I would rule in Anna's favor, the same way that Judge DeSalvo ruled. He made a tough choice in a tough case. Either way, as stated before, no matter who won, the case was lost. The ruling would have been a tough one either way. My understanding of Sara is that she was trying to be a lawyer, but she would much rather just be a mother. She doesn't like the case and wants nothing more to do with it. Campbell Alexander has really grown throughout the novel, growing to be a nicer and better person. He was appointed to watch over Anna and her medical decisions and help her make those decisions, and he accepted that job with arms wide open. This alone shows his growth because it proves that he is no longer all about himself and his life. Overall, the case was a long and sad one. Any decision would be tough.