The inevitability of saying no

Robert Pear: “Some experts say the only real way to tame health care costs is by limiting access to expensive treatments or by requiring affluent Americans to pay for more of their health care.

Medicare has generally not taken costs into account in deciding which services to cover. If officials even suggest that Medicare should deny payment for an expensive treatment that could produce a small improvement in a person’s condition, they are accused of rationing care.”

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