These are the hard facts:
"Let’s not forget that with the elderly population growing rapidly, even
if cost increases for each beneficiary can be contained, Medicare would
still claim a rising share of the American economy.
Medicare needs to take a cue from Willie Sutton, who reportedly said he
robbed banks because that’s where the money was. The big money in
Medicare is not to be found in Mr. Ryan’s competition or Mr. Obama’s
innovation, but in reducing the cost of treating people in the last year
of life, which consumes more than a quarter of the program’s budget.
No one wants to lose an aging parent. And with price out of the
equation, it’s natural for patients and their families to try every
treatment, regardless of expense or efficacy. But that imposes an
enormous societal cost that few other nations have been willing to bear.
Many countries whose health care systems are regularly extolled —
including Canada, Australia and New Zealand — have systems for rationing care.
Take Britain, which provides universal coverage with spending at
proportionately almost half of American levels. Its National Institute
for Health and Clinical Excellence uses a complex quality-adjusted life
year system to put an explicit value (up to about $48,000 per year) on a
treatment’s ability to extend life.
At the least, the Independent Payment Advisory Board should be allowed
to offer changes in services and costs. We may shrink from such
stomach-wrenching choices, but they are inescapable."
So- c'mon -let's give the kids a break and get the fuck off the stage already -if you believe in Heaven this magnanimous gesture oughta help stamp your ticket - if your an atheist just go the fuck to sleep already!
No comments:
Post a Comment