[saghm]

> I'm not trying to be snarky here, the point is that there is no easy solution and optimizing based on what politicians subjectively consider "humane" isn't going to get us anywhere.

On the contrary, most politicians seem very adamantly against what I'm proposing. I don't know why you think I'm suggesting that we delegate how we determine what's humane to politicans.

[nradov]

That is the inevitable consequence of your suggestion. In any national healthcare system, it's ultimately the politicians who have to make choices about the incentives that drive the behavior of every other participant.

Is it humane to spend $100K of public funds to extend the life of a terminal cancer patient by 6 weeks? Some would say yes, others no. Those are real choices that have to be made and in the most expensive parts of the healthcare system there is no clear consensus on what is "humane".