Simon Alfred
Akademie für Ethik in der Medizin e.V., Göttingen.
Bull Soc Sci Med Grand Duche Luxemb. 2008(3):265-70.
In Germany, advanced directives ought to be regulated by law. Yet, with respect to how such a law should be set up, opinions are drifting far apart: Referring to the patient's right to self-determination, one group claims the bindingness of advanced directives. Others, by referring to physician's fiduciary duty and the state's duty to protect life, seek a limitation of bindingness of advanced directives to situations of unfavourable prognosis.
在德国，预先医疗指示应由法律进行规范。然而，对于应如何制定这样一部法律，各方观点分歧很大：一方援引患者的自决权，主张预先医疗指示具有约束力。另一方则通过提及医生的信托责任以及国家保护生命的职责，寻求将预先医疗指示的约束力限制在预后不良的情形。
