 In democratic politics, we delegate many decisions to representatives. But we keep ourselves barred from signing away others, including the decision to waive our voting rights altogether. The question as to which decisions our institutions should allow patients to delegate to third parties is complex and under-explored. Bioethicists usually frown upon letting patients grant so-called carte blanche, or general consent, to whatever the physician considers appropriate for them (Dworkin 1988, e.g., 125–6). Instead, patients are usually encouraged or compelled to make decisions on a more ongoing basis—to give so-called specific consent (Kleinig 2010, 18)—although there are logical limits to how specific consent can be (Manson and O’Neill 2007, 12).