Wednesday, June 15, 2005

The View From the ICU - The alternative to doing everything for a dying patient. By David�Friedman

The View From the ICU - The alternative to doing everything for a dying patient. By David�Friedman: "The View From the ICU
The alternative to doing everything for a dying patient."

. . . Of the many billions of dollars spent on health care every year, a wildly disproportionate amount is spent during the final few tenths of a percent of a life, prolonging the inevitable, agonizing end for both patients and their families. It goes without saying that the billions of dollars spent on aggressive but futile end-of-life care would be more wisely directed toward education, food programs, medical outreach, and housing—all of which we know lead to longer, healthier, happier lives.

So in a different spirit entirely, I propose an alternative—the "life incentive." I urge the government to spend money on helping us to live well. Offer everyone a one-time payment to spend in our prime years, asking in return that we waive our right to end-of-life aggressive medical treatment in favor of humane hospice care. Use the money to take your children to the World Series, start a small business, ride a horse through the Sierras, learn to play the piano, set your watch to Old Faithful. And along the way, resolve whatever uncertainties or disputes that might prevent your family from saying goodbye when the time comes.

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