Dying Tax Free: The Modern Advance Directive and Patients' Financial Values
Abstract Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team enco...
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| Published in | Journal of pain and symptom management Vol. 39; no. 3; pp. 605 - 609 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.03.2010
Elsevier |
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| Abstract | Abstract Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision-making process and to balance the influence of those values with more traditional notions of clinical harm and benefit. |
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| AbstractList | Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision-making process and to balance the influence of those values with more traditional notions of clinical harm and benefit. Abstract Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision-making process and to balance the influence of those values with more traditional notions of clinical harm and benefit. Advance directives are often used to help patients articulate their end- of-life treatment preferences and guide proxy decision makers in making health care decisions when patients cannot. This case study and commentary puts forth a situation in which a palliative care consultation team encountered a patient with an advance directive that instructed her proxy decision maker to consider estate tax implications when making end-of-life decisions. Following presentation of the case, the authors focus on two ethical issues: 1) the appropriateness of considering patients' financial goals and values in medical decision making and 2) whether certain kinds of patient values should be considered more or less relevant than others as reasons for expressed treatment preferences. Clinicians are encouraged to accept a wide range of patient values as relevant to the clinical decision- making process and to balance the influence of those values with more traditional notions of clinical harm and benefit. [Copyright U.S. Cancer Pain Relief Committee. Published by Elsevier Inc.] |
| Author | Kirk, Timothy W., PhD Luck, George R., MD |
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| Copyright | U.S. Cancer Pain Relief Committee 2010 U.S. Cancer Pain Relief Committee 2015 INIST-CNRS (c) 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. |
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| Keywords | decision making Advance directives terminal care ethics living wills advance care planning palliative care patient values clinical ethics wills Human Decision making End of life decision Care Ethics Palliative care Planning Public health |
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| References | Shelton (bib12) 1998; 19 Berger, DeRenzo, Schwartz (bib14) 2008; 149 Levinsky (bib4) 1996; 335 Shrank, Stedman, Ettner (bib17) 2007; 22 Faber-Langendoen, Lanken (bib16) 2000; 133 Brett, McCullough (bib8) 1986; 315 Brown (bib1) 2003; 29 Economic Growth and Tax Relief Reconciliation Act of 2001, Pub. L. No. 107-16, 115 Stat. 38; June 7, 2001. Callahan (bib5) 1996; 335 Eskew, Meyers (bib15) 2009; 20 Braun, Beyth, Ford, McCullough (bib9) 2007; 334 Schneiderman, Jecker, Jonsen (bib11) 1990; 112 Oregon Revised Statues 127.800-127.897. Marr, Weissman (bib13) 2004; 2 Weijer, Singer, Dickens, Workman (bib10) 1998; 159 Montauk (bib2) 2002; 359 Oregon Department of Human Services (bib7) 20619197 - J Pain Symptom Manage. 2010 Jul;40(1):e14 Montauk (10.1016/j.jpainsymman.2009.12.003_bib2) 2002; 359 Levinsky (10.1016/j.jpainsymman.2009.12.003_bib4) 1996; 335 Eskew (10.1016/j.jpainsymman.2009.12.003_bib15) 2009; 20 Weijer (10.1016/j.jpainsymman.2009.12.003_bib10) 1998; 159 Brown (10.1016/j.jpainsymman.2009.12.003_bib1) 2003; 29 Faber-Langendoen (10.1016/j.jpainsymman.2009.12.003_bib16) 2000; 133 Brett (10.1016/j.jpainsymman.2009.12.003_bib8) 1986; 315 Oregon Department of Human Services (10.1016/j.jpainsymman.2009.12.003_bib7) Schneiderman (10.1016/j.jpainsymman.2009.12.003_bib11) 1990; 112 Shelton (10.1016/j.jpainsymman.2009.12.003_bib12) 1998; 19 Shrank (10.1016/j.jpainsymman.2009.12.003_bib17) 2007; 22 10.1016/j.jpainsymman.2009.12.003_bib3 Marr (10.1016/j.jpainsymman.2009.12.003_bib13) 2004; 2 Callahan (10.1016/j.jpainsymman.2009.12.003_bib5) 1996; 335 Braun (10.1016/j.jpainsymman.2009.12.003_bib9) 2007; 334 10.1016/j.jpainsymman.2009.12.003_bib6 Berger (10.1016/j.jpainsymman.2009.12.003_bib14) 2008; 149 |
