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Your argument does not reflect the link above. It says that KLM transported the couple to Europe and asked them about their plans for return travel. So KLM had seen the woman and had knowledge of her situation.
And how long had it been since her previous flight getting TO Europe? And was the airline aware that she required dialysis for the duration of her stay in Europe? Were they informed when she deplaned in Europe that she would refuse dialysis and medical care for her health conditions? For that matter, since your supposition is that, since they GOT her there, they were accountable and responsible for getting her home too, were they informed before she left the USA that she would be refusing needed medical treatment while in Europe and would therefore be too large to fit within a seat with a seatbelt buckled for the return trip? And that her body would be so toxic from lack of dialysis that she would be NEAR DEATH when boarding the plane for her return trip?
If they knew NONE of these vital factors, how can they be held responsible for HER decisions?
And, finally, what would you have had the airline do to insure her safety on board AND the safety of the entire crew and all the passengers? Keep in mind, whatever your nifty solution is, it would have to be done quickly to insure takeoff on time.