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It seems that physicians are inclined to offer further treatment to strive to prolong a patient's life, and they do not want to disappoint patients who explicitly wish for treatment by taking away their hope.
Anyone who can look at a laundry list of graphic sexual harassment, explicitly detailed violent wishes, and even outright death threats towards trans people on a website as public as YouTube and still deny that there's an issue is kidding themselves.
Aladdin tricks the genie into magically freeing himself, Abu, and the carpet from the cave without actually using a wish; thereafter, Genie states that Aladdin will not receive anymore magic help unless he explicitly states "I wish".
We can say simply that organism O observes or perceives X; and we can then assert explicitly, if we wish, that its percept is or is not conscious.
Their control cohort consisted of organ donors, who in the United States must explicitly state their wish to become an organ donor; thus, depending on the propensities of different ethnic groups to donate organs, organ donor banks might exhibit different haplogroup distributions compared to the general population.
Apart from that, a significant proportion of patients explicitly do not wish to visit a psychotherapist.
However, accepting cultural criteria, such as the children of this woman, indeed in their late 60s themselves, of not giving her the bad news, even if she had never explicitly expressed a wish not to know, is the morally (and perhaps legally) correct thing to do.
Questions on decision-making included discussion with the patient, family and other caregivers, whether the patient had made a request, whether the patient had been deemed competent by the physician and whether the patient had ever, implicitly or explicitly, expressed a wish for life-ending.
