A twenty-year-old diabetic patient, who usually managed her condition with insulin, has also caught a case of pneumonia. The two conditions together overwhelmed her, and she slipped into a coma.

1) A twenty-year-old diabetic patient, who usually managed her condition with insulin, has also caught a case of pneumonia. The two conditions together overwhelmed her, and she slipped into a coma. Since her diabetes was under control and she was otherwise healthy before catching pneumonia, she never felt the need to discuss such a situation with her family, appoint a surrogate with medical power of attorney, or leave an advance healthcare directive. She worked part-time at a nearby donation center, but she and her family live below the poverty line. Medicaid has paid for her ventilator and gastronomy tube for the entirety of the patient’s two-week-long coma, and it would continue to cover those expenses indefinitely (which may be decades). The patient has remained unresponsive, and her face is blank; however, her family is still clearly impassioned about their belief that God may pull her out of her comatose state. As acting physician, your own prognosis is that she is unlikely to regain consciousness; however, it is difficult to say how unlikely. Suppose that law and medical-oversight powers are unclear. State whether you would recommend keeping the patient on, or removing the patient from, life support. Elaborate the moral reasoning behind your decision, including the (ir)relevant moral principle(s) and how they apply to the specifics of the case. Specifically, state whether one or more of them is absolute and why. If they are all prima facie, then state why. If absolute or prima facie principles conflict with one another in this scenario, then state how we should decide which to privilege and why. Pay special attention to justice – who does and does not deserve what in healthcare and why. State the primary goal(s) of medical care (not the scope) and why. Explain why your decision is consistent with that/those goal(s).

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