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Involuntary Passive Euthanasia in U.S. Courts: Reassessing the Judicial Treatment of Medical Futility Cases


Thaddeus Mason Pope


Hamline University - School of Law

June 24, 2008

Marquette Elder's Advisor, Vol. 9, No. 2, 2008
Widener Law School Legal Studies Research Paper No. 08-63

Abstract:     
Over the past twenty-five years, a significant number of surrogate decision makers have demanded that a health care provider use medical technology to prolong a patient's life beyond the point thought medically appropriate. These surrogates want to continue life-sustaining medical treatment (LSMT) that providers want to stop. While most of these futility disputes are resolved informally inside the hospital, dozens have now been litigated in U.S. courts. Because the judicial treatment of these disputes casts a long, dark shadow on the informal resolution of all the others, it is important to ascertain exactly what guidance these court cases provide.

In assessing the judicial treatment of futility cases, most of the medical, legal, and bioethical literature concludes that courts have generally disfavored providers. But these assessments are based on limited and outdated sets of cases. In this article I offer a comprehensive review of futility cases from 1983 to 2007. Based on this review, I argue that courts have generally neither prohibited nor punished the unilateral refusal of LSMT. Providers have regularly obtained both ex ante permission and ex post forgiveness for stopping LSMT without consent.

Number of Pages in PDF File: 42

Keywords: medical futility, end-of-life, elder law, death, litigation

JEL Classification: I00, I18, K13, K41, K32

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Date posted: December 28, 2007 ; Last revised: November 6, 2013

Suggested Citation

Pope, Thaddeus Mason, Involuntary Passive Euthanasia in U.S. Courts: Reassessing the Judicial Treatment of Medical Futility Cases (June 24, 2008). Marquette Elder's Advisor, Vol. 9, No. 2, 2008; Widener Law School Legal Studies Research Paper No. 08-63. Available at SSRN: http://ssrn.com/abstract=1078983

Contact Information

Thaddeus Mason Pope (Contact Author)
Hamline University - School of Law ( email )
1536 Hewitt Avenue
Saint Paul, MN 55104-1237
United States
651-523-2519 (Phone)
901-202-7549 (Fax)
HOME PAGE: www.thaddeuspope.com
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