Is there such thing as a true autonomy?

Sze Zeng's post on Anything goes as long as no harm on others set me thinking about True or Total Autonomy.

True or total autonomy

• Takes no account of needs of others, nor of the individual’s need for others. It is based solely on the needs of the individual making the decision
• Nothing about living with others
• Life is lived in communities; family, workplace, religious, academic
• Making decision without others – like planning a garden with regard to soil, climate etc
• Takes no account of the autonomy of those individuals whose help may be needed to achieve that decision
• Take no account of those who have to carry out the order
• Concept of total autonomy does not take into account the realities of life
• No such thing as total autonomous decision making
• All my decision impinges on someone else
• One cannot have everything
• Society do not owe you anything
• Concept based on an illusion. Why such we base so much of our decision making based on a delusion.
• Autonomy recent after the human rights movement
• Concept of total autonomy in a medical situation depends heavily upon the help of the physician, without actually acknowledging it
• There is a contractual relationship between patient and physician
• Paternalism
• Physician becomes a servant
• “these are my rights and you better deliver it”
• Total autonomy prevent the doctor from providing the best possible care
• Concept of total autonomy in medical situation do not take into account the realities of clinical practice
• It is not realistic for patient to be involved in every aspect of his/her care
• Hospital will come to a stand-still if it is totally subjected to the patient's demands

I do not think there is such a thing as true or total autonomy. It is just wistful thinking