Abstract
American medicine is awash in forms: insurance forms, disability forms, informed-consent forms, and forms for various examinations, to name just a few. Forms can help make the practice of medicine more efficient, but they can also make it more routinized, impersonal, and bureaucratic. Congress and the President have decreed that beginning December 1, 1991, all hospitals, nursing facilities, hospice programs, and health maintenance organizations that serve Medicare or Medicaid patients must provide all their new adult patients with written information describing the patient's rights under state law to make decisions about medical care, including their right to execute a living . . .

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