Addressing the ethical, legal, and social issues raised by voting by persons with dementia

Jason H. Karlawish, Richard J. Bonnie, Paul S. Appelbaum, Constantine Lyketsos, Bryan James, David Knopman, Christopher Patusky, Rosalie A. Kane, Pamela S. Karlan

Research output: Contribution to journalReview article

48 Scopus citations

Abstract

This article addresses an emerging policy problem in the United States: participation in the electoral process by citizens with dementia. At present, health care professionals, family caregivers, and long-term care staff lack adequate guidance to decide whether individuals with dementia should be precluded from or assisted in casting a ballot. Voting by persons with dementia raises a series of important questions about the autonomy of individuals with dementia, the integrity of the electoral process, and the prevention of fraud. Three subsidiary issues warrant special attention: development of a method to assess capacity to vote; identification of appropriate kinds of assistance to enable persons with cognitive impairment to vote; and formulation of uniform and workable policies for voting in long-term care settings. In some instances, extrapolation from existing policies and research permits reasonable recommendations to guide policy and practice. However, in other instances, additional research is necessary.

Original languageEnglish (US)
Pages (from-to)1345-1350
Number of pages6
JournalJournal of the American Medical Association
Volume292
Issue number11
DOIs
StatePublished - Sep 15 2004

ASJC Scopus subject areas

  • Medicine(all)

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    Karlawish, J. H., Bonnie, R. J., Appelbaum, P. S., Lyketsos, C., James, B., Knopman, D., Patusky, C., Kane, R. A., & Karlan, P. S. (2004). Addressing the ethical, legal, and social issues raised by voting by persons with dementia. Journal of the American Medical Association, 292(11), 1345-1350. https://doi.org/10.1001/jama.292.11.1345