The legal role of medical professionals in decisions to withhold or withdraw life-sustaining treatment: Part 3 (Victoria)

This is the final article in a series of three that examines the legal role of medical professionals in decisions to withhold or withdraw life-sustaining treatment from adults who lack capacity. This article considers the position in Victoria. A review of the law in this State reveals that medical professionals play significant legal roles in these decisions. However, the law is problematic in a number of respects and this is likely to impede medical professionals' legal knowledge in this area. The article examines the level of training that medical professionals receive on issues such as refusal of treatment certificates and substitute decision-making, and the available empirical evidence as to the state of medical professionals' knowledge of the law at the end of life. It concludes that there are gaps in legal knowledge and that law reform is needed in Victoria. The article also draws together themes from the series as a whole, including conclusions about the need for more and better medical education and about law reform generally.     

Counterterrorism strategies in the lab

We conduct experiments to test the collective action dilemmas associated with defensive and proactive counterterror strategies. Defensive policies are associated with creating public ??bads' (e.g., a commons) whereas proactive policies are akin to the voluntary provision of public goods. When combined, the inefficiency of collective action is exacerbated, resulting in a situation known as a Prisoner??s Dilemma squared (PD²). Deterministic versus probabilistic equivalent versions of the associated externalities are compared within a laboratory setting. Experimental results reveal that the collective action problem associated with counterterror strategies is deepened in uncertain environments, and is indeed a robust regularity that is not easily overcome; as individuals gain more experience, they become even more self-interested.