Entire Transcript in Adobe Acrobat Format - National Reference ...

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for patients at the end of life in half the cases do not
even know that there is an advanced directive, that many
people do not think about their own dying process and,
therefore, do not fill out directives, that when the
directives are written they are often written in terms that
are too vague to apply.
Did he mean no food and fluids if we could get
him over the hump here? Did he mean -- what is heroic
methods? Those are not really very strong objections to
the particular advanced directive for research that we are
talking about here.
So I would hope that we would not throw out
this concept simply because of a bad experience in another
field and that we would not throw it out because it is not
as good as the perfect ongoing process of discussion and
fully informed consent going back and forth.
DR. CHILDRESS: Let me add one other point to
that because I am not sure this came in Zeke's original
statement. That is we are in this particular draft
limiting this requirement to greater than minimal risk.
That is very important because --
MR. CAPRON: Of no benefit.
DR. EMANUEL: No, no, no.
DR. CHILDRESS: It applies to greater than