Scott Halpern
speaker
451 appearances
3 recordings
1 series
first heard Sep 2021
last heard Feb 2024
Scott Halpern’s voice in public audio — every appearance, attributed to the second.
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Appearances
And then in a uh one alternate uh form, the comfort-oriented default.
The choices were framed such
That
Uh, the option to prioritize comfort over life extension if those goals were to come into conflict was pre-selected.
Um, but people were instructed that they could just cross that out and instead select a choice to prioritize life extension over comfort, or to not make that choice at this time, which by the way, is effectively defaulting to certain.
Okay.
Um and then a life extension default basically defaults to life extension and it's structured in exactly the polar opposite way of what I just described.
And then people like complete the advanced directives, perhaps with their family members or loved ones, uh, send it back to us.
And then to make these studies ethical, we then call people up and say, okay, here's what we did.
You know, you got this particular version of the advanced directive.
Other people in the trial got these other versions.
Now we want to go through each choice that you made.
before we scan this into your electronic health record.
So we have that debriefing process.
And
The amazing thing is that even during that debriefing process, people make almost no changes to the choices that they had made up front.
And yet the defaults hold enormous influence on people's likelihood of choosing comfort-oriented care, their likelihood of choosing to be DNR, to be DNI, not to be intubated, to not receive all those things, like doubling of the rates of people making those choices.
And even when we
uh uh unblind them so so to speak to what we actually did, they're still cool with the choices they made.
And then those, you know, advanced directives get scanned into the into the EHR.
Showing 401–420 of 451 · page 21 of 23
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