"If you show up with cancer & you're 95 years old, we should say...we can't do anything..."

[Midnightwalk]

53. Every system denies some treatments

That was a ham handed way of saying it and I’d rather see Bloomberg as our nominees’s campaign manager than the nominee.

People here do realize that systems like the NHS typically lag the US in approving treatments? Don’t they? Well worth having today’s treatments be free or cheap to patients, but patients close to death will feel cheated. Don’t have statistics of a typical lag but the couple of times i looked a drug up it was a year or two.

I haven’t researched end of life care but I’d expect limits there too.

People in the United States spend a lot of money at the end of life. In fact, about one quarter of all Medicare spending goes toward care for people during their last year of life. Beyond this shockingly high number, we know that end-of-life care patterns and spending vary widely across hospitals and communities. For example, although about 1 in 8 elderly persons living in Utah die in the hospital, the number is nearly 3 times higher for those who live in New York.

https://newsatjama.jama.com/2018/07/13/jama-forum-end-of-life-care-not-end-of-life-spending/amp/]

This will be a part of getting costs in line with other countries.