It is said that in England death is pressing, in Canada inevitable and in California option al. Small wonder, Americans life expectancy has nearly doubled over the past century. Failing hips can be replaced, clinical depression controlled, cataracts removed in a 30-minute surgical procedure. Such advances offer the aging population a quality of life that was unimaginable when I entered medicine 50 years ago. But not even a great health-care system can cure death--and our failure to confront that reality now threatens this greatness of ours.
Death is normal; we are genetically programmed to disintegrate and perish, even under ideal conditions. We all understand that at some level, yet as medical consumers, we treat death as a problem to be solved. Shielded by third-party payers from the cost of our care, we demand everything that call possibly be done for us, even if it’s useless. The most obvious ex ample is late-stage cancer care. Physicians-frustrated by their ina
A. medical resources are often wasted
B. doctors are helpless against fatal diseases
C. some treatments are too aggressive
D. medical costs are becoming unaffordable
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