A Father’s Decision

A pre-teen girl is admitted to the hospital with multiple congenital anomalies, including incontinent bladder and a uterus with no outlet for menstrual flow. The uterus problem led to extreme pain when she started menstruating, and a temporary drain was placed. Surgical correction of uterus and bladder are extensive operations, and the latter would require multiple steps. The family's religious beliefs do not permit them to carry health insurance nor to accept governmental assistance (in the form of Medicaid). The patriarch of the family has therefore suggested the possibility of a less expensive hysterectomy to resolve the menstrual issues. Is that ethical?