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deleted171991
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At least 25% of Medicare costs is futile end-of-life care in the last 6 months. I see it every day in the ICU. Politicians are about as patriotic towards the US as Putin, when they wouldn't give physicians immunity in declaring care futile, like in Europe. It is absolutely ludicrous that we pay tens of thousands of dollars in extra care so that the family can fly in and say goodbye to grandma. And that's just scratching the surface.I wouldn't make cuts to Medicare. It could use some rational change to how it's spent, particularly futile end-of-life care. People, nations, and civilizations are rightly and best judged by how they treat their weakest and most vulnerable members, and that usually comes down to the sick and old. We don't need to abandon them ... we just need to tell the not-sick and not-old to pull some more of their own weight.
We should stop expensive non-palliative care for people with less than 6-12 months to live (even with treatment). The NHS in the UK has a pretty good formula when deciding which therapies they pay for. We need to stop paying many hundreds of thousands of dollars per liver transplant in ex-alcoholics, or lung transplant in ex-smokers on Medicare/Medicaid etc. Treatment for self-induced diseases (drug overdose, suicidal attempt etc.) should be out-of-pocket. There are a ton of common sense non-PC measures that would drop Medicare/Medicaid expenses by 50% overnight, with less than 5% increase in mortality.
We don't have a healthcare cost problem. We just have rampant hypotestosteronism in Congress.
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