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Dax Cowart and the Refusal of Medical Treatment

Dax Cowart and the Refusal of Medical Treatment

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 Dax Cowart was severely injured in an explosion in the 1970s. Despite his injuries, he expressed a strong and consistent desire not to want medical treatment for his injuries an to be allowed to die. In this episode, Tyler and Devan explore the landmark bioethics care of Dax Cowart and its importance to current questions about medical decision-making, capacity to refuse medical treatment, and disability. Links to Sources and other Interesting Stuff:“Dax Cowert, Who Suffered for Patient Rights, Dies at 71” The New York Times, Obituary, May 15, 2019. Documentary: “Dax Cowart — 40 years later” Transcript0:03 Come to another episode of Bioethics for the People.I'm joined by my Co host Doctor Devin Stahl, who according to her student reviews should be cloned and teach all of the bioethics.And he's Tyler Gibb, who, according to his students, is best described as the goat of bioethics. 0:28 Devin, I got a a banger of a case for you today.Oh, a banger of a case.OK.Yeah, this has everything if we're going by the the theme of Stefan.So lawyers involved, there's issues about disability, there's issues about consent for incapable, type of patience, mothers involved. 0:52 God is invoked at some point.Oh my gosh, it really does have.These are like all my favorite things.Yeah, I mean, if we could just work in, I don't know what's another of your favorite things that we don't get to talk about very much.Nope, that's it.That and and my children so. 1:07 Yeah, I I don't.I don't think the little ones are going to make an appearance in this episode, but it's.Probably for the best.All right, so this is the the case of DAX cohort, and there may be some disagreement about how to say his last name.I'm going to say cohort, but DAX cohort heard of it. 1:24 I have.It's a classic bioethics case.Classic.And it just happens to be in Texas as well.So let me set the stage. 1973 July summer vacation.Dex, whose name is Actual actually Donnie and his mom refers to him as Donnie during the during some of the the quotes that we'll talk about. 1:45 But the world knows him as Dax.OK, so he's described as a a very fit, athletic captain, the football team, goes off to college, kind of likes to party, likes to be kind of a a guy who is living life to his fullest in his mid 20s. 2:02 I think that's important.So listeners, sort of keep that in the back of your mind, because I and I always joke about it with my class when I show some of the videos, which we'll post on the website, I'm sure.But the way in which the narrator will always cast Donnie Dax as, like, handsome and fit and captain of the football team, this is really important to the narrative of what's going to happen to him at for reasons I, I want to explore as you get into the case. 2:30 Right.And it's fascinating to me how often the characters in some of these big cases get get reduced into a couple of kind of stereotypes.Like for example, we in a different episode this season, we talked about Buck versus Bell which was the case Supreme Court case where a woman who had maybe, maybe not had intellectual disabilities was described in the same way. 2:52 Right.And Dax is always described as like this fit robust Texan ladies man is often referred to.There's this kind of funny anecdote that's shared about him volunteering or working as bus driver when he was at University of Texas in Austin in order for him to meet and make friends with drunk women as he was driving them back home. 3:15 After I have never heard that.That's funny and and slightly creepy, but.Yeah, funny, creepy.Anyway, so Dax, this robust young man is working for the summer in and around an area that has a propane pipeline that's running through Texas. 3:32 I think there's probably more than one propane natural gas running through Texas.So he's out there and he's actually out there with his dad doing some work or doing some work around the area and there's a massive explosion.And Exxon, the the oil company is the owner operator of this pipeline that explodes. 3:51 An explosion is huge.Not just in and around Donnie where where where he was standing when it exploded, but also all the way down the pipeline.So it's like almost like a mile long explosion.This pipe exploding.Dax is there and sustains third degree burns to his face, to his hands, to the majority of his body. 4:12 His dad was also very severely burned as well and ends up dying from his from his injuries.After the explosion, neighbors people who are who are nearby rushed to the to the scene and find Dax.They're burned, very significantly burned and according to many, many reports, the first thing that he asks or that he says to this farmer who is always described as a farmer who shows up is him asking for a firearm, asking for a gun, He says the quote that he says, can't you see that I'm a dead man, I'm going to die anyway. 4:47 Is the the quote that is he reportedly said to the fire the the farmer who was the first one on the scene.The farmer did not give...

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