Offering the "Reasonable Interests Standard" in Response to Ross's Analysis of the Best Interests Standard

J Clin Ethics. 2019 Fall;30(3):196-200.

Abstract

Ross's argument against the best interest standard (BIS) makes a clear case for the problems of the BIS, and she also notes challenges with such notions as the harm principle. In light of these critiques, Ross champions her longstanding pediatric moral norm for decision making, constrained parental autonomy (CPA). This article argues that while Ross's critique of the traditional accounts of the BIS is correct, her solution still raises some concerns. As such, I offer the "reasonable interests standard" as a way of addressing what I see as weaknesses in both the BIS and CPA.

MeSH terms

  • Child
  • Decision Making*
  • Humans
  • Morals*
  • Pediatrics* / ethics