This case boils down to: Does the written living will or power of attorney named in the living will have the loudest voice in end-of-life care discussions? In this case the prosecutor's voice won. Ideally, such decisions should be made together with both the patient and the attorney when drafting the living will. If this happened, the son would be more on the same page with his mother's concerns about end-of-life care. Another way to solve the problem of the possibility of the woman's life changing in the last seven years would be to give the woman a way to recognize that the thoughts are always the same by updating/renouncing the living will.