Autonomy & the Refusal of Lifesaving Treatment

Bruce L. Miller

doi:10.2307/3561339

August 1, 1981The Hastings Center Report

Autonomy & the Refusal of Lifesaving Treatment

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Key Points

To establish personal autonomy as an independent moral foundation that justifies an individual's right to refuse lifesaving medical interventions against paternalistic interests.
Conceptual analysis of normative ethical frameworks contrasting utilitarian views of personhood with theories of autonomous agency.
Philosophical examination of coercion, manipulation, and best-interest justifications in treatment decisions.
Rejects utilitarian models that reduce persons to passive recipients of welfare or utility rather than self-determining agents.
Identifies autonomous agency as an essential barrier against external coercion, manipulation, and undue medical influence.
Establishes that an individual's personal plans, values, and self-conception supersede external assessments of their best interests.

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Implication

Philosophical analysis demonstrates the primacy of autonomy in medical decision-making, indicating that individuals hold valid ethical grounds to refuse lifesaving care.

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Bruce L. Miller (1981) studied this question.

synapsesocial.com/papers/6a761c764555d8f90b708437 https://doi.org/10.2307/3561339

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Autonomy & the Refusal of Lifesaving Treatment

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Autonomy & the Refusal of Lifesaving Treatment

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