Case:  Miss Diasy is an 85-year-old economicallydisadvantaged woman who lives alone, has no car and cannot takepublic transportation because she cannot stand or walk without herwalker or a store scooter.  She lives only on what shecollects from Social Security and has no family to care forher.  She has a few well-intentioned neighbors and does haveaccess to a senior center that can transport her to the grocerystore, but lately she has no desire to grapple with the energy ittakes for her to shop.  She now relies on Meals onWheels.  She can usually find someone to take her to hermedical appointments maybe once or twice a week but does not haveanyone to shop, clean, do laundry, cook, pay bills or run errandsfor her (Medicare/Medicaid will not pay for these services). Along with severe high blood pressure and heart disease, Miss Daisyhas been diagnosed with end-stage kidney disease.  Thoughdialysis is an option, it would require many trips to the dialysiscenter each week (4 – 5 times a week), and is extremely difficultand unpleasant for patients in her condition.  Because of heroverall health condition, she would not be eligible for a kidneytransplant, as she couldn’t survive the surgery.  Hersituation is dire, and most doctors agree the end of her life isnear.  It is unclear what Miss Daisy wants, and she is lookingto the doctors to help guide her decisions.    Case Questions (to be answered in ESSAY FORMAT):  If one weregoing to ration care based on age, Miss Daisy would only be givencomfort (or “palliative” care), but not dialysis. What would be thereasoning behind this care plan?  That is, explain how someonearguing in favor of rationing care to the elderly would justifynontreatment for Miss Daisy’s kidney disease.  Another way toput it is:  give the argument for why non-treatment orwithholding dialysis and transplant (but continued medical care forsymptoms, comfort, nutrition, etc.) is the right choice. Now,decide whether you agree with rationing based on age, or if youthink other factors along with age need to be considered, beingsure to give your reasons/arguments in essay format.  That is,is it just her age that’s the problem, or are there other importantfactors playing a role in determining her medical treatmentoptions?  Finally, argue for what you believe would be thebest, most compassionate or most virtuous course of action for MissDaisy, including what should be said to her by her doctors when sheasks them for advice, using any and all principles and conceptswe’ve covered this semester. 
 
Your complete essay should be about 2 - 3 pages long. Remember that you should be referencing the principles we’vestudied from other chapters – beneficence, nonmaleficence,autonomy, and justice – and should be making clear to the readerthat you understand the real moral problems embedded in thiscase.