You are David Jamison, MHA, ethics committee chairman at Marion General Hospital. Coming before your committee today is the case of Margie Whitson, age 95, who wishes to have her pacemaker deactivated. Her physician, Dr. Rana Vijay, has declined to honor her request in this matter, citing ethical concerns with such an action. It will be your job to thoroughly analyze the issues in this case and to make a recommendation from the ethics committee.