Why America's Fiscal Reality Will Make Euthanasia Inevitable | The Ümlaut - 0 views
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“A third of the Medicare budget is now spent in the last year of life, and a third of that goes for care in the last month,” reports Susan Jacoby. In the unlikely event that everyone agreed to be euthanized 30 mere days before natural death, we would save 11 percent of the cost of Medicare—or more, counting the secondary effects of decreased demand for medical services. And considering that most of these end-of-life expenses are concentrated in relatively few patients, we wouldn’t need 100 percent uptake to make a substantial dent in costs.
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But even putting aside fiscal considerations, social acceptance of these practices seems inevitable in the long run. Social norms tend to converge—albeit slowly at times—toward economic efficiency. And devoting enormous medical resources to keep people alive, often uncomfortably, for a few additional weeks is clearly inefficient.
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We are simply at an early stage of the convergence of social norms toward the efficient equilibrium in which euthanasia is widely accepted and practiced. The fact is, the problem of the long-term ailing elderly is relatively new to human history and even to our society. Not so long ago, old people would simply die when they got sick. Consequently, we are still holding onto the norms that were quite possibly efficient for that era—that unlimited care must be given to those near death. But as such care becomes ever more costly, the old norms will be steadily undermined, and we will move toward the new efficient equilibrium.
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"Liberal attitudes toward end-of-life decisions are gaining political ground, both in America and around the world. Twenty years ago, assisted suicide was legal only in Switzerland. Today, the Netherlands, Belgium, Luxembourg, and three American states allow assisted suicide or euthanasia for at least the terminally ill. These trends will continue. Indeed, it is becoming increasingly difficult for me to imagine a future in which euthanasia is illegal in rich countries. But perhaps surprisingly, the legalization of euthanasia is likely to be driven not by moral contemplation but by the economics of life and death."