An official New Jersey state advance directive form specifically prompts individuals to indicate whether they want to be declared dead on neurological criteria.
I understand that New Jersey law has granted a religious exemption from brain death for the past 30 years. But, for several reasons, it is unnecessary and imprudent to include a prompt for this on the advance directive form.
1. There are few New Jersey citizens who can claim legitimate exemptions.
2. Those claiming the exemption do not need to be reminded to include this in their directive.
3. The opt-out is too easily claimed, requiring only initialing this statement without any explanation.
There are two notable upshots. First, this form surely results in too many people claiming the exemption. Second, it also undermines trust and confidence in brain death, because it makes it look equally as optional as other choices on the advance directive form.

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