In such cases, to best serve the interests of the patient, surrogates arguably need to reconstruct the subjective point of view of the patient, and not just fall back on generic choices that "a reasonable person" would make under the circumstances.
Instead, they fall back on policy choices that would make cheap, bare-bones coverage more available to people in good health, but only by making comprehensive coverage more expensive for those who need or want it.
In his Rose Garden climate address this summer, President Obama acknowledged that his first choice for controlling America's greenhouse gas emissions, congressional action, was likely to be stymied and that he would have to fall back on his second choice, regulation by EPA under the Clean Air Act.
But privately, some theater people acknowledge that other factors -- a shallow pool of writing talent, a cadre of producers lacking the know-how to guide the creation of big musicals, and an increasingly tourist-dominated audience -- have compelled Broadway to fall back on easy producing choices.
She doesn't sugar coat her actions, I don't begrudge a young single mother's choice to fall back on strategies from her own childhood.
And if agreement between the two of can't be found, you must fall back on three very basic choices: 1) Can I fix the situation?; 2) Do I have to put up with the situation?; and, 3) Should I walk away?
At this point, therefore, I've no choice but to fall back on my own subjective experience, which tells me this isn't the case.
The absence of up-to-date local plans and policies can mean that local planning authorities have no choice but to fall back on the government's own presumption in favour of development as set out in its National Planning Policy framework.
Moreover, given the dangers (Mr Salim was the second GC member to be murdered and several more have survived attempts on their lives), many good potential candidates have been reluctant to come forward.Hence Mr Brahimi may feel he has no choice but to fall back on the GC and on current ministers to find a new team.
Lee had no choice but to fall back on July 4, his retreat blocked by the swollen Potomac.
Regardless of the available choices, it's easy to fall back on the familiar.
