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On Wilkinson: unpacking Parfit, paternalism and the primacy of autonomy in contemporary bioethics

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Wilkinson himself acknowledges this (p9).

  • Wilkinson provides no alternative solution to the question of how to preserve the agency of a patient confronted with the impending or potential loss of her capacity to make her own healthcare decisions problem.

  • A thorough critique of the practical and ethical issues at play in defining and determining ‘best interests’ is beyond the scope of this commentary.

  • This is illustrated by Wilkinson’s example of decisions based on the rolling of a dice.

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