The de facto use of the ICU as an essential purgatory in the transition to death amongst octa- and nonagenarians is, perhaps, the most wasteful of obligated costs in contemporary healthcare.
While answers to appropriate access and justice don't yet exist, it is crucial that we prioritize a public discourse of what that pathway to access and justice should deliberate, and how it should be implemented in the course of publicly subsidized healthcare.
I just don’t see a way around it when autonomy/individualism is essentially the only notable pillar of ethics in American healthcare. Justice and beneficience from a population perspective is not a real pragmatic part of the conversation in any aspect of American life (beyond the college classroom).
I don’t agree with that. In fact, it’s policy mandates that push aside culture and ethics, to make a population comply. That is the precise role of government.
The de facto use of the ICU as an essential purgatory in the transition to death amongst octa- and nonagenarians is, perhaps, the most wasteful of obligated costs in contemporary healthcare.
While answers to appropriate access and justice don't yet exist, it is crucial that we prioritize a public discourse of what that pathway to access and justice should deliberate, and how it should be implemented in the course of publicly subsidized healthcare.
I just don’t see a way around it when autonomy/individualism is essentially the only notable pillar of ethics in American healthcare. Justice and beneficience from a population perspective is not a real pragmatic part of the conversation in any aspect of American life (beyond the college classroom).
I don’t agree with that. In fact, it’s policy mandates that push aside culture and ethics, to make a population comply. That is the precise role of government.
Getting a geriatrician in the ICU would be equal to getting a dermatologist to consult on an inpatient.