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The choice may be uglier than you suggest. We may, as a society, be forced to decide whether to continue making Medicare payments - or not. We may, quite literally, face the choice of implementing triage among the elderly since the last year of life is quite expensive. The domestic changes may be wrenching.
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And... the choices may be even uglier. It may not only be choices about triage among the elderly due to the expense of that last year of life, but also among premature, very-low birth weight babies who not only require lengthy, expensive hospitalization after their birth, but in many cases life-long care of varying degrees.
When medical care is free-for-all, just who will "all" be?