Earlier court rulings on this subject had stressed the connection between the provision of support and advance health care directives by stating that the text of article 408 of the Civil Code makes unequivocal reference to the mechanism for the planning of one’s life and that the designation may be accompanied by a series of duties assigned to a substitute in order to render effective, at a time of incapacity, wishes that were expressed in a state of awareness and explicitly affirming that the regulatory provision of the precautionary designation of a support administrator on the part of the beneficiary in the light of the rationale of the mechanism itself means that it can be affirmed that support administration is, currently, the most appropriate mechanism for the expression of advance health care directives issued in the event of incapacity:20-23 thus in the view of the judges it is this legal provision which enables the concrete implementation of the system of protection set out at the level of substantive law in articles 2, 13 and 32 of the Italian Constitution, while the instruments through which one could express one’s wishes remain those of a public or authenticated private deed, referred to, in fact, by article 408, para. 2 of the Civil Code