Patients are to be treated justly, fairly, amp; equally. What happens when resources are scarce amp; only one patient can be treated?

Patients are to be treated justly, fairly, & equally.
What happens when resources are scarce & only one patient can be treated?
What happens if caregivers decide that age should be the determining factor?
What happens if the patient saved is terminal & has an advanced directive in his wallet requesting no heroic measures to save his life?
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