The ethical framework that would guide a doctor in this situation would be the principle of prima facie, which is a type of ethical theory that requires an individual to consider multiple ethical principles or duties that are relevant to a situation, and then make a decision based on the strongest of these principles.
In this scenario, the doctor would need to consider the ethical principles of beneficence (doing good), non-maleficence (avoiding harm), justice (fairness), and autonomy (respecting the patient's wishes). While the doctor has a duty to provide treatment to all patients, regardless of their financial status or social standing, the principle of justice requires the doctor to consider the distribution of resources and whether the poor patient's inability to pay should affect their access to healthcare.
Based on these principles, the doctor may decide to offer reduced fees or free treatment to the poor patient, while still providing the same quality of care to both patients. The doctor should also maintain confidentiality and treat both patients with respect and dignity, regardless of their financial status or social standing.
In summary, the principle of prima facie would guide the doctor to consider multiple ethical principles when making a decision on how to treat different kinds of patients, with the aim of providing the best possible care to all patients, while also being fair and just in the distribution of resources.
~~~Harsha~~~