The patient's autonomy always always should be respected even if it is absolutely contrary - the decision is contrary to best medical advice and what the physician wants.

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Freedom isn't free. It shouldn't be a bragging point that 'Oh I don't get involved in politics ' as if that makes someone cleaner. No that makes you derelict of duty in a republic. Liars and panderers in government would have a much harder time of it if so many people didn't insist on their right to remain ignorant and blindly agreeable.