A Question of Ethics Nellie Lumpkin, who suffered from various illnesses, including dementia, was admitted to the Picayune Convalescent Center, a nursing home. Because of Lumpkin’s mental condition, her daughter, Beverly McDaniel, fi lled out the admissions paperwork and signed the admissions agreement.

It included a clause requiring the parties to submit to arbitration any disputes that arose. After Lumpkin left the center two years later, she sued, through her husband, for negligent treatment and malpractice during her stay. The center moved to force the matter to arbitration. The trial court held that the arbitration agreement was not enforceable. The center appealed. [Covenant Health & Rehabilitation of Picayune, LP v. Lumpkin, ___ So.2d ___ (Miss.App.

2008)]

1 Should a dispute involving medical malpractice be forced into arbitration? This is a claim of negligent care, not a breach of a commercial contract. Is it ethical for medical facilities to impose such a requirement? Is there really any bargaining over such terms?

2 Should a person with limited mental capacity be held to the arbitration clause agreed to by her next of kin who signed on her behalf?