Dr Hutchison,1 supporting physician recommendations, cites ambiguous data implying French and Canadian surrogates prefer physician participation and > 40% of Americans prefer no recommendations. He claims physicians should make recommendations based on their beliefs about patients’ authentic values.
No rational person opposes physician participation. Physicians need to provide diagnosis, prognosis, and treatment options, so the French and Canadian data seem meaningless. Even if surrogates want recommendations, confusion may exist about physician expertise.