… created, for example, by the Republican governor of Arizona and its Republican legislature. Except that there’s no actual panel: the rule is simply that if you’re on Medicaid in Arizona and need an expensive procedure to live, you die.
That’s not to say that the Arizona decision is wrong, given the fiscal constraints; perhaps there are better uses of $200,000 than paying for a single liver transplant. The alternative, of course, would be higher taxes so this particular stark choice didn’t have to be made.
Even then, it’s not obvious that every heroic procedure recommended by a physician with a large financial stake in doing it ought to be done. But that problem of medical-economic decision-making wasn’t invented by the Affordable Care Act. The lack of outcry about the Arizona situation demonstrates – were any demonstration needed – the fundamental dishonesty of the opponents of health care reform.