| References_xml | – volume: 359 start-page: 266 year: 2002 ident: bib2 article-title: The new year, death, and taxes publication-title: Lancet contributor: fullname: Montauk – volume: 159 start-page: 817 year: 1998 end-page: 821 ident: bib10 article-title: Dealing with demands for inappropriate treatment publication-title: Can Med Assoc J contributor: fullname: Workman – volume: 334 start-page: 239 year: 2007 end-page: 241 ident: bib9 article-title: Defining limits of care in terminally ill patients publication-title: BMJ contributor: fullname: McCullough – volume: 19 start-page: 383 year: 1998 end-page: 400 ident: bib12 article-title: A broader look at medical futility publication-title: Theor Med Bioeth contributor: fullname: Shelton – volume: 2 start-page: 283 year: 2004 end-page: 288 ident: bib13 article-title: Withdrawal of ventilatory support from the dying adult patient publication-title: J Support Oncol contributor: fullname: Weissman – volume: 112 start-page: 949 year: 1990 end-page: 954 ident: bib11 article-title: Medical futility: its meaning and ethical implications publication-title: Ann Intern Med contributor: fullname: Jonsen – ident: bib7 article-title: Summary of Oregon's death with dignity act 2008 contributor: fullname: Oregon Department of Human Services – volume: 133 start-page: 886 year: 2000 end-page: 893 ident: bib16 article-title: Dying patients in the intensive care unit: forgoing treatment, maintaining care publication-title: Ann Intern Med contributor: fullname: Lanken – volume: 335 start-page: 741 year: 1996 end-page: 743 ident: bib4 article-title: The purpose of advance medical planning—autonomy for patients or limitation of care? publication-title: N Engl J Med contributor: fullname: Levinsky – volume: 29 start-page: 4 year: 2003 end-page: 14 ident: bib1 article-title: The history of advance directives publication-title: J Gerontol Nurs contributor: fullname: Brown – volume: 315 start-page: 1347 year: 1986 end-page: 1351 ident: bib8 article-title: When patients request specific interventions: defining the limits of the physician's obligation publication-title: N Engl J Med contributor: fullname: McCullough – volume: 149 start-page: 48 year: 2008 end-page: 53 ident: bib14 article-title: Surrogate decision making: reconciling ethical theory and clinical practice publication-title: Ann Intern Med contributor: fullname: Schwartz – volume: 335 start-page: 743 year: 1996 end-page: 746 ident: bib5 article-title: Controlling the costs of healthcare for the elderly—fair means and foul publication-title: N Engl J Med contributor: fullname: Callahan – volume: 20 start-page: 192 year: 2009 end-page: 200 ident: bib15 article-title: Religious belief and surrogate medical decision making publication-title: J Clin Ethics contributor: fullname: Meyers – volume: 22 start-page: 1298 year: 2007 end-page: 1304 ident: bib17 article-title: Patient, physician, pharmacy, and pharmacy benefit design factors related to generic medication use publication-title: J Gen Intern Med contributor: fullname: Ettner – volume: 334 start-page: 239 year: 2007 ident: 10.1016/j.jpainsymman.2009.12.003_bib9 article-title: Defining limits of care in terminally ill patients publication-title: BMJ doi: 10.1136/bmj.39048.475046.68 contributor: fullname: Braun – volume: 315 start-page: 1347 year: 1986 ident: 10.1016/j.jpainsymman.2009.12.003_bib8 article-title: When patients request specific interventions: defining the limits of the physician's obligation publication-title: N Engl J Med doi: 10.1056/NEJM198611203152109 contributor: fullname: Brett – volume: 19 start-page: 383 year: 1998 ident: 10.1016/j.jpainsymman.2009.12.003_bib12 article-title: A broader look at medical futility publication-title: Theor Med Bioeth doi: 10.1023/A:1009908016744 contributor: fullname: Shelton – volume: 133 start-page: 886 year: 2000 ident: 10.1016/j.jpainsymman.2009.12.003_bib16 article-title: Dying patients in the intensive