Gerald Dworkin, a philosophical pioneer of the idea of paternalism, argues that there may exist parameters where a person, in present time, may not want to partake in a particular action, but at another time, may understand the positives of said action and agree to others paternalistically forcing them to commit said action. This avenue of thought paves way for paternalistic legislation and governance, which pervades common contemporary society. Laws and rules are put in place for the benefit of all whom reside within the law’s jurisdiction. Seeking out every citizen’s approval before instating society-wide limitations or practices, like taxes or drug illicitation, is near impossible in growing societies, which begins a path of instability for Dworkin’s framework of paternalistic governing. This framework proves potentially unethical to assuage a platform of limitation to the masses without formally taking into account the value prioritization of those who are being affected on a constant and rolling basis. Paternalism would then only be validated in scenarios which there is no class or hierarchy system associated with the beneficiaries of any said law or restriction. Dworkin defines this subsidiary of paternalism as Pure paternalism. In the same vein of thought, Dworkin would argue that patients who provide consent to treatment in the beginning stages of treatment, are powerless to refuse or halt care if the practicing physician deems the patient to have lost rationality in the process. There is no certainty within that assumption, which provides more room for grey area in the conversation of the morality of medical paternalism. How can one be certain that a doctor, who is getting paid for performing any said procedure or treatment, has no implicit or explicit biases that influence their decision of continuing on with a patient’s care. An alternative process that should be considered for evaluative and medical ethicality is one where the patient is provided with many opportunities to express their distaste in continuing treatment, upon which ethical conclusions may be drawn as to what next steps to take, as opposed to forcing the patient to assimilate with whatever the physician decides as best.