According to a number of authors,41 the recognition of support administration as the most appropriate mechanism for the expression of advance health care directives by means of the procedures that have been mentioned may even end up depriving any form of advance directive of its value and sanctions the principle of judicialisation of a procedure to exercise self-determination in health matters, making a jurisdictional phase necessary in order to render effective a right which is already regulated under Italian legal system and ultimately implying that the perfect agreement between the powers of the administrator and the advance directives of the beneficiary ends up depriving one of the two instruments of any meaning: either the former is superfluous or the latter is ineffective. Although these authors therefore call into question the a priori, and across-the-board usefulness of the intervention of the support administrator between healthcare staff and the patient (whose wishes are already stated in his advance health care directives), they do not exclude the possibility that in cases where new scientific discoveries, on-going experiments or new prospects yet unknown and therefore not envisaged by the beneficiary in his choice, render these directives inapplicable, it might therefore be useful with a view to taking the best care of the patients’ interests to appoint a support administrator who can contribute to build anew his wishes in his relationship with attending practitioners and to identify the treatments to be performed; an appointment which is not to be made in advance, but only at a time when conditions arise which render topical the usefulness of the appointment of the support administrator