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Values Exchange

IPE (PILOT) WEEK THREE: DAX COWART: Would you have respected his choice?

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30 Oct 2014 1 Respondent
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Amanda Lees
AUT Faculty of Health and Environmental Sciences
Mega Mind (40519 XP)
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IPE (PILOT) WEEK THREE: DAX COWART: Would you have respected his choice?

This is part of Dax's remarkable story:

'Dax Cowart (born Donald Cowart) is an attorney noted for the ethical issues raised by efforts to sustain his life against his wishes, following an accident in which Cowart suffered severe and disabling burns over most of his body. Cowart's case has become highly famous in the realm of medical ethics.

In July 1973, Cowart, then a pilot in the Air Force reserve, and his father were visiting a tract of land that his father was thinking of purchasing. The land lay in a small valley and, unbeknownst to the Cowarts, a gas leak had caused the valley to become filled with propane gas. After surveying the land, the Cowarts returned to their car, and the sparking of the ignition set the gas on the floor of the valley ablaze, severely burning both men. According to Cowart:

'I was burned so severely and in so much pain that I did not want to live even in the early moments following the explosion. A man who heard my shouts for help came running down the road, I asked him for a gun. He said, 'Why?' I said, 'Can’t you see I am a dead man? I am going to die anyway. I need to put myself out of this misery.' In a very kind and compassionate caring way, he said, 'I can’t do that.'[1]
Cowart's father died en route to the hospital, but Cowart himself survived the ride to the hospital, despite the fact that he was refusing medical treatment because he felt he would not be able to regain his former level of activity. Cowart's injuries included the loss of both his hands, eyes, and ears, and the loss of skin over 65-68% of his body.'

While in the hospital, Cowart continued to insist then that he wanted to die; his doctors refused. Cowart says that he was 'forcibly treated for 10 months' although he continually begged his doctors to end treatment and allow him to die. Instead, Cowart was subjected to medical treatments, which he likened to being 'skinned alive' on a regular basis, including being dipped in a chlorinated bath to fight infection and having the bandages covering his body regularly stripped and replaced. He was provided with only a limited supply of painkillers, since their risks were not well understood at the time. He was denied access to means of communication by which he might seek legal assistance in ending the treatments.[1] He attempted to commit suicide on several occasions, but was prevented each time.'
en.wikipedia.org/wiki/Dax_Cowart

Here is Dax telling his own story:



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Your challenge: you are the consultant in charge when Dax arrives at your hospital. He begs you to let him die and not to treat him.

What do you do?

It is proposed that you forcibly treat Dax against his wishes