In: Nursing
Moral thing to do here from the eyes of a nurse:- It would be immoral to listen to the patient.
Why? :- Because, as a nurse it is our duty to save the life of a patient, not to kill them or allow them to die. Rather, we may arrange another place within the 30 miles to serve as a hospital at least for some times.
An Utilitarian/Itilitarian will definitely want the elderly to die.
Why? :- Because they believe to think of the majority. Here majority of the people within this 30 miles are getting deprived of service.
Comparison between the two has already being discussed above while answering the question "why? ".An ethical egoist or a social contract theorist will always look for better opportunities rather than approaching some unethical shortcuts. Because ethical egoism deals with self interests and value them whereas utilitarianism deals with benifit of majority.