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Jane has an Internal Cardiac Defibrillator (ICD), a small potentially lifesaving implantable robot that "shocks" her heart whenever it detects an abnormal, lifethreatening, cardiac rhythm. She received her ICD after a near-death experience almost 10 years ago, and the ICD has since saved her on two separate occasions. Jane was recently diagnosed with terminal pancreatic cancer; after several months of unsuccessful treatments, she is nearing death. As part of her end-of-life decision-making she has asked that her ICD be deactivated, and that no measures be taken by medical staff to restart her heart if it should stop. She has made these requests to have the peace of mind that she will not suffer the painful experience of being "shocked" (it is often described as being kicked in the chest by a horse see Pollock (2008)) at her moment of death. Her healthcare team has agreed not to perform CPR, but the physician who oversees her ICD is refusing to deactivate it on grounds that it would constitute an active removal of care; in other words, deactivating the device would count as a kind of physician assisted suicide.