The currently accepted method for making life-anddeath decisions is to use a shared decision-making process, guided by the values and preferences of the family, with a goal of making the best decision for this child and this family at this time. Attempting to make the right choice is disastrous. Health care providers should seek judicial authority to overrule parents only when parental choices are clearly in opposition to the child’s best interest. When parents make decisions with which we disagree, providers should determine whether the disagreement is based merely on differences in personal value judgments or whether the parents are acting in an abusive or neglectful manner. Variability in decision making is predominantly based on differences in personal values, and should not be viewed as “a problem.”■