Texas Advance Directives Act: Nearly a Model Dispute Resolution Mechanism for Intractable Medical Futility Conflicts

Medical futility and the Texas Advance Directives Act of 1999.

Resolution of futility by due process: early experience with the Texas Advance Directives Act.

Every U.S. state has developed legal rules to address end-of-life decision making. No law to date has effectively dealt with medical futility--an issue that has engendered significant debate in the medical and legal literature, many court cases, and a formal opinion from the American Medical Association's Council on Ethical and Judicial Affairs. In 1999, Texas was the first state to adopt a law...

Dispute Resolution for gTLD Conflicts

Efficient and equitable dispute resolution is key to avoiding systemic disturbance in the use and valorization of top level domain names (TLDs). Such dispute resolution is also important given the increasing number of clashes between TLD providers and managers and between trademark owners and generic (gTLD)-related registrants. ICANN policies/rules form the basis of gTLD-related second level do...

Tackling medical futility in Texas.

n engl j med 357;1 www.nejm.org july 5, 2007 was an 18-month-old boy who had Leigh’s disease, a progressive and fatal neurometabolic disorder. He had been on life support in the intensive care unit for 5 months. The hospital had invoked the Texas Advance Directives Act, which authorized it to withdraw life support if an ethics committee had determined that further life support was medically ina...

Advance directives: navigating conflicts between expressed wishes and best interests.

www.aafp.org/afp Volume 91, Number 7 ◆ April 1, 2015 Case Scenario L.S. is a 70-year-old man with advanced chronic obstructive pulmonary disease. He is intubated and unconscious in the intensive care unit with pneumonia complicated further by acute renal failure. His advance directive, completed seven years ago when he was highly functional, indicates that he wants lifesustaining treatments. He...