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Mediation at the End of Life: Getting Beyond the Limits of the Talking Cure


Thaddeus Mason Pope


Hamline University - School of Law; Queensland University of Technology - Australian Health Law Research Center; Saint Georges University; Alden March Bioethics Institute

Ellen A. Waldman


Thomas Jefferson School of Law


Ohio State Journal on Dispute Resolution, Vol. 23, No. 1, p. 143, 2007
TJSL Legal Studies Research Paper No. 1028186

Abstract:     
Mediation has been touted as the magic band-aid to solve end-of-life conflicts. When families and health care providers clash at the end of life, bioethicists and conflict theorists alike have seized upon mediation as the perfect procedural balm. Dissonant values, tragic choices, and roiling grief and loss would be confronted, managed, and soothed during the emotional alchemy of the mediation process. But what is happening in a significant subset of end-of-life disputes is not mediation as we traditionally understand it. Mediation's allure stems from its promise to excavate underlying needs and interests, identify common ground, and push disputants toward more moderate, creative, and mutually satisfying outcomes. But in the growing number of intractable medical futility cases, there is no movement to middle ground. Rather, we have a conversation that leads to a predictable outcome. The provider backs down, and the surrogate gets the treatment that she wants.

Mediation's failure was inevitable. It cannot succeed in the shadow of current health care decisions law that gives surrogates so much power. To make mediation work for these cases, we must equalize bargaining power by giving providers a clearly-defined statutory safe harbor to unilaterally refuse requests for inappropriate treatment.

Number of Pages in PDF File: 53

Keywords: medical futility, mediation, end-of-life, bioethics

JEL Classification: I18, I19, K13, K40


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Date posted: November 13, 2007 ; Last revised: November 6, 2013

Suggested Citation

Pope, Thaddeus Mason and Waldman, Ellen A., Mediation at the End of Life: Getting Beyond the Limits of the Talking Cure. Ohio State Journal on Dispute Resolution, Vol. 23, No. 1, p. 143, 2007; TJSL Legal Studies Research Paper No. 1028186. Available at SSRN: http://ssrn.com/abstract=1028186

Contact Information

Thaddeus Mason Pope (Contact Author)
Hamline University - School of Law ( email )
875 Summit Avenue
Saint Paul, MN 55105
United States
651-695-7661 (Phone)
901-202-7549 (Fax)
HOME PAGE: http://www.thaddeuspope.com
Queensland University of Technology - Australian Health Law Research Center ( email )
2 George Street
Brisbane, Queensland 4000
Australia
Saint Georges University ( email )
West Indies
Grenada
HOME PAGE: http://www.thaddeuspope.com
Alden March Bioethics Institute ( email )
47 New Scotland Ave
MC 153
Albany, NY 12208
United States
HOME PAGE: http://www.thaddeuspope.com
Ellen Waldman
Thomas Jefferson School of Law ( email )
1155 Island Ave
San Diego, CA 92101
United States
619-961-4346 (Phone)

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