Guilt. It Comes Naturally To Me As

Services Provided To Individuals Who Are Irreversibly Prevented From Being Or Becoming Participating Citizens Are Not Basic And Should Not Be Guaranteed. An Obvious Example Is Not Guaranteeing Health Services To Patients With Dementia.

Reasoning Based On Cost Has Been Strenuously Resisted; It Violated The Hippocratic Oath, Was Associated With Rationing, And Derided As Putting A Price On Life... Indeed, Many Physicians Were Willing To Lie To Get Patients What They Needed From Insurance Companