no cutsie, DOCTORS have the final say actually. The law is written in such a way that the only thing you can do is REFUSE treatment, you cant demand it.
As for where the childs argument fits in it actually depends on the doctors, if they were convinced enough that the child knew what the conquences of the corse of action was then there word stands. That is quite clearly stated in the act.
If there is a dispute between the desires of the child and those of the parents the guardianship board would step in if the doctors and medical staff were unable to mediate a course of action. Which BTW i dont mean compromise, i mean firstly the doctor has to establish the compatancy of the child to make the decision, then they have to convince the parents to accpet that decision.
There are actually 2 rules which will alow the doctor to go straight over the parents, the first is the doctrine of nessacity. if the doctor feels it is in the best interests of the child and the parents are unwilling to concent the doctor can just go ahead and do it anyway
The second is the fact that only refusal of treatment is a right, not the ability to DEMAND treatment. This can be used to refuse to treat a child against that childs wishes.
Lastly if compatancy is established the medical staff have an obligation to respect privacy just as they would any other pt. This maybe nessary if a 14 year old was asking for the pill for instance, there is no nessacity (infact the law clearly states the oposite) to inform the parents