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Despite a broad consensus that terminally ill patients should be empowered to choose and deny life-sustaining-treatments (LSTs), South Korea’s path towards the regulation of advance directives was not easy. In this chapter, I sketch the development of social and legal discourse regarding advance directives, from the 1998 Boramae Hospital case to the current Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life (ELDA). I show how ELDA has recognised the patient’s right to decide, and establishes procedures, safeguards and a governance framework for advance directives. Legislation of ELDA occurred in a manner similar to translational research in biomedical science, as new ethical norms gained practical power after being translated, diffused and accepted among practitioners and patients and their families. I also consider how this law connects to practice in different kinds of ways. The necessity of continuing conversation among ethical, legal, medical and governmental actors is emphasised.
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