AIR 46 · CSE 2018 · GS4 · 58 pages

Deepak Kumar Dubey: GS4 answer copy

21 answers by Deepak Kumar Dubey, as written in the test. Each question opens a page with how other toppers answered it.

The questions

  1. Q1(a)10 marks
  2. Q1320 marks

The answers

Question 1(a) · 10 marks · 254 words written

Opening · a figure

An estimated 5 crore people suffer from mental health issues in India, as per WHO. As with mental illness, in terminal illness too, the ability of the patient to decide upon the course of treatment and care given to him/her is restricted.

Living will therefore is a legal instrument where a person outlines the manner in which his illness must be handled by the caregivers as well as healthcare profesionals.

Further the Aruna Shanbaug case further brigs into question whether such patients should be given the right to decide beforehand whether they should be given palliative care, or left to die on their own will.

The various ethical issues involved are:

From Individual Perspective

Body · points

  • Since the family of the person is affected, should they be also heard when a person decides his living will?
  • Whether the caregivers can be reliably trusted to follow the will and not mistreat the person
  • Whether he has the financial wherewithal to ensure that the will is honoured.

From Societal Perspective

  • Whether a person should be allowed to stop treatment (in his will), i.e right to life → whether absolute or not?
  • Whether the society is willing to bear the cost of palliative care
  • Whether the person should be allowed to choose his living will and whether a doctor can override it in the best interest of the family and society.

Close · a summary

Thus living wills are a sensitive issue and the provision of advanced directive in Medic Mental Health Bill should be widely debated.