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Childhood malignancies and decision making.

A R Holder1

  • 1Yale University School of Medicine, New Haven, Connecticut.

The Yale Journal of Biology and Medicine
|March 1, 1992
PubMed
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Parents may face prosecution or have children removed if they fail to provide adequate medical care. Courts often uphold medical treatment, but complex ethical issues arise with life-prolonging therapies for child malignancies.

Area of Science:

  • Medical Ethics
  • Pediatric Law
  • Child Welfare

Background:

  • Child neglect is legally defined by the failure to provide "adequate" medical care.
  • Adequate care is typically defined by licensed physicians, with courts rarely arbitrating specific medical approaches.
  • Parental refusal of medical care presents significant challenges, especially in cases of pediatric malignancies requiring long-term treatment.

Purpose of the Study:

  • To explore the legal and ethical considerations surrounding parental refusal of medical treatment for children.
  • To examine the complexities of court-ordered medical interventions for minors with serious illnesses.
  • To discuss the evolving capacity of adolescents in medical decision-making.

Main Methods:

  • Legal and ethical analysis of child neglect statutes and case law.
Keywords:
Legal ApproachProfessional Patient Relationship

Related Experiment Videos

  • Review of principles governing parental rights versus state intervention in pediatric healthcare.
  • Examination of ethical dilemmas in pediatric oncology and end-of-life care decisions.
  • Main Results:

    • Courts generally prioritize a child's access to necessary medical care, sometimes overriding parental objections.
    • The long-term nature of cancer treatment complicates enforcement of court orders, raising concerns about parental flight.
    • Removing a child from the home for treatment imposes additional trauma on the already ill child.

    Conclusions:

    • Ethical questions arise when considering court-ordered, life-prolonging treatments with severe side effects versus parental preferences for palliative care.
    • Parents retain the right to refuse experimental research for their children, irrespective of potential benefits.
    • Despite increasing recognition of adolescent autonomy, courts are hesitant to permit minors to refuse life-saving medical interventions.