Many ethicists (especially those familiar with emergency medicine) argue there is no difference between withholding and withdrawing treatment. The point being that taking someone off the ventilator is the same as not intubating the patient in the first place. (Recall last week's challenge though: intubating in the ED may be the option that buys us time to make a decision...) Frequently, within the conversation about whether or not to withhold treatment is a cost/benefit analysis. This brings us to this week's question:
What are the costs involved in starting life-sustaining treatment in the ER?
Think both of who incurs the costs and what specific costs are involved. If you're stumped or if someone already posted your idea, refer to the four box framework for inspiration.