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The lesson we should learn from the Charlie Gard case, is surely one for adult end-of-life decision-making.
There are differences between situations involving a baby such as Charlie, and the situations of adults whose lives are drawing to a close: but there is surely a commonality in that once best-interests decision-making becomes necessary, things can become very fraught and confrontational if different involved parties hold very different positions.
Many of the adults who are identified as being in the last years of life, will at least for the start of that journey be mentally capable: so the emphasis must surely be on trying to get decisions about possible future interventions made and expressed by the patient, and then simply followed by everyone involved with the patient.
''I'm not doing it, because the patient told me not to do it' is surely better than 'I'm not doing it, because I've decided it is not in the patient's best-interests for me to do it' during end-of-life care'.