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Offering the "Reasonable Interests Standard" in Response to Ross's Analysis of the Best Interests Standard
1Chair of the Department of Medical Humanities and Bioethics and Professor of Medical Humanities and Pediatrics at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, Arkansas, and he serves as a Clinical Ethicist at UAMS and Arkansas Children's Hospital in Little Rock, Arkansas USA. DMHester@uams.edu.
Abstract:
Ross's argument against the best interest standard (BIS) makes a clear case for the problems of the BIS, and she also notes challenges with such notions as the harm principle. In light of these critiques, Ross champions her longstanding pediatric moral norm for decision making, constrained parental autonomy (CPA). This article argues that while Ross's critique of the traditional accounts of the BIS is correct, her solution still raises some concerns. As such, I offer the "reasonable interests standard" as a way of addressing what I see as weaknesses in both the BIS and CPA.
