Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and … - Ezekiel Emanuel

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As I'm sure you know by now, most people aren't really very happy. Beyond their surface appearances, the smiles they wear for the rest of the world, most people are soul-sick.

Ezekiel Emanuel

Reasoning based on cost has been strenuously resisted; it violated the Hippocratic Oath, was associated with rationing, and derided as putting a price on life. . . Indeed, many physicians were willing to lie to get patients what they needed from insurance companies that were trying to hold down costs.

Costs, Lying, Physicians, Rationing, Trying, Willing

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Doctors take the Hippocratic Oath too seriously, as an imperative to do everything for the patient regardless of the cost or effects on others

Cost, Doctors, Everything, Hippocratic, Imperative, Patient

Patients who are being kept alive by technology and want to end their lives already have a recognized constitutional right to stop any and all medical interventions, from respirators to antibiotics. They do not need physician-assisted suicide or euthanasia.

Physicians, Recognized, Respirators, Stop, Suicide, Technology

Vaccines are the most cost-effective health care interventions there are. A dollar spent on a childhood vaccination not only helps save a life, but greatly reduces spending on future healthcare.

Childhood, Dollars, Life, Reduces, Spending, Vaccines

Services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed. An obvious example is not guaranteeing health services to patients with dementia.

Becoming, Citizens, Example, Irreversibly, Obvious, Patients

When implemented, the Complete Lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuated… The Complete Lives system justifies preference to younger people because of priority to the worst-off rather than instrumental value.

Chance, Curves, Lives, People, Value, Years