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The Medicalization of Death
Center for Bioethics and Culture ^ | ? | G. Steven Suits, MD

Posted on 05/18/2002 9:32:26 PM PDT by JMJ333

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To: Avoiding_Sulla
Eeek. Yes, you're right. Well, it isn't the first time I've made an ass out of myself on the forum..probably won't be the last. lol
21 posted on 05/19/2002 11:20:12 AM PDT by JMJ333
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To: JMJ333
I was just commenting on the one issue the author of this piece skimmed over. Individuals and Society have to have priorities and for the State to assign need as a higher priority than productive effort is socialism. There is also a practical limit to the amount that society can spend on care for any individual.

What individuals should choose to do in supporting friends and family is one thing, what the State should coerce them to do to support strangers is an entirely different matter.

22 posted on 05/19/2002 8:00:03 PM PDT by Libertarianize the GOP
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To: Libertarianize the GOP;jmj333
There is also a practical limit to the amount that society can spend on care for any individual.

Perhaps true, but would it be "skimming over" if the author did not consider it relevant? Seems to me it's a different subject to be discussed.

Whether privately or publicly funded, Doctors should not be forced or tempted to bow to expediency.

23 posted on 05/19/2002 8:17:07 PM PDT by sayfer bullets
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To: sayfer bullets; libertarianize the GOP
There is also a practical limit to the amount that society can spend on care for any individual.

What worries the author as well as me, is the slippery slope that your beliefs lead to. There are many reforms that can be made, and the cost of care can be driven down by competition. What is really at stake is the further reduction of human life. Reread the article and think about it interms of what is happening with abortion, eugenics, and atrocities being pushed by the proponents of death. My concern is not a monetary issue. Its a "value of life" issue.

24 posted on 05/19/2002 9:14:59 PM PDT by JMJ333
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To: sayfer bullets
a more utilitarian desire to balance the state budget, or to better allocate limited resources, this view pushes well beyond the level of comfort for most Americans. Perhaps this is why it is not frequently verbalized by proponents of physician-assisted killing as validation.

This is where the author skimmed over the issue rather than ignoring its relevance.

25 posted on 05/19/2002 9:40:52 PM PDT by Libertarianize the GOP
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To: JMJ333
As for slippery slope I could make the same argument, when you decide that need is a higher priority than productive effort, you have accepted the fundamental premise of Socialism.
26 posted on 05/19/2002 9:43:37 PM PDT by Libertarianize the GOP
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To: Libertarianize the GOP
We are talking about human beings here. People that can no longer take care of themselves. What is your solution? Do you side with the pro-death crowd who seek to do away with anyone they find not "worthy." You are so concerned about socialism and people spending your tax dollars, but you really don't give a damn about the defenseless or you wouldn't be making such a trivial argument. You didn't even bother to address the comment about introducing competition back into the health care community to drive down cost--no--you are more concerned about having to spend your money on someone you don't care about. It is clear which direction we are headed--and it isn't toward moral based care for the helpless.

And the author is right. Your arguments are utilitarian in nature. I find it depressing.

27 posted on 05/19/2002 9:52:03 PM PDT by JMJ333
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To: JMJ333
The question I have ask is who gets to choose, the individual guided by his personal morality or the State using its power of coercion.
28 posted on 05/19/2002 10:08:01 PM PDT by Libertarianize the GOP
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To: JMJ333
Just a thought: why is any old person in the USA financially "defenseless?" Any US senior citizen (leaving aside immigrants) has had at least 65 years in the land of opportunity to save up and invest for his or her old age. The vast majority of those senior citizens were able-bodied in their youth.

By any reasonable reckoning, 65 years is a long time for a non-handicapped person to “make it.” Refugees from other countries have “made it” in less time. Truly handicapped people have made it.

So, given that healthy-in-their youth US senior citizens have had a solid chance to prepare for their own old age, why subsidize the ones that fail? Why take money away from people who are presumably being productive, (or they wouldn’t have anything to tax in the first place) and redistribute it to people who had SIXTY FIVE YEARS WORTH OF CHANCES to make something of themselves (to the point that they could afford their own d**n health insurance), and failed?

Further, you may ask, what are the characteristics of those people who need all that healthcare anyway? Old age may come to us all, but expensive old age is largely the fate of a few. In fact, there is empirical research that indicates that from 50% to 75% of inpatient healthcare dollars spend in the US are spent on people who are drug abusers (including alcoholics and smokers) or obese, or both. Why spend money to keep old druggies alive? They made their own choices; why burden others with the consequences?

Any answers?

29 posted on 05/19/2002 10:15:35 PM PDT by Jubal Harshaw
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To: Libertarianize the GOP
The question I have ask is who gets to choose, the individual guided by his personal morality or the State using its power of coercion.

Thanks for the candid reply. I wish things were so black and white, but they aren't. We are faced with the fact that the baby boom generation is becoming elderly, and we are going to have to make decision based on ethical morality...or not. The reality is that you have to work within the system and as of today there is no opting out of taxes. I am sorry that you have to have your money used to care for others, but what else can you do except work for reform? What is your solution? Please tell me it won't be just letting these people die because you don't want to fork over the money.

