Rose was very frail, requiring near-complete dependence on her elderly husband for most activities of daily living liking eating, bathing and toileting. She had mild diabetes, so she injected insulin four times every day. She was incontinent of urine, so she took a bladder-relaxing prescription medicine. She had a distant history of arterial stents, so she took a daily blood thinner. The indiscriminate use of “guideline-based care” had already given Rose a litany of prescription drugs with marginal benefits in exchange for uncomfortable and dangerous side effects like low blood sugar, confusion and the possibility of dangerous bleeding.