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The question is: what do you do when you can't communicate with the patient? When there is no way to get the patient's wishes, there will always be some risk of not doing what the patient wants. I'd argue that the most ethical thing to do in this case is to err with a bias toward statistics and reversibility: the choice that will most often turn out to have been in accordance with the patient's wishes, and when possible a choice which, if it turns out to not be in accordance with the patient's wishes, can be corrected.

How does resuscitation fit in with this? Reversibility is obvious enough: someone who truly wants to die will be able to try again, but you can't un-kill somebody once the deed is done. But as counterintuitive as it might seem, this is also the correct choice statistically, as any psychologist can tell you: most of the people who attempt suicide aren't actually looking to die, so by reviving them you will be going along with the wishes of the patient more often than not.

Is this perfect? Of course it isn't, because sometimes it will be wrong. But it is more often correct than the alternative, and it is also reversible. I see no disadvantages.



Complexity is not depth. Machismo is not maturity. Obsession is not dedication. Tedium is not challenge. Support gaming: support the Wii.

Be the ultimate ninja! Play Billy Vs. SNAKEMAN today! Poisson Village welcomes new players.

What do I hate about modern gaming? I hate tedium replacing challenge, complexity replacing depth, and domination replacing entertainment. I hate the outsourcing of mechanics to physics textbooks, art direction to photocopiers, and story to cheap Hollywood screenwriters. I hate the confusion of obsession with dedication, style with substance, new with gimmicky, old with obsolete, new with evolutionary, and old with time-tested.
There is much to hate about modern gaming. That is why I support the Wii.