Because Texas law allows the doctor to do this. The law was passed when Bush was governor. The medical lobby in Texas is very powerful so it’s hard to get it reversed.
Well you said it better than I did.
Its cases like this that make it extremely irritating when my country (Britain) is compared to the Soviet Union/Logans Run/Solyent Green etc for having an NHS. Death panels apparently exist under private healthcare too. At least the NHS is directly accountable to an elected government instead of unaccountable shareholders...
You might want to check that - entirely aside from the lack of names, IHDNRs are not that easy to ‘slip in’. Not even in Texas.