But
about 5 months later, the decision was reversed on the grounds that, in the eyes of the Spanish system, McBride did not hold a master's degree or a Ph.D. «The forwarded
documentation,» said the official rejection letter, «has not gone through any of the two legal processes, neither of homologation nor of recognition, for the mentioned title to be
valid in Spain, neither for academic nor for professional purposes.»
I'm not a lawyer or a medical professional, but on Wikipedia's page
about DNR, we see the following quote: In the United States the
documentation is especially complicated in that each state accepts different forms, and advance directives and living wills are not accepted by EMS as legally
valid forms.