You are answering a USMLE-style medical question. Question: A 76-year-old man presents to the physician because of dyspepsia and weight loss over the past 6 months. He has no history of any serious illnesses and takes no medications. A diagnostic workup including endoscopy and biopsy shows gastric adenocarcinoma. Before further workup and staging, the biopsy results are discussed with the patient. He refuses any type of life-prolonging treatment, including chemotherapy, radiation, or surgery, but he requests appropriate palliative care without any significant burden of healthcare costs. Regarding this patient’s eligibility for hospice care, what is the most appropriate next step? Options: A) A trial of life-extending treatment B) Determining patient’s life-expectancy without treatment C) Establishing the presence of metastasis D) No further steps are required because the patient already qualifies for hospice care Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.