Monday, August 11, 2008

Is Death Cost Effective?


I have been doing a significant amount of reading on Physician assisted suicide and euthanasia. The Netherlands seems to be one of the most progressive in this area. The Dutch system for PAS and issues like it are being debated in relation to how the US should proceed. The US has never had a socialized medical system. In Holland medical care is free to the citizens which totals around 16 million people compared to 303 million in the US. Having social medicine means that a set amount of money is put aside for treatment and being able to operate on that budget. In the US we have "managed health care". HMO's pay incentives to hospitals for keeping costs down. There are also physician incentives as well. Could PAS save money? Critical care medicine runs in the thousands per day and end of life events cost even more. While i don't agree with slippery slope theories, I can see how US health care from a corporate side may influence policy for those who are terminally ill to end their "suffering" sooner than later. Long term care beds cost about 63,000 per year and there are about 1.8 million beds in use. Thats about 11 billion dollars per year for long term BASIC care, not a hospital admission. Since health care is run as a business and not as a right of the people I think the US would need tighter restrictions than our Dutch friends.

Source for number: http://www.efmoody.com/longterm/nursingstatistics.html

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