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Consultation Paper on Bioethics - Law Reform Commission

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INTRODUCTION<br />

A Background to the project<br />

1. This <str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> forms part of the Commissi<strong>on</strong>‟s Third<br />

Programme of <strong>Law</strong> <strong>Reform</strong> 2008-2014. 1<br />

2. The Commissi<strong>on</strong> has previously addressed the topic of advance care<br />

directives in the following:<br />

Report <strong>on</strong> Vulnerable Adults and the <strong>Law</strong> (2006); 2<br />

<str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> <strong>on</strong> Vulnerable Adults and the <strong>Law</strong>: Capacity<br />

(2005); 3<br />

<str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> <strong>on</strong> <strong>Law</strong> and the Elderly (2003). 4<br />

In the <str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> <strong>on</strong> <strong>Law</strong> and the Elderly, the Commissi<strong>on</strong><br />

acknowledged that there has been no legislati<strong>on</strong> or case law in Ireland<br />

specifically addressing the efficacy of advance care directives. It suggested that<br />

“since it is possible to nominate another pers<strong>on</strong> to make pers<strong>on</strong>al and property<br />

decisi<strong>on</strong>s, it ought to be possible to make those decisi<strong>on</strong>s <strong>on</strong>eself and have<br />

them carried out by others if incapacity sets in. They could provide for practical<br />

decisi<strong>on</strong>s in relati<strong>on</strong> to pers<strong>on</strong>al care and property – broadly the same issues as<br />

may be dealt with under an EPA.” 5 However, the Commissi<strong>on</strong> was aware of the<br />

important and c<strong>on</strong>tentious moral, legal and ethical questi<strong>on</strong>s raised by advance<br />

care directives and that such questi<strong>on</strong>s would require detailed c<strong>on</strong>siderati<strong>on</strong>. 6<br />

1 See Report <strong>on</strong> the Third Programme of <strong>Law</strong> <strong>Reform</strong> 2008-2014 (LRC 86-2007).<br />

Project 30 in the Third Programme commits the Commissi<strong>on</strong> to examine “Legal<br />

Aspects of <strong>Bioethics</strong>”.<br />

2 <strong>Law</strong> <strong>Reform</strong> Commissi<strong>on</strong> Report <strong>on</strong> Vulnerable Adults and the <strong>Law</strong> (LRC 82-<br />

2006) at paragraph 3.36.<br />

3 <strong>Law</strong> <strong>Reform</strong> Commissi<strong>on</strong> <str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> <strong>on</strong> Vulnerable Adults and the <strong>Law</strong>:<br />

Capacity (LRC CP 37-2005) at paragraphs 7.63-7.64.<br />

4 <strong>Law</strong> <strong>Reform</strong> Commissi<strong>on</strong> <str<strong>on</strong>g>C<strong>on</strong>sultati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>Paper</str<strong>on</strong>g> <strong>on</strong> <strong>Law</strong> and the Elderly (LRC CP<br />

23-2003) at paragraphs 3.48-3.51.<br />

5 Ibid at paragraph 3.48.<br />

6 Ibid at paragraph 3.51.<br />

1

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