blatantninja t1_j505epb wrote
Reply to comment by Cream-de-la-Peach in Family Dynamics and Doctors' Emotions Drive Useless End-of-Life Care. Surveys repeatedly indicate that nearly all people would rather die peacefully at home, yet painful, long-shot treatments remain common, and efforts to reduce usage have failed by Wagamaga
I agree on the second part but not the first. There has to be a gatekeeper if you want healthcare that's affordable. Doctors don't want to be it (understandably) and patients will abuse the hell out of it. If a patient has met their deductible/out of pocket they don't even blink an eye if a treat is $100 or $1000000. That's a big part of our cost over overruns.
In a perfect world, sure cost shouldn't determine care, but unfortunately it's something that has to be considered in the real world. If it's not the doctors and if the patients won't do it themselves, that leaves either insurance or the government.
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