Dr. Eric Kelleher:

That is the principle of autonomy. Does autonomy overrule other ethical principles? I do not underestimate the importance of autonomy but I do not underestimate the challenges on healthcare providers to provide that wraparound biopsychosocial support to patients. That must be provided to patients in a reasonable manner. Some patients are happy but some are unhappy to have family members looking after them.

They would like other people to do that job. We struggle to get that. My colleague, Dr. McHale, would like to come in.