K1052
Elite Member
- Aug 21, 2003
- 48,131
- 37,425
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I think this is a lot of it. For decades, we had the most expensive health care in the world because uniquely, we could afford it. Now we increasingly cannot afford it since much of our wealth production has moved offshore and our wealth consumption, fueled by cheaper consumer goods, has exploded. Yet our medical industry continues to increase unabated, and government is consuming (mostly by mandate) an ever-increasing portion of the whole. Something has to give. We no longer generate the wealth to consume so much in medical expenses. We're going to have to become more like Canada, where if you probably don't need an MRI you won't get one. And if you are one of the tiny number who in hindsight turn out to have needed an MRI, sucks to be you.
Adding three years to our life expectancy would be a real bummer.
A lot of the problem is the cost on the provider end, some of which is caused by the incentives we've set up. A rational coming to terms with what is appropriate at end of life is also a conversation that people don't want to have ahead of time. Do I really want to spend a couple million bucks using extraordinary measures to stay alive at my end days when I probably don't know whats going on anyway but my family is to afraid to say enough? Not really.