I thank the editors and Dr. Truog for the opportunity to participate in this debate and hope our readers find it enlightening. The major argument leveled against the TADA is that it “excludes the involvement of the courts” and may be unconstitutional. The law does not exclude the courts, but directs the court to review matters it is most qualified to judge: compliance with procedure, not medical decision making. The most recent court arguments against TADA occurred in the Gonzales case that Dr. Truog previously criticized.1 Plaintiff's attorneys alleged TADA violated both state and federal constitutions. But the court-appointed guardian ad litem (representing the interests of Baby Emilio) argued that TADA violated neither.2 In fact, no court has declared TADA unconstitutional after 10 years of use.