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

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it is a normal child, but they do not have full decision
making capacity.
In some ways the question that Laurie was
raising before about people who are born with disorders
which make them always unable to participate in decisions
are not even covered by this report as it is now entitled.
They are not of questionable decision making capacity.
They lack decision making capacity.
I mean one escape is to say this report
narrowly addresses the category of people who go in and out
of decision making capacity and where you have to make
certain in any circumstance where they are when you are
engaging them in the consent process.
DR. CHILDRESS: Zeke has a creative solution.
DR. EMANUEL: No, no, no. I am struck as I was
struck actually this morning by the fact that we seem to
all be in the grip of a different kind of picture as to who
these -- fit into each of these boxes.
It may be that what is in your mind, Alex, is a
certain kind of experiment that really stuck out -- stuck
with you and I may have a different kind of experiment as
the sort of paradigm that I am thinking these rules ought
to apply to. Part of the reasons we are at loggerheads is
because we have not made these distinctions.