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by yawpitch 719 days ago
I think the point they were making is that the care home and the doctor have a perverse financial incentive to maintain a life beyond the point there’s any quality to that life.

Obviously in a half-way decent society costs shouldn’t be a deciding factor in end of life care or euthanasia decisions for the elder or their family, but neither should rent + fees be a compelling interest in the decisions of those providing that care, yet it’s obvious that it can be.

1 comments

Yes, that was what I understood as their point. My point is that it isn't that big of an effect, and also partially discrediting the people involved by saying they only think about money.
I think you’re seriously underestimating how big that effect may be. Group care for terminal patients is a massive, and growing, economy in many countries, and doctors and other caregivers are no more immune to perverse incentives and rent seeking behavior as any of us.
It may differ in your country, but here in the Netherlands there is just a shortage of supply, not a shortage of demand. All these services have massive waiting lists, so there will be ten others for each person 'leaving the system'.

I think it is just a risk calculation. How much does a lawsuit for 'wrongful termination of a life' cost vs how much does it cost to have a 'wrongful continuation of a life' and how often is it expected to occur within a given time period and given a set of safeguards. Then you choose the safeguards such that your expected cost is as low as possible. Doctors are only there to fill in the checklist.