This lady is extremely well respected as one of the UKs most prominent moral philosophers and yet I cannot agree with either her terminology nor her views regarding this topic. She needs to be pointed in the direction of the Bradford Dementia Group and especially the work of the late and much lamented Tom Kitwood. Here was a man who refused to believe that those with a dementing illness were burdensome. Both he and his colleagues produced some brilliant research work to show that, rather than the person suffering from this horrible illness being a burden, it is us as a society via our malevolent social psychology who will always look for the easy options when it comes to caring for the dementing individual. He must be spinning in his grave to know that a highly respected academic is now proposing “the final solution” as one of the options available to carers. Disgusting and contemptible are words which came to mind when reading this article. Who next?. Older people in general?.