I think you are the one assuming. You assume 'they' / doctors/ the system/ would do what is good and right, and they were apparently not allowed to or did not know what to do.Stop assuming. She died a year after we learned of the dangers of early ventilation. Protocol at the time she died was O2, bipap if that failed and ventilator as a last resort. There are always outliers in medicine; she, unfortunately was one.