Physician: The patient is suffering either from disease X or else from disease Y, but there is no available test for distinguishing X from Y. Therefore, since there is an effective treatment for Y but no treatment for X, we must act on the assumption that the patient has a case of Y.
Conclusion (therefore)
We must act on the assumption that the patient has Y.
Premise (since)
The patient has either disease X or disease Y, but there is no test to distinguish them. There is an effective treatment for Y but no treatment for X.
Evaluate
We have no means of figuring out whether it's X or Y, but if it were Y, we would at least have a chance of helping the patient (whereas we have no way to help if it's X).
Goal
So let's find a principle saying,