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Aging: Culture, Health, and Social Change pp 43–64Cite as

Protecting Aged Citizenship

Rethinking the “Mutuality” of State and Civil Society?

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Part of the book series: International Library of Ethics, Law, and the New Medicine ((LIME,volume 10))

Abstract

For a minority of the aged population, aging risks increased vulnerability. Those living in nursing homes or supported retirement accommodation, and people with similar levels of dependence, are more likely to be subject to adult guardianship orders affecting their property or personal care (Reynolds and Wilber 1997; Reynolds and Carson 1999). Many citizens anticipate possible needs for substitute decision-making by creating durable powers of attorney (Carney 1999). For centuries (Schimer and Anetzberger 1999), the common law treated these services as an incident of state responsibilities to protect the vulnerable (parens patriae); as demonstrated in Johns’ work on Greek and Roman influence upon U.S. guardianship (Johns and Bowers 1997; Johns 1999). Individual choice and autonomy are now the dominant features of the architecture of those schemes, however. Private or market auspices are replacing the state as the base for their organization. Individuals are now conceived as liberal utilitarian calculators who are entitled to respect for their personal agency choices until any pre-laid plans are exhausted, or their loss of cognitive powers of rationality precludes them from making fresh choices (Landry 1999a, 78).

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Authors and Affiliations

  1. Faculty of Law, University of Sydney, Australia

    Terry Carney (Professor)

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Editors and Affiliations

  1. Faculté de Médicine, Université de Montréal, Canada

    David N. Weisstub (Philippe Pinel Professor of Legal Psychiatry and Biomedical Ethics) (Philippe Pinel Professor of Legal Psychiatry and Biomedical Ethics)

  2. Neiswanger Institute for Bioethics and Health Policy, Loyola University of Chicago Medical Center, USA

    David C. Thomasma (Professor and Fr. English Chair of Medical Ethics) (Professor and Fr. English Chair of Medical Ethics)

  3. Neurosurgery and Psychiatry, Centre for Studies on Aging, Faculty of Medicine, McGill Univesity, Canada

    Serge Gauthier (Professor of Neurology) (Professor of Neurology)

  4. Faculty of Law, University of Sydney, Australia

    George F. Tomossy (Ross Waite Parsons Scholar) (Ross Waite Parsons Scholar)

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Carney, T. (2001). Protecting Aged Citizenship. In: Weisstub, D.N., Thomasma, D.C., Gauthier, S., Tomossy, G.F. (eds) Aging: Culture, Health, and Social Change. International Library of Ethics, Law, and the New Medicine, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0677-3_4

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