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The Patient preference predictor and the objection from higher-order preferences
  1. Jakob Thrane Mainz
  1. Department of Philosophy and History of Ideas, Aarhus University, Aarhus, Denmark
  1. Correspondence to Dr Jakob Thrane Mainz, Aarhus Universitet, 8000 Aarhus, Denmark; jtm{at}


Recently, Jardas et al have convincingly defended the patient preference predictor (PPP) against a range of autonomy-based objections. In this response, I propose a new autonomy-based objection to the PPP that is not explicitly discussed by Jardas et al. I call it the ‘objection from higher-order preferences’. Even if this objection is not sufficient reason to reject the PPP, the objection constitutes a pro tanto reason that is at least as powerful as the ones discussed by Jardas et al.

  • Ethics- Medical
  • Advance Directives
  • Decision Making
  • Personal Autonomy

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  • Contributors JTM is the sole author of this article.

  • Funding This study was funded by Carlsbergfondet (CF20-0257).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.