He's not arguing against liver transplants so you've just thrown a redherring into the discussion.
I believe his argument is that expensive end-of-life care is unnecessary because death at that point is inevitable in the immediate future. You can gain months on average, but those months aren't economically invaluable.
With limited resources, its better to spend on treatments with the greatest quality of life to cost ratio.
And I'm not arguing about expensive end-of-life care. I don't have a strong opinion about end-of-life care. There could be a lot of value in changing the way we finance end-of-life care. That doesn't change the fundamental problems we have with health insurance now: either it chains you to your current employer, or threatens you with an intolerable risk of bankruptcy.
I believe his argument is that expensive end-of-life care is unnecessary because death at that point is inevitable in the immediate future. You can gain months on average, but those months aren't economically invaluable.
With limited resources, its better to spend on treatments with the greatest quality of life to cost ratio.