ISSUE #4
"PATIENT AUTONOMY" IN
MEDICAL DECISION-MAKING

QUESTION
Does Judaism view patients as having the right of "autonomy" in deciding whether or not to undergo a medical treatment, therapy, or life-prolonging operation?

ANSWER
From the Jewish perspective, a patient's decision-making autonomy is not viewed as a "RIGHT" at all! Instead, it is viewed exclusively as a RESPONSIBILITY. This distinction has a VERY different implication, as explained below.
 

EXPLANATION

The question frames the concept of "autonomy" as an issue of "rights". From this perspective (which seems to be quite prevalent in the secular world), a patient's "autonomy" is associated with his/her freedom to choose a course of action based on their own personal wishes, independent of external influence or authority. This viewpoint may be expressed in a patient's assertion that, "It's my body, and I am free to do as I wish with it".

From a Jewish perspective however, an individual is not viewed as an owner, but rather as a steward of his/her body, which has been entrusted to him/her by G-d, the creator and owner of all lives. Thus, a Jewish conception of patient autonomy means that rather than asserting, "I am free to choose as I please with my own body," he/she will always ask the question, "What are my Divine responsibilities in order to be a proper steward over this body that is entrusted to me by G-d?" 

Of course, the answer to this question is found in the Divine values and instructions given by G-d in the Torah, and further elaborated upon by the Rabbis. Clear examples of these responsibilities include the prohibition of committing suicide and of wantonly defacing or harming one's body, along with the affirmative injunction that it is incumbent upon us to preserve and nurture one's good health.  

Nevertheless, a complicated medical issue may make it difficult for a patient to determine the proper choice that is required by their Divine responsibility of stewardship over the body. 

In every situation therefore, the patient is obligated to gather as much medical information as possible from doctors, and then to consult with experienced Rabbis and expert Halachic authorities, who will provide specific guidance under the framework of Torah law. 

By following expert Halachic guidance, a patient's choices regarding the medical care of their body are made in harmony with the will of the body's creator and owner, G-d. In so doing, the patient fulfills their Divinely-entrusted responsibility of stewardship over the body. This is Judaism's perspective on "patient autonomy" in medical decision making.

For over two decades, CMC has been counseling patients and family members throughout the Chicago area concerning end-of-life issues such as those mentioned above. CMC connects patients and families with local Rabbonim who are expert in the end-of-life field, so that they may be reassured of having authoritative halachic answers that are tailored to their specific individual circumstances.

To request CMC guidance and/or support regarding an end-of-life issue or for any patient and/or family member struggling with illness, please call CMC or click this link to visit CMC's website.
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Rabbi Aron Wolf
Chicago Mitzvah Campaign
2939 W Touhy Ave
Chicago, IL 60645
1-866-MY RABBI (1-866-697-2224)