Dear Tom I will be 75 in a week.  Although I rarely get medical care, I might 
have some need in the future.

From: [email protected] 
[mailto:[email protected]] On Behalf Of Gar Lipow
Sent: Wednesday, September 24, 2014 4:36 PM
To: Progressive Economics
Subject: Re: [Pen-l] ice floe bioethics - no health care after 75



On Wed, Sep 24, 2014 at 12:38 PM, Tom Walker 
<[email protected]<mailto:[email protected]>> wrote:
To be fair, the author says, "I am not advocating 75 as the official statistic 
of a complete, good life in order to save resources, ration health care, or 
address public-policy issues arising from the increases in life expectancy." As 
long as he's only talking about his own healthcare choices and not advocating a 
policy, I don't see the problem.

The two policy implications he does outline also seem rather benign -- not 
basing evaluation of health care quality on longevity and focusing biomedical 
research spending on quality of life rather than radical interventions for 
prolongation of life. Given the choice of living 10 more years without 
Alzheimer's or living 15 with Alzheimers, I know which one I would chose.



 He is not just saying it is something he is personally choosing. He is saying 
others who don't make the same choice are making a bad decision for themelves 
and for society. He doesn't need to draw malignant policy conclusion. Once the 
premises are established, he can leave other other to advocate the obvious. 
This is not a slippery slope. It is a goddamn ice cliff.

BTW he is overlooking some important medical studies. For example one study 
showed that healthy people dies faster than the unhealthy. Not sooner. But they 
go from pretty good to dead in a shorter interval, wearing out more like the 
wonderful one horse shay, and less like a car getting less and less reliable. 
That is a huge argument against his points on antibiotic use and preventative 
care. This is not a "slippery slope". This is a goddamn ice cliff.

And yeah there are circumstances when I would not want radical intervention 
myself. But he is framing it as a duty to self and society, with a nice simple 
age cuttoff.

On Wed, Sep 24, 2014 at 1:22 AM, Gar Lipow 
<[email protected]<mailto:[email protected]>> wrote:

This proposal to cut off all but palliative healthcare for people over 75 may 
be trial balloon, rather than just journalistic trolling. David Roberts said in 
his facebook page that he agrees with every word. Ezra Klein tweeted the link 
without comment.  With Social Security cuts off the table, at least until 2015, 
 instead of forcing old people to live on cat food, I guess the "Church of the 
Savvy" now wants to see if it can turn old people into cat food instead.

My mom is 92, and she recently managed to lacerate her shin. The laceration 
became infected and is now being treated with antibiiotics. One of the things 
this article advocates is no antibiotics for people over 75.

 Ice floe bioethics.  We are better off dead after 75, so denying us medical 
care from then is for our own good. The fact that it would fatten the profits 
of the masters of the universe is merely a happy co-benefit that it would be in 
very bad taste to discuss.

http://www.theatlantic.com/features/archive/2014/09/why-i-hope-to-die-at-75/379329/
--
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Cheers,

Tom Walker (Sandwichman)

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