| Summary: | The article discusses the ethical implications of parents' reasons in pediatric decision-making, arguing that the demand for parents to articulate their reasons can exacerbate existing injustices, particularly for marginalized families. It critiques the notion that parents must justify their decisions using dominant frameworks, which can lead to testimonial and hermeneutical injustices, where certain voices and experiences are undervalued. The author proposes a shift towards a "minimal reasons, maximal safeguards" approach, emphasizing the need for institutions to earn trust and support diverse expressions of parental authority rather than requiring parents to conform to specific articulations of their reasons. Ultimately, the article calls for a reevaluation of how parental reasons are treated in clinical settings to ensure that all families can advocate for their children's well-being without facing systemic barriers.
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