This may be because richer people with a mental disorder feel more shameful, vulnerable, and stigmatised. Patients in the persistent vegetative state should be managed ethically The permanent vegetative state cannot be diagnosed with certainty. On p 352 Wade examines the ethical aspects of the management of people thought to be in this state. He concludes that one solution to this ethical minefield might be to use a full ethical accounting procedure which takes many parties into consideration. Each legitimate party's interest could be considered from the view point of autonomy, beneficence, non-maleficence and justice.
Justice is likely to be the most contentious issue.