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Week 2 DiscussionThe Federal Patient Self Determination H.R.4449 - Patient Self Determination Act of 1990 was enacted in 1990 was instituted into law to address the rights of healthcare consumers. This legislation was enacted with the intent of providing the medical provider with the express outline of the consumer health wishes. This is necessary in a scenario that made them unable to participate in their health treatment process. The consumer is afforded the opportunity to appoint a health proxy and give stipulations as to the treatment by the healthcare providers. The case of Nancy Cruzan[Lew90] preceded the Self Determination Act of 1990. This was a case of a young woman that was involved in a car accident that placed her in a vegetative state. The medical provider refused to remove a feeding tube after the parents of the patient requested it. The issue at hand was the violation of the express wishes of the patient. Ms. Cruzan stated publicly that she did not

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