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Advance directives were created in response to the increasing sophistication and prevalence of medical technology. [3] [4] Numerous studies have documented critical deficits in the medical care of the dying; it has been found to be unnecessarily prolonged, [5] painful, [6] expensive, [7] [8] and emotionally burdensome to both patients and their families.
An advance care directive is a document detailing an individual's health care preferences. This may include personal values and life goals, describe circumstances the person would find unacceptable, identify preferences relating to specific medical interventions, or a combination of these.
Section 1233 of the proposed America's Affordable Health Choices Act of 2009 (H.R. 3200) would have authorized reimbursements for physician counseling regarding advance directives (once every five years) [3] but it was not included in the Patient Protection and Affordable Care Act of 2010 because of controversy over what were characterized as ...
A person will typically have these conversations with their doctor and ultimately record their preferences in an advance healthcare directive. [9] An advance healthcare directive is a legal document that either documents a person's decisions about desired treatment or indicates who a person has entrusted to make their care decisions for them ...
A less restrictive alternative to legal incapacity is the use of "advance directives," powers of attorney, trusts, living wills and healthcare directives. The person who has such documents in place should have prepared them with their attorney when that person had capacity.
For example, just one month after the Supreme Court ruling in Cruzan, the Society for the Right to Die had received some 300,000 requests for advance directive forms. [ 14 ] According to an article in The New York Times , the Cruzan case also helped increase support for the federal Patient Self-Determination Act , which became effective just ...