The to continue living their life, the

                         

The Futility Care Theory allows
critical patients, who are suffering in pain, to have the right to die if they
want to. However, this theory gives doctors of patients, who want to continue
living their life, the ultimate decision on the patient’s well-being. The
Futility Care Policy should state that competent patients or if they are incompetent
then their primary care provider should be given all the medical information
and options available. The Doctors or Bioethicists should provide their
personal opinion on what they think would be the best option for the patient
and explain why. Then the patient or primary care provider should ultimately have
the final decision on what they want the next step to be. However, doctors and
bioethicists have medical experience that would give them the credibility to
make the executive decision on the patient’s care.

The term futile means something is
unable to produce a helpful result. The Futility Care Policy means that
patients don’t have to continue useless medical treatment if they are not improving.
The patient or their primary care provider should be given all the facts on the
patient’s health and all the options the patient can take. When giving the
prognosis, some doctors make one medical treatment seem like the only option,
when in reality that is just what the doctor favors. Bioethicist, lawyer, and Patient’s
Rights Consultant, Wesley Smith, believes that all patients have the right to
die and they also have the right to deny medical treatment. I agree with Wesley
Smith, in that which a patient has the right to refuse certain medical
treatment and also refuse food and fluid.

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 The “Right to Die,” movement developed on the
account of suffering patients who want to die, their death was prolonged so
that they can go through more painful medical treatment. These patients would inevitably
die, so why continue treatment when they are really to die. This movement
opened so many people’s eyes to the truth that they do not have to continue
suffering from one medical treatment to the other. They can refuse medical
care. It has opened not only patients and their primary care providers but also
those who work in the medical field. The Futile care policy allows these
patients to have the right to die. If a patient does want to live, or their family
wants to continue medical treatment, even if there is no hope of their health
status improving, the doctors should continue caring for them. This policy has
been compared to assisted suicide. The patient’s goal is not to commit suicide,
they are going to die inevitably. They don’t want to suffer anymore.

Doctors should not only give the patient
a full prognosis, but also explain to the patient all of the options that they
have. Then after all of the options are laid out on the table, the doctor
should explain what they think is the best option for medical treatment for the
patient and why they think that. Medical decisions, especially ones involving
if a patient is considering refusing medical treatment, should be thoroughly
explained. In 2005, the case involving Haleigh Poutre, who was beaten almost
nearly to death by her parents, her doctors had told her primary care provider
that she was basically brain dead. So, her care provider ordered for her fluids
and respirator to be turned off because the doctor told him that she had no chance.
He decided to visit her one last time and she suddenly became conscious and responsive.
I don’t know if this was a matter of luck or faith, but the doctor did not
explain the whole situation to the primary care provider and just told him what
he would do which could have killed the young girl. The doctor should make sure
that the patient or primary care provider knows what will happen which each
step. According to Wesley Smith, the “quality of life ethic” is no longer being
stressed and people who are so close to being on their deathbed are dismissed
by doctors and just assumed that they can’t be saved and there is no hope for a
miracle. The respect for human lives is slowly disappearing. Because of the
Futility Care Policy, patients and their families who want to continue medical
treatment, despite an unwinnable prognosis, have been denied. This policy has
given doctors and bioethicists the author to take away food and fluid from a patient
that would ultimately kill them, despite what the family of the patient wanted.
If people testified against those doctors, they would lose because of the
Futility Care Policy. In a court case in California in 1983, doctors of a
patient in a coma withdrew food and fluids, despite objections from the patient’s
primary care provider, and they were not found guilty. Although not all doctors
agree with the right to die movement, it is every patient’s right to refuse
treatment so they don’t have to suffer anymore. Smith believes that the patients,
not the doctors, should be in control of if and when they want medical
treatment.

After receiving their prognosis and
their options, the patient or their primary care provider should be able to
make the ultimate decision on if they want to continue medical treatment or
not. If a patient is suffering and knows certain medical treatments will only
prolong their death, they have the right to refuse treatment and die if they so,
please. Doctors do not have that personal of a relationship with the patient,
so they should not be able to make the final decision for them. They don’t know
what the patient truly wants. According to the American Medical Association, nutrition
and hydration are a form of medical treatment that can be withdrawn from the
doctors in the case of a permanent coma. That is giving doctors a legal way to
kill a living person. Unless the patient has stopped breathing or has given
permission that they want to die, I believe that doctors should not be allowed
to stop treatment because they think it is the best decision.  According to Smith in his book Culture of Death, he talks about Haleigh
Poutre case, “Sometimes doctors are wrong. Sometimes “miracles” do indeed
happen. If we are to err, it should be on giving life a chance…We can never
know when the unexpected will happen,” (Smith 66). Smith is not wrong. A person’s
health can miraculously change overnight. Big life decisions, like removing
life-sustaining from a patient should be thought through and lots of time
should pass before any executive should be made. These decisions should not be
made overnight.

Doctors do have the medical
background to make decisions regarding a patient’s care, but these decisions are
not always a hundred percent ethical and are not what the patient or car providers
want which is wrong. Some cases the doctors should be making the executive
decision if the family cannot make it, or if the primary care provider isn’t looking
for the patient’s best interest. These cases are hard to figure what the
ethical decision would be because the actual patient can’t speak to say what
they want. If the patient signs an advance directive or tells their primary
care provider what they want their medical treatment to be before they are incompetent
and then they are incompetent and the time comes to make a decision it is hard
to get the doctors, patient’s family, and the primary care provider on the same
track for the patient’s best interest. Some people would say the doctor would
know what is best for the patient because they know how to treat those who are
ill, but the family and the care provider know the patient and what they would really
want. The doctor does not know the patient’s beliefs and values, so who are
they to make life decisions for the patient? Primary care providers who know
the patient personally; request that if a patient is in a persistent vegetative
state that all life-sustaining treatment be stopped immediately because that is
what the patient would want, courts have ruled against because there is usually
no evidence that the patient would want that and that is ultimately killing the
person. Although, the Futility Care Policy states that doctors can remove life-sustaining
treatment to patients if they deem that they are futile and are not helping the
patient. That is not right in my mind.

In conclusion, I am all for
patients having the right to die if they are suffering, but I do not agree that
doctors should have the final say on the medical treatment for a patient, even
if the patient is a lost cause. That is why I do not fully agree with the Futility
Care theory. Unless the patient in question has previously stated that they do
not want to be hooked up to machines and fed through a tube, then the doctors
should do everything that they can to keep the patient alive. I agree with Wesley
Smith in that patients have the right to die and patients also have the right
to refuse medical treatment.

 

 

 

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