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Strengths of the French end-of-life Law as Well as its Shortcomings in Handling Intractable Disputes Between Physicians and Families
The New Bioethics Pub Date : 2020-01-02 , DOI: 10.1080/20502877.2020.1720421
Jonathan Messika 1, 2 , Noël Boussard 3 , Claude Guérin 4, 5, 6 , Fabrice Michel 7, 8 , Saad Nseir 9, 10 , Hodane Yonis 4 , Claire-Marie Barbier 3 , Anahita Rouzé 9 , Virginie Fouilloux 11 , Stephane Gaudry 12, 13 , Jean-Damien Ricard 1, 2 , Henry Silverman 14 , Didier Dreyfuss 2, 13, 15
Affiliation  

French end-of-life law aims at protecting patients from unreasonable treatments, but has been used to force caregivers to prolong treatments deemed unreasonable. We describe six cases (five intensive care unit patients including two children) where families disagreed with a decision to withdraw treatments and sued medical teams. An emergent inquiry was instigated by the families. In two cases, the court rejected the families’ inquiries. In two cases, the families appealed the decision, and in both the first jurisdiction decision was confirmed, compelling caregivers to pursue treatments, even though they deemed them unreasonable. We discuss how this law may be perverted. Legal procedures may result in the units’ disorganisation and give rise to caregivers’ stress. Families’ requests may be subtended by religious beliefs. French end-of-life law has benefits in theoretically constraining physicians to withhold or withdraw disproportionate therapies. These cases underline some caveats and the perverse effects of its literal reading.

中文翻译:

法国临终法律的优点及其在处理内科医生与家庭之间的棘手纠纷中的缺点

法国的生命终止法旨在保护患者免受不合理的治疗,但已被用来迫使护理人员延长被认为不合理的治疗。我们描述了六例(五个重症监护病房患者,包括两个孩子),其中家庭不同意撤回治疗并起诉医疗队的决定。一家人紧急要求进行调查。在两个案件中,法院驳回了家属的询问。在两起案件中,这些家庭对决定提出上诉,并且在第一项管辖权决定中均得到确认,迫使看护人寻求治疗,即使他们认为这是不合理的。我们讨论了该定律如何被歪曲。法律程序可能会导致单位混乱,并引起看护人的压力。家庭的要求可能会受到宗教信仰的影响。法国的生命终结法在理论上限制医生保留或撤消不成比例的疗法方面有好处。这些情况突显了一些注意事项以及其字面意思的误读。
更新日期:2020-01-02
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