Kristen, I must say that I do agree with you when you stated that the insurance companies do dictate a patient's life. Being that the patient can't leave AMA and they will not pay is a bit absurd to me. I personally feel that the patient should be able to make whatever decision they feel is right especially when it comes to their health. So longs we explain the possible outcomes to them then the patient should be able to make their own choice. Sometimes the patients are tired of the treatments especially if they know that their disease is progressing and there is nothing that can be done but mask the symptoms and not cure the disease.
In this case I feel that this is truly an ethical dilemma. As you stated, trying