Applications of double effect always presuppose that some kind of proportionality condition has been satisfied. What influence does it have on how you take care of yourself?
The exact hierarchy of decision-making varies from state to state. Across all populations, the individuals most likely to be dissatisfied with seeking care are members of minority groups. The view that terror bombing is always impermissible would condemn the kind of incendiary bombing carried out by Allied forces in Germany and Japan.
Boyle, Joseph, See section 6 for a full discussion of this application of double effect. Disabilities in the veteran population including blindness, deafness, and mental disorders also present barriers to access and communication.