Have you ever considered that the Prime Directive is not only not ethical, but also illogical, and perhaps morally indefensible?
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Agreed - it's pretty unlikely that you'd be able to prove something like that.
I suppose you could try to apply precedents surrounding HIV disclosure, but I think it'd be a tough sell.
Edit: And to be clear, even in that situation, we're talking about disclosure, not actual treatment-related choices.