You are called upon to make a painful medical decision and to explain it both orally and in writing. Who benefits from what you decided, who gets denied a needed benefit, and why? You will compose an official memorandum that will be kept for the record and could potentially be read not only by your Peer Review Committee, but also by those involved in charitable fundraising, which supports hospital development, as well as by others with financial interests in the decision.

You will see notice that there is time pressure in the simulated situation, so remember that you would not have the luxury to dawdle in the decision-making process, and as the decision-maker, you would not have the luxury of consulting a broad spectrum of advisors. It falls on you to decide!

Include in the document and presentation the utilitarian ethical philosophy of John Stuart Mill (from the lecture and audio for this week) and one other ethical philosopher of your choosing that we have studied to date, and use both of those philosophies to bolster your decision. Remember, both professional written form and potential audience, as well as tone when writing this sensitive memorandum.