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Legal Issues in Medicine
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Volume 351:2118-2123 November 11, 2004 Number 20
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Extremely Preterm Birth and Parental Authority to Refuse Treatment — The Case of Sidney Miller
George J. Annas, J.D., M.P.H.

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Disputes between physicians and patients over medical care have tended toward resolution in both the courts and ethics committees, with each of these bodies ultimately deciding that the informed, competent patient must be the final decision maker. Parents, too, have the authority to make medical decisions for their children, but these decisions can be challenged if physicians do not believe they are medically reasonable. One bioethical issue, however, is as intractable today as it was 30 years ago, when it began to be publicly discussed: the extent of parental authority to refuse life-sustaining medical treatment for an extremely premature infant. . . . [Full Text of this Article]

The Birth of Sidney Miller

The Lawsuit

The Appeal

The Texas Supreme Court

Decisions at Birth

Decisions in the NICU

Implications of the Decision


Source Information

From the Department of Health Law, Bioethics, and Human Rights, Boston University School of Public Health, Boston.


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