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Arch Intern Med. 1998;158:321-324.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THIS ISSUE of the ARCHIVES, Gross¹ presents data about the current use of advance directives in clinical practice and makes a number of suggestions. Central to this article are a number of unexamined assumptions. Several of these seem worth examining: (1) prior to losing their ability to make decisions, patients should be able to express their wishes about treatment and express them in documents that in the future might be binding on physicians and other health care providers; (2) when it comes to treatment decisions about theoretical situations not actually faced by patients at the time these documents are executed, patients' wishes should remain stable over time and not be changed at the time the situation is actually faced; (3) patients should be encouraged to execute advance directives because it is assumed that executing advance directives is something that responsible persons ought to do; and, therefore, (4) if advance . . . [Full Text of this Article]

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