re: An honest discussion about health care rationing

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But any honest discussion of health care payment systems must also acknowledge that private health insurers ration care every day through denials of coverage and the their own internal determinations that treatment is “no longer reasonable or necessary.”

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An insurance company is not forcing, by armed guard, anybody to die. You want to try experimental drugs or treatment, you can go do that.

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In a case like Alphie’s, you can be well assured that his parents are not capable of private payment for 24/7 life support for two years. No normal person is. They also can’t force the NHS to pay that cost forever. If he was in America, the private insurer would have “pulled the plug” on payment a long time ago.

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Depending on the policy. However that's not addressing the fact that no matter how wealthy one is, under socialized medicine, they would not be allowed to take their kid for treatment.

Italy has agreed to take him...all costs paid for.

Your argument is NOT valid at all! It' sick in fact.