Quote:
Originally posted by taxwonk
I argued exactly the same thing a couple of months ago. It was not well-received. YMMV.
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It's what got me a reputation for wanting to euthanize grandma. (I was, perhaps, making a leap from "allocate based on cost/benefit" to "fuck the rich oldsters, terminate Medicare and replace it with universal coverage for minors" without much explanation. But it's not much of a jump.)
I'm not necessarily opposed to RT's framework, actually, Libertarianism notwithstanding (because I am willing to consider the population's basic health to be a reasonable national concern), though I would want this kind of c/b analysis seriously in force in the area of catastrophic coverage. Then again, I interpret RT's "outcomes analysis" talk as polite code for "C/B based rationing."