Is it reasonable to demand reasons in pediatric decision making?

In 1989, Allen Buchanan and Dan Brock published their groundbreaking work on surrogate decision making entitled: Deciding for Others: The Ethics of Surrogate Decision Making in which they developed a decision making framework that could apply to adults and children.[1] It entailed 4 principles: 1) underlying ethical values; 2) authority principle; 3) guidance principle; and 4) intervention principle. Whereas the underlying ethical values in adult decision-making are self-determination and well-being, in pediatrics they placed greater priority on well-being followed by self-determination and then added a third value—parental interests because they understood that parents are not fiduciaries who always act in their child’s best interest, but must balance the child’s needs and interests with the needs and interests of other family members (including themselves).[2] In fact, for each principle, Buchanan and Brock distinguished how the framework applied for adults versus pediatrics.

source https://www.jpeds.com/article/S0022-3476(22)00819-8/fulltext?rss=yes