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My experience is the hospital will most likely comply with the wishes of next of kin (but like to have paperwork on file to satisfy the lawyers).

If next of kin objects to end of life procedures, you're not surprised to see them comply with next of kin wishes.

People on the scene have most influence. Not sure about next of kin in a far off city.

Of course decisions in the emergency room are quite different from someone who has been hospitalized for an extended period. Then the family has time to consult and try to reach a consensus.
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