse immediate life-saving treatment for a child due to religious or other personal beliefs (i.e., the kid can't be made a martyr to the parents' faith). Courts have upheld parents' decisions to skip ALL treatment in a few cases with a positive prognosis, but in most cases this has been rejected.
Kids also are allowed to some degree to participate in their medical decisions. But the age of medical decision-making capacity is younger than the legal age of majority and is not set in stone. Usually, a kid is allowed to participate in medical decisions starting somewhere around 7-9 years and is given more autonomy in mid-adolescence.
The big factor is the chance of treatment success. If the chance is tiny, the usual analysis shifts more in favor of the young patient's wishes. In this case, it is unclear what the odds of success are as the parents dispute the figure cited by the child welfare folks. Other factors that usually figure into the decision include possible risks or complications of treatment, the basis for the parents' beliefs, and the existence and likelihood of alternative treatment, if available.