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Patient rights in the living will area are governed by the federal Patient Self Determination Act of 1990 , which requires hospitals financed by Medicaid and Medicare to inform patients of their right to specify whether or not they want life support. Every state has laws that allow some type of advance directive.

Among the ways patients can convey their wishes are living wills, which observers complain are sometimes too vaguely written, and “durable powers of attorney,” which give relatives or others the right to act on the patients’ behalf.

In many cases, hospitals and surviving family members wind up litigating over who will pay medical bills once the patient is saved.

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