Glick S M
Center for Medical Education, Ben Gurion University, Beer Sheva, Israel.
J Med Ethics. 2000 Oct;26(5):393-5. doi: 10.1136/jme.26.5.393.
The author congratulates Dr Brian Hurwitz, who recently reported the successful "intimidation" of an elderly competent widow into accepting badly needed therapy for a huge ulcerated carcinoma. He reports approvingly of the Israeli Patients' Rights Law, enacted in 1996, which demands detailed informed consent from competent patients before permitting treatment. But the law also provides an escape clause which permits coercing a competent patient into accepting life-saving therapy if an ethics committee feels that if treatment is imposed the patient will give his/her consent retroactively. He suggests this approach as an appropriate middle road between overbearing paternalism and untrammelled autonomy.
作者向布赖恩·赫维茨博士表示祝贺，他最近报告说成功“恐吓”了一位年迈但有行为能力的寡妇，使其接受了针对巨大溃疡性癌急需的治疗。他赞许地提及1996年颁布的以色列患者权利法，该法要求在对有行为能力的患者进行治疗之前获得详细的知情同意。但该法律也提供了一个免责条款，即如果伦理委员会认为如果实施治疗患者会事后给予同意，那么就允许强制有行为能力的患者接受挽救生命的治疗。他建议这种方法是专横家长作风和无拘无束的自主权之间合适的中间道路。
