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