My point is clear: the regulatory mechanism in in place which will deprive sentient salvageable people of their free choices in medical care. Some of these choices will even be life saving, but the truth will be hidden from them.[/quote]
The ACA has little to do with the scenario you listed above. Insurance companies are always going to limit what they provide to people based on the plan that they have purchased. Want better care? Purchase better care. That’s always an option if you can afford it.
Medicare is a tough one because on one side everyone says to cut the benefits. Then stories like this come out and people scream about how we should do anything to save his life. The logical answer is that his life really isn’t worth saving because it’s going to cost a lot and he’s at the end of his term here on Earth. Is that brutal? Of course it is but you can’t have lower health costs, reduced government spending, and save everyone.
People do NOT have to buy the government regulated plans. The gentleman that you describe is on Medicare and he could dis-enroll and purchase a private plan but it’s going to be expensive. But he has that option the same as anyone else does.
Unfortunately for your contribution, I happen to know the facts of the case whereas you are making unfounded assumptions.
–He is 70 and mentally crisp. No dementia here, my friend.
–He had no other organ failure before this event; he had no cardiomyopathy or renal failure.
–People survive severe single vessel MIs for years
–He does not have cancer or another lethal disease
–He is being prevented from getting life-saving therapy by occult policies that are in themselves illegal.
I offered no factual basis for saying “he was at the end of his term on Earth.” That is merely a convenience for you, to abandon care for a human being who might have a good outcome, simply on the basis of his age.
But then, it seems you are otherwise misinformed: Private insurance–which this patient has also purchased-- may have once imposed caps (perhaps no more) but it does not specifically prohibit approved inpatient therapies for the acutely ill.
THe ACA has everything to do with this scenario, because both you and I do not know what regulations are to be in place on Jan 1, 2014; regulations which will allow local policy makers to limit care to the salvageable, and to discriminate against the elderly or the chronically infirm, just as you have done.
So then, who do entrust to determine when it is your turn, when you are “at the end of (your) term on earth?” The fact is, you will have been deprived of that choice, silently, and your supposed freedom to choose how to live and die has already been taken from you.