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The Patient Self-Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990.Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about ...
The public's response was to press for further legislative support. The most recent result was the Patient Self-Determination Act of 1990, [21] which attempted to address this awareness problem by requiring health care institutions to better promote and support the use of advance directives. [22] [23]
The patient self-determination act states that hospitals and health care facilities must provide information about advance directives and DPA/HC. Also, a proxy or surrogate decision-maker can provide these final wishes to the doctor or care team if a DPA/HC or AD is not present.
An advance directive allows an individual to state what treatments he or she would want in a medical crisis, but it is not a medical order. [4] Advance directives are not portable in a sense that it is not accessible across medical systems, so it is the individual's responsibility to have the form on them at all times. [ 4 ]
Euthanasia efforts were revived during the 1960s and 1970s, under the right-to-die rubric, physician assisted death in liberal bioethics, and through advance directives and do not resuscitate orders. Several major court cases advanced the legal rights of patients, or their guardians, to withdraw medical support with the expected outcome of death.
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