Advance Directives are under-utilized, both from the fact that few Americans have them and that health professionals don't always rely on Advance Directives provided by patients. Many health professionals have philosophical objections to their use. Using a fictitious case as background, five different objections to the use of Advance Directives will be discussed and arguments against those objections will be posed along with suggestions to improve Advance Directives.
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Marilyn Mitchell (2011) studied this question.
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