care unit: forgoing treatment, maintaining care publication-title: Ann Intern Med doi: 10.7326/0003-4819-133-11-200012050-00013 contributor: fullname: Faber-Langendoen – volume: 22 start-page: 1298 year: 2007 ident: 10.1016/j.jpainsymman.2009.12.003_bib17 article-title: Patient, physician, pharmacy, and pharmacy benefit design factors related to generic medication use publication-title: J Gen Intern Med doi: 10.1007/s11606-007-0284-3 contributor: fullname: Shrank – volume: 2 start-page: 283 year: 2004 ident: 10.1016/j.jpainsymman.2009.12.003_bib13 article-title: Withdrawal of ventilatory support from the dying adult patient publication-title: J Support Oncol contributor: fullname: Marr – volume: 335 start-page: 743 year: 1996 ident: 10.1016/j.jpainsymman.2009.12.003_bib5 article-title: Controlling the costs of healthcare for the elderly—fair means and foul publication-title: N Engl J Med doi: 10.1056/NEJM199609053351013 contributor: fullname: Callahan – ident: 10.1016/j.jpainsymman.2009.12.003_bib7 contributor: fullname: Oregon Department of Human Services – volume: 359 start-page: 266 year: 2002 ident: 10.1016/j.jpainsymman.2009.12.003_bib2 article-title: The new year, death, and taxes publication-title: Lancet doi: 10.1016/S0140-6736(02)07435-4 contributor: fullname: Montauk – volume: 335 start-page: 741 year: 1996 ident: 10.1016/j.jpainsymman.2009.12.003_bib4 article-title: The purpose of advance medical planning—autonomy for patients or limitation of care? publication-title: N Engl J Med doi: 10.1056/NEJM199609053351012 contributor: fullname: Levinsky – volume: 149 start-page: 48 year: 2008 ident: 10.1016/j.jpainsymman.2009.12.003_bib14 article-title: Surrogate decision making: reconciling ethical theory and clinical practice publication-title: Ann Intern Med doi: 10.7326/0003-4819-149-1-200807010-00010 contributor: fullname: Berger – volume: 29 start-page: 4 year: 2003 ident: 10.1016/j.jpainsymman.2009.12.003_bib1 article-title: The history of advance directives publication-title: J Gerontol Nurs doi: 10.3928/0098-9134-20030901-04 contributor: fullname: Brown – ident: 10.1016/j.jpainsymman.2009.12.003_bib3 – volume: 20 start-page: 192 year: 2009 ident: 10.1016/j.jpainsymman.2009.12.003_bib15 article-title: Religious belief and surrogate medical decision making publication-title: J Clin Ethics doi: 10.1086/JCE200920214 contributor: fullname: Eskew – volume: 112 start-page: 949 year: 1990 ident: 10.1016/j.jpainsymman.2009.12.003_bib11 article-title: Medical futility: its meaning and ethical implications publication-title: Ann Intern Med doi: 10.7326/0003-4819-112-12-949 contributor: fullname: Schneiderman – ident: 10.1016/j.jpainsymman.2009.12.003_bib6 – volume: 159 start-page: 817 year: 1998 ident: 10.1016/j.jpainsymman.2009.12.003_bib10 article-title: Dealing with demands for inappropriate treatment publication-title: Can Med Assoc J contributor: fullname: Weijer |
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| Snippet | Abstract Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health... Advance directives are often used to help patients articulate their end-of-life treatment preferences and guide proxy decision makers in making health care... Advance directives are often used to help patients articulate their end- of-life treatment preferences and guide proxy decision makers in making health care... |
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| SubjectTerms | advance care planning Advance Directives Aged, 80 and over Anesthesia & Perioperative Care Biological and medical sciences clinical ethics Decision makers Decision Making Ethical dilemmas ethics Female Humans living wills Medical sciences Pain Medicine Palliative care Palliative Care - economics Palliative Care - ethics Palliative Care - legislation & jurisprudence patient values Pharmacology. Drug treatments Shock, Septic - therapy Taxation Taxes - economics Taxes - legislation & jurisprudence terminal care Terminal Care - economics Terminal Care - ethics Terminal Care - legislation & jurisprudence Treatment preferences wills |
| Title | Dying Tax Free: The Modern Advance Directive and Patients' Financial Values |
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