whomever is responsible for their medical decisions
that is a vanguard.
horizontalness, non-domination, continuous consent
Vanguardism.
Leninist institutionalization of professional “revolution” that never seems to morph into communism as promised
Nurses and doctors are institutionalized professionals vanguarding people to morph into better healthier versions of what you couldn't do alone.
If you have someone you can rely on, better yet, someone you use as support, you have a vanguard. Realizing how vanguarding is how we grow as mammals, is realizing some institutions are more corrupt than other hierarchical mammals.
I try to lean in empowerment and enabling you to do what you wish.
Not strip you off your desires, needs, and wishes.