Tuesday, December 22, 2009

The "Costs" of Medical Care: Part II - Thomas Sowell

EXCERPT

"Letting old people die instead of saving their lives will undoubtedly reduce medical payments considerably. But old people have that option already-- and seldom choose to exercise it, despite clever people who talk about a 'duty to die.'

A government-run system will take that decision out of the hands of the elderly or their families, and thereby 'bring down the cost of medical care.' A stranger's death is much easier to take, especially if you are a bureaucrat making that decision in Washington.

At one time, in desperately poor societies, living on the edge of starvation, old people might be abandoned to their fate or even go off on their own to face death alone. But, in a society where huge flat-screen TVs are common, along with a thousand gadgets for amusement and entertainment, and where even most people living below the official poverty line own a car or truck, to talk about a 'duty to die' so that younger people can live it up is obscene.

You can even save money by cutting down on medications to relieve pain, as is already being done in Britain's government-run medical system. You can save money by not having as many high-tech medical devices like CAT scans or MRIs, and not using the latest medications. Countries with government-run medical systems have less of all these things than the United States has.

But reducing these things is not 'bringing down the cost of medical care.' It is simply refusing to pay those costs-- and taking the consequences."