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Reconceptualizing Advance Direcitves and Social Deliberation

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2026, 29(2), pp.87~92
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Received : May 10, 2026
  • Accepted : June 15, 2026
  • Published : June 30, 2026

이은정 1

1연세대학교

Accredited

ABSTRACT

This study critically examines the limitations of South Korea’s life-sustaining treatment decision system and argues for a reconceptualization of the role of advance directives. Although the system was introduced to protect patient self-determination, it has not functioned effectively due to deeply ingrained norms of family-centered decision-making and pervasive avoidance of end-of-life discourse. Recent proposals for personalized advance directives primarily focus on expanding treatment options and improving technical procedures, yet overlook a more fundamental issue: how individuals form their preferences regarding death and end-of-life care. This paper argues that advance directives should not merely serve as static documents confirming preexisting preferences, but rather as dynamic social instruments that encourage reflection on death, communication with family members, and the gradual formation of personal values and ethical priorities. Ultimately, the system’s effectiveness relies not on expanding choices, but on fostering social deliberation and a collective understanding of death and dying.

Citation status

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