Procedural Due Process and Intramural Hospital Dispute Resolution Mechanisms: The Texas Advance Directives Act
10 SAINT LOUIS UNIVERSITY JOURNAL OF HEALTH LAW & POLICY 93-158 (2017)
66 Pages Posted: 17 Dec 2016 Last revised: 8 Mar 2017
Date Written: December 16, 2016
Increasingly, clinicians and commentators have been calling for the establishment of special adjudicatory dispute resolution mechanisms to resolve intractable medical futility disputes. As a leading model to follow, policymakers both around the United States and around the world have been looking to the conflict resolution provisions in the 1999 Texas Advance Directives Act (TADA).
In this article, I provide a complete and thorough review of the purpose, history, and operation of TADA. I conclude that TADA is a commendable attempt to balance the competing goals of efficiency and fairness in the resolution of these time-sensitive, life-and-death conflicts. But TADA is too lopsided. It is far more efficient than it is fair. TADA should be amended to better comport with fundamental notions of procedural due process.
Keywords: medical futility, procedural due process, end-of-life, health law, bioethics, advance directive
JEL Classification: I1, I18, K30, K32
Suggested Citation: Suggested Citation