| B.R. is a term female infant from an unexpected pregnancy.
She has Down syndrome (Trisomy 21) and also has a complex cardiac
lesion that will require at least two major surgical procedures during
early infancy for her to have a chance to survive beyond childhood.
B.R.'s parents, ages 44 and 45, have three other children, all in
college. They have considerable ambivalence as to what to do: continue
to pursue potentially beneficial though burdensome and costly treatments,
or forego such treatments in favor of a more conservative approach.
What are the issues involved?