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You aren't explaining "your environment" well. You are being way too vague and abstract on these concepts.
This doesn't make sense. Your "environment" not regarding a person's choice to forego certain medical treatment sounds more like a personal preference. It's hard to envision anywhere not understanding there are people that wish to discontinue medical treatment for whatever reason. Whether you personally agree with it or not is irrelevant to the overall environment. So the way you have approached that topic feels like it's your opinion rather than the overall culture of your "environment".
So can you elaborate on your "environment" and how it regards someone opting to not be resuscitated? If you want a specific, consider an elderly person with aggressive cancer along to be DNR?
Wait, really? All this hoopla over healthcare reform these days and there are people who say it shouldn't be a given? Not invalidating you, just surprised and trying to think of it all.
Culture, philosophy, law, whatever you want to call it. It's all intertwined. Every rule and every norm you live by. Imagine your part of the world. Imagine the borders, the ones where, if you step outside these borders, certain laws no longer apply. Your confusion seems to come from being adamant that it shouldn't be a legal issue, that it's a no-brainer. The law, sadly, does not care what should and shouldn't be a legal issue. My last downvoter be damned, because again, their words, not mine. Anyone thinking anything here is my personal preference is not only shooting the messenger but also overthinking this, which might explain if anyone doesn't understand it. I only have the power to let people know that, within my borders, there resides my own legal environment. A sphere with its own rules of thumb and its own ways of thinking and doing things.
The place I live in is very anti-eugenics. It's pro-life. It's pro-equality. It's very medically established despite its low population. One day in school, we were talking about how, in the United Kingdom, there was a scandal where the government was putting people on one of those lists without their permission. Every debate around life and death is a gateway to another. A bureaucratic mistake can mean the difference between choice and persecution. It is then those of us who observe all of this who think "at what point does a rational, well-informed decision on the matter become one that's not rational or well-informed". Would a person who requests DNR who is then reckless and suffers due to it not amount to a kind of self-destruction? Would the same person be considered "murdered" if someone kills them? If someone depends on them, would it be "murdering" those people if something happened? I redirected to at least ten of these kinds of questions.
It's not so much "abstract" as the whole topic is a blur to begin with, again hence the episode. In more ways than one, I'm just the messenger. I was really hoping the original question might be answered, not just being dedicated to questioning a small part of it. Should I just not elaborate on my questions?
People being put on some list like that "without their consent" is a totally different topic in my mind. To me that's more of a system failure rather than a problem with what the system is attempting to accomplish. The first person mentioned though had quotes alluding to the person ostensibly consenting. So that again is a bit of a different topic that would focus on what constitutes informed consent. That being said I've approached this under the assumption that the DNR order is valid and from a fully informed and consenting person.
That being said, the fact that they have actual lists is mind boggling. I can't understand why a list like that would even need to exist. That information should be with the records for that person, not jumbled into a list with other people. So as far as something being a culture shock to me, that right there.
Further, your 10 questions and other comments seem to be conflating DNR with suicide. This might be where we have a cultural difference. In the US, DNR is not usually conflated in this way. It is also not conflated with euthanasia which is closer to suicide. I'm assuming most users here are either US based or some other country with similar views on DNR to the US. I have a feeling this is where most people commenting are confused with how you are discussing this topic.