The cost of health fcare or DOD is squeezing other budget essentials. Most particulally, the growing costs along three lines merit special attention
- TBI and PTSD for the active force along with dramatic changes in the WIA/KIA ratio (more survivors with long term care and rehab needs
What to do?
- Raise co-pays and enrollment fees
- Revisit draft vs All-Volunteer Force
- Grow understanding of and treatment for PTSD, TBI and othr traumatic battlefield injuries
The Duty to Die culture gained some notoriety in the 1980–and Colorado Governor Richard Lamm used this phrase often. This is different from Death Panels–for the decision with duty to die lies with individual/family/empowered next of kin, not the governement or a government commissioned panel.
It is closer to hospice and those who believe in a dignified death
The numbers are striking–the amount of health care costs for the average individual in the last 6-12 months of life can approach 50% of all health care dollars spent in a lifetime–and those last months are often spent in limited functioning or vegetative states
I see this debate as much or more more about human dignity than simply $$. But the economic, social and psychological costs are real. Been to a nursing home lately?
This is a very important discussion that we most have with ourselves, our families and society