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Prospective Autonomy: On the Limits of Shaping One's Post-Competence Medical Fate

For a competent person exercising contemporaneous autonomy, personal medical choices need not coincide with material best interests. Does a similar prerogative attach to prospective autonomy -- decisions aimed at post-competence medical handling? This article concludes that law and public policy ought to give expansive scope to deliberately constructed advance directives despite tensions with the contemporaneous interests of the now-incompetent persona.