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This lecture explores the issue of how judges do (and should) arrive at decisions that are in the best interests of children. It poses the question of how, where the decision invokes issues of value on which there can be reasonable disagreement, a court can legitimately come to a decision for a child when that child, or their parents, do not share that position. A good example would be on whether quality of life is more important than length of life in cases of terminal illness.