Dax Cowert And Autonomy

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Dax’s Dilemma In the summer of 1973 an accidental propane explosion started the downward spiral of Dax Cowart’s life. The accident left his father dead and over 68% of his body covered in 3rd degree burns. Significant damage was done to his face and hands leaving him blind, greatly deformed, and in so much pain that large dosages of narcotics could barely take the edge off. From the day of the accident, Dax expressed a desire to die, to end his suffering. He didn’t want to go through the excruciating treatments, such as corrective surgery for his hands and baths in the Hubbard tank, or continue to go through life in his current state. When Dax first arrived at the hospital he was determined to return home to die, most likely from infection. Doctors kept him for over a year with Dax continuously asking for death and even tried to commit suicide. Despite his resolve to die, his psychiatrist, Dr. White, found him to have full decision-making capability. Despite this, doctors went to his mother for consent for his treatments even though she wasn’t appointed as his legal guardian. She refused to allow Dax the death he wanted and had the right to. While he has recovered from the burns, become financially secure via a lawsuit, attended law school, and married he still would make the same decision if he could do it over again. The Philosophical Problem This case brings about a significant issue regarding patient autonomy. Dax was legally certified by a psychiatrist to have full decision-making capabilities and yet he was not allowed to choose his own fate. Yes, he was in an extreme amount of pain, as most burn patients tend to be. He also suffered from deep depression shown through repeated suicide attempts even after he was released from the hospital. However, when interviewed Dax was completely calm and coherent when expressing his wishes. The depression most

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