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Editor's Correspondence
January 28, 2008

Physicians and Decision Making in Dementia—Reply

Arch Intern Med. 2008;168(2):242. doi:10.1001/archinternmed.2007.53

In reply

Rozzini and Trabucchi raise the issue of whether the relationship-centered guidelines we propose for surrogate decision making are useful in clinical practice. Instead, they propose that physicians ought to have “the final responsibility” to make surrogate decisions after a careful consideration of the patient, the surrogate, and the physician's own moral beliefs. We agree with Rozzini and Trabucchi that sharing the burden of decision making is a duty of a caring physician but do not agree that increased physician authority is the solution.