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Robert Samuelson: Can We Die In Peace?

3 1 0
27.07.2017

For those of us who had hoped that American attitudes toward death were shifting in ways that would promote a wider reconstruction of the health care system, there's discouraging news from Health Affairs, the pre-eminent journal of health policy. It devotes its latest issue to "end-of-life" care and finds that — at least so far — the power to make health care more compassionate and cost-effective is limited.

That was the vision. Americans would become more realistic about death. Through "living wills," they'd reject heroic — often futile — treatment to keep them alive. Health spending would be lower (by one estimate, a quarter of Medicare spending occurs in the last year of life). People would die with dignity. They'd be spared needless suffering.

Superficially, the vision........

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