It is a pale comparison to be sure as in our typical context we discuss the most minute exceptions to what is detailed in the NRAH article, but articulates (a) that not everything can be solved by a "rule book" (or an advanced directive in this case), and (b) There are times that we as humans are pressed into untenable positions where there may be no "right" answer, only a "best" answer.
As humans, and as referees, we have to accept his is a part of life.
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