Associated Press | March 22, 2005
By KELLEY SHANNON
AUSTIN, Texas (AP) - The federal law President Bush signed to prolong Terri
Schiavo's life in Florida appears to conflict with a Texas law he signed as
governor, attorneys familiar with the legislation said Monday.
The 1999 Advance Directives Act in Texas allows for a patient's surrogate to
make end-of-life decisions and spells out how to proceed if a hospital or other
health provider disagrees with a decision to maintain or halt life-sustaining
treatment.
If a doctor refuses to honor a decision, the case goes before a medical
committee. If the committee agrees with the doctor, the guardian or surrogate
has 10 days to agree or seek treatment elsewhere.
Thomas Mayo, an associate law professor at Southern Methodist University who
helped draft the Texas law, said that if the Schiavo case had happened in Texas,
her husband would have been her surrogate decision-maker. Because both he and
her doctors were in agreement, life support would have been discontinued.
The Texas law does not include a provision for dealing with conflicts among
family members who disagree with the surrogate decision-maker - as has happened
in the Schiavo case - although in practice hospital ethics committees would try
to resolve such disputes, he said.
The Texas law, Mayo said, tends to keep such cases out of court, allowing
life-support decisions to be made privately. However, within the last month two
Houston cases went to court. One case resulted in a baby being removed from life
support; he died soon afterward. The other led to the transfer of an elderly man
to a nursing home.
Bruce Howell, a private health law attorney in Dallas who was involved in
updates to the state law in 2003, agreed with Mayo that Bush's signing of the
federal law appears to be inconsistent with his actions as governor.
``These are incredibly private decisions,'' Howell said. ``I would hope that
this case does not result in federal law overriding what I think was carefully
and incredibly well intentionally thought out.''
The White House said Monday the law allowing a federal court to intervene in the
Schiavo case was narrowly tailored and not intended as a precedent for Congress
to step into such battles.
White House press secretary Scott McClellan dismissed the claim that Bush's
signature on the Texas law conflicts with his action Monday. ``The legislation
he signed is consistent with his views,'' McClellan said.
END
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