Scenario Three: A man is put on beta blockers to reduce the chance of having a heart attack. He has blocked arteries, but elects not to have surgery. The prescribed medicine makes him have less energy; he does not like it and therefore does not take it. On the way back from picking up his son and his son' s college roommate he has a heart attack and wrecks his car. He kills the college roommate as well as the driver of the car he hit