Mr. Jimenez is a 78-year-old chronic pulmonary disease patient (emphysema) who has smoked two packs a day for 40 years. He takes great enjoyment and satisfaction in smoking and does not want to quit.

In that his illness is exacerbated by smoking, his physician is demanding that he quit. Each time he tries to quit smoking, Mr. Jimenez becomes irritable and unhappy. His wife and family hate it when he is not smoking because he becomes difficult to live with.

1. Consider this case from the position of act utilitarianism and create a pleasure-gained and pain-avoided list to see if you can determine whether Mr. Jimenez should continue or quit smoking. 1.