He most definitely was not “just actually following the rules”. FTA:
When doctors place a patient on the list, they must identify the types of donors they would consider, including the person’s age and weight. Hospital officials said they found patients had been listed as accepting only donors with ages and weights that were impossible — for instance, a 300-pound toddler — making them unable to receive any transplant.
Teetotalism, religion, who knows? Dude could just have liked the thrill of murder.
Hell, he might just be actually following the rules, while everyone else is more… Flexible.
He most definitely was not “just actually following the rules”. FTA:
Sir, this is America, toddlers can be 300 lbs if they want to