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Competence and capacity at the end of life: uneasy paternalism

Sharon G Reutens and Carmelle Peisah
Med J Aust 2012; 196 (5): . || doi: 10.5694/mja11.11596
Published online: 19 March 2012

To the Editor: Le and Chapman’s article1 on capacity at the end of life raises a number of timely issues, given our ageing population and the autonomous rights of individuals in end-of-life decision making.2


  • 1 Australian Centre for Capacity, Ethics and the Prevention of Exploitation of People with Disabilities, Sydney, NSW.
  • 2 University of New South Wales, Sydney, NSW.


Correspondence: sreutens@unsw.edu.au

Competing interests:

The authors have received honoraria from Pfizer and Alzheimer’s Australia for speaking engagements.

  • 1. Le BH, Chapman MD. Competence and capacity at the end of life: uneasy paternalism. Med J Aust 2011; 195: 476-477. <MJA full text>
  • 2. O’Neill N, Peisah C. Capacity and the law. Sydney: Sydney University Press, 2011. http://www.austlii.edu.au/au/journals/SydUPLawBk/2011/1.html (accessed Dec 2011).
  • 3. Ryan CJ, Callaghan S. Legal and ethical aspects of refusing medical treatment after a suicide attempt: the Wooltorton case in the Australian context. Med J Aust 2010; 193: 239-242. <MJA full text>
  • 4. Davis JK. The concept of precedent autonomy. Bioethics 2002; 16: 114-133.

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