Happy birthday Michael!

Gene

On Sep 24, 2014, at 6:28 PM, Perelman, Michael <[email protected]> wrote:

> Dear Tom I will be 75 in a week.  Although I rarely get medical care, I might 
> have some need in the future.
>  
> From: [email protected] 
> [mailto:[email protected]] On Behalf Of Gar Lipow
> Sent: Wednesday, September 24, 2014 4:36 PM
> To: Progressive Economics
> Subject: Re: [Pen-l] ice floe bioethics - no health care after 75
>  
>  
>  
> On Wed, Sep 24, 2014 at 12:38 PM, Tom Walker <[email protected]> wrote:
> To be fair, the author says, "I am not advocating 75 as the official 
> statistic of a complete, good life in order to save resources, ration health 
> care, or address public-policy issues arising from the increases in life 
> expectancy." As long as he's only talking about his own healthcare choices 
> and not advocating a policy, I don't see the problem.
>  
> The two policy implications he does outline also seem rather benign -- not 
> basing evaluation of health care quality on longevity and focusing biomedical 
> research spending on quality of life rather than radical interventions for 
> prolongation of life. Given the choice of living 10 more years without 
> Alzheimer's or living 15 with Alzheimers, I know which one I would chose.
>  
>  
>  
>  He is not just saying it is something he is personally choosing. He is 
> saying others who don't make the same choice are making a bad decision for 
> themelves and for society. He doesn't need to draw malignant policy 
> conclusion. Once the premises are established, he can leave other other to 
> advocate the obvious. This is not a slippery slope. It is a goddamn ice 
> cliff. 
>  
> BTW he is overlooking some important medical studies. For example one study 
> showed that healthy people dies faster than the unhealthy. Not sooner. But 
> they go from pretty good to dead in a shorter interval, wearing out more like 
> the wonderful one horse shay, and less like a car getting less and less 
> reliable. That is a huge argument against his points on antibiotic use and 
> preventative care. This is not a "slippery slope". This is a goddamn ice 
> cliff.
>  
> And yeah there are circumstances when I would not want radical intervention 
> myself. But he is framing it as a duty to self and society, with a nice 
> simple age cuttoff.  
>  
> On Wed, Sep 24, 2014 at 1:22 AM, Gar Lipow <[email protected]> wrote:
>  
> This proposal to cut off all but palliative healthcare for people over 75 may 
> be trial balloon, rather than just journalistic trolling. David Roberts said 
> in his facebook page that he agrees with every word. Ezra Klein tweeted the 
> link without comment.  With Social Security cuts off the table, at least 
> until 2015,  instead of forcing old people to live on cat food, I guess the 
> "Church of the Savvy" now wants to see if it can turn old people into cat 
> food instead. 
>  
> My mom is 92, and she recently managed to lacerate her shin. The laceration 
> became infected and is now being treated with antibiiotics. One of the things 
> this article advocates is no antibiotics for people over 75.  
>  
>  Ice floe bioethics.  We are better off dead after 75, so denying us medical 
> care from then is for our own good. The fact that it would fatten the profits 
> of the masters of the universe is merely a happy co-benefit that it would be 
> in very bad taste to discuss.  
>  
> http://www.theatlantic.com/features/archive/2014/09/why-i-hope-to-die-at-75/379329/
>  
> -- 
> Facebook: Gar Lipow  Twitter: GarLipow  
> Solving the Climate Crisis web page: SolvingTheClimateCrisis.com
> Grist Blog: http://grist.org/author/gar-lipow/
> Online technical reference: http://www.nohairshirts.com
>  
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> 
>  
> -- 
> Cheers,
> 
> Tom Walker (Sandwichman)
> 
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> 
>  
> -- 
> Facebook: Gar Lipow  Twitter: GarLipow  
> Solving the Climate Crisis web page: SolvingTheClimateCrisis.com
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