30 posted on 05/19/2002 10:25:03 PM PDT by JMJ333
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To: Jubal Harshaw
There are many factors. For one, the cost of health care has spiraled because of government intrusion, making it hard for everyone, including those who have saved their entire lives. But besides that, life happens and you never know when that money will evaporate, or when you might get hurt...a number of factors enter into the equation.

I don't want us to become another Netherlands. I don't want to live like that...but that is exactly where we are going. Life has been devalued to the point that we are now cloning people and harvesting them for their organ tissue. This country has some major issues, the least of which is monetary.

31 posted on 05/19/2002 10:30:53 PM PDT by JMJ333
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To: JMJ333
besides that, life happens and you never know when that money will evaporate, or when you might get hurt...a number of factors enter into the equation.

You are exactly right. However, unusual random events are the raison d'etre of insurance. I do not claim that people don't have bad luck, or that bad things don't happen to good people. I do, however, wonder why people who havn't had catastrophic bad luck (such as being born deformed) can't get it together enough to at least buy insurance after 65 years of chances to make it.

As for healthcare being expensive because of government influence: that's at least partially right. It's clear that basic care is priced up by government requirements that everyone involved have a license, be bonded, etc. It's even pretty clear that some new medical technology is delayed and expensive because of FDA intransigence.

On the other hand, some real "wonder medicine" would likely be expensive no matter what. MRI machines require huge, expensive magnets and electronics to work, lumbar laminectomies require specialized surgeons (who can charge high prices because few surgeons can consistently succeed with them), etc.

32 posted on 05/19/2002 10:47:53 PM PDT by Jubal Harshaw
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To: JMJ333
As I at least hinted in reply # 22 my solution is for friends and family to do the right thing and take care of their own and those who desire and have extra funds to voluntarily help strangers, no coercion.
33 posted on 05/19/2002 10:53:49 PM PDT by Libertarianize the GOP
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To: Libertarianize the GOP
You don't have to hint. I understand your point of view, but I keep saying that this is about euthanasia not taxation. There is a real push for this, and I don't want Americans to have to be scared to go to the hospital when they get old for fear that they will be involuntarily murdered because someone finds no worth in them. You may scoff at me, but it is happening that way in the Netherlands, and it will happen here to if the pro-death culture is allowed to continue with the erroneous chants of "death with dignity."

I don't like socialism any more than you do, but life issues come first. When the value and intrinsic dignity of humanity is lost, then so is society.

34 posted on 05/20/2002 5:18:38 AM PDT by JMJ333
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To: Libertarianize the GOP;jmj333
The full paragraph:

Several years ago, the governor of a western state opined that the elderly had an obligation to society to go on and get out of the way. Obviously to him, physician-assisted killing is the expression of the right to kill for the good of society as a whole. In an analogous sentiment, Earl Shelby, a proponent of eugenics, warned against "a tyranny of the dependent in which the production of able persons is consumed by the almost limitless needs of dependent beings." Whether out of a Nazi-like desire to purify society, a more utilitarian desire to balance the state budget, or to better allocate limited resources, this view pushes well beyond the level of comfort for most Americans. Perhaps this is why it is not frequently verbalized by proponents of physician-assisted killing as validation.

I get suspicious when a quote appears out of context. I had to look hard, but I found it. To you, perhaps this appears to be "skimming over" something you find important. I submit that the author doesn't care if it's a government, a private insurance company, or a Doc with a big vacation coming up.....killing a patient should not be an option. I imagine you had to search as well, since the search for something fiduciary was probably on your mind. I saw only a couple of references to funding in this article. I think you're inserting an issue here.

again, that is a different issue. Personally, I am in the group that says public monies are far less productive, but this is a secondary issue. I do not disagree that the federal government in charge of anything outside constitutionally delegated functions is a bad thing. It's still secondary.

If the physician is to begin making value judgements on life based upon dollars, the slope is only a matter of degree.

The family is the natural enemy of the state. It is the family that should decide if they have the resources to maintain life or not. But even this is not the issue. Should our physicians (or anyone) have the option of removing the burden of guilt and/or debt by removing the patient? I think not.

35 posted on 05/20/2002 11:03:29 AM PDT by sayfer bullets
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To: sayfer bullets
Thank you. To me this once again ties in with the materialis version of reductionism. Euthanasia, cloning, chimeras...all are results of the continual assault on humanity's dignity, until we are left with none. I don't want euthanasia in here anymore than I want RU-486 here. The inroads the pro-death crowd has made is astounding.
36 posted on 05/20/2002 11:15:00 AM PDT by JMJ333
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To: JMJ333
People don't want to have to face pain or suffering. The things we are faced with in today's mess of a world are due to an excess of wealth, rather than a lack thereof. Listen to the abortionists scream for their freedom, then listen to them scream louder if you publish the reality of what their freedom does to that of the child. And the uninvolved mass just wants to be left alone. Basically, we are soft and we are spoiled.

When the questions of the day are "should we" rather than "can we"....our physical abilities are surpassing our moral capacities.

IMO euthenasia, abortion, and other quick fixes fit into the liberal mindset because the unspoken - but very real - goal is the relief of the negative guilt feelings people have....the pain. The absence of pain is not freedom, it's anesthetic. The pain returns, and often it is worse than before. Give some people a little and they'll get hooked. That's more inviting of socialism than a love of life.

37 posted on 05/20/2002 12:23:57 PM PDT by sayfer bullets
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