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Chapter 5: Surrogate Decision Making: The Surrogate's Value

Mary Beth Morrissey’s chapter on surrogacy reinforces an ecological framework from which to consider ethical issues. Surrogacy is a complicated concept, as Morrissey notes. Building on a relationship of trust, guided by advance directives and prior communication, the surrogate is expected to make decisions on behalf of an incapacitated patient. As Morrissey understands, these decisions cannot ignore the surrogate’s own wishes and preferences. These are not impassioned decisions of an outsider but likely decisions made by someone the patient both loved and trusted—someone the surrogate likely loves in turn.

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