On this blog, Professor Thaddeus Pope tracks judicial, legislative, policy, and academic developments concerning medical futility and the limits on individual autonomy at the end of life.

Thursday, June 18, 2009

Lawyers and Advance Directives

Viki Kind has a provocative post today on HR 2705, which proposes to give a tax break to someone using a lawyer to complete their advance directive.

Kind writes "While at first glance, I love it that the government is considering ways to make sure people have advance directives but there is a hidden danger . . . doctors hate it when people have advance directives written by lawyers." Among other things, "the lawyer’s advance directive annoy and confuse the doctor." I absolutely agree. But we must remember, here, to distinguish between instructional and agent-appointing directives. Only the former are really subject to Kind's criticism.

Lawyers can certainly effectively help draft effective agent-appointing advance directives (aka DPAHCs). Such directive need not speak for themselves and guide medical treatment. They merely empower the agent to do that -- in real time. Moreover, I was just reminded yesterday, by a wonderful webinar by Charles Sabatino at the ABA, that lawyers can add some real value to such advance directives because of material gaps in many states' default healthcare agency rules.

2 comments:

Okakura said...

I have met very few attorneys who know enough about state surrogacy & proxy statutes to be helpful to their clients on this issue. In most instances, you will probably receive better and more accurate advice from an experienced hospital social worker. Bonus: they don't charge you for it.

Thaddeus Mason Pope said...

Thank you.

A local hospice nurse friend of mine (Shelia Grant) made this same point in a recent Washington Post commentary.

http://www.washingtonpost.com/wp-dyn/content/article/2009/08/10/AR2009081002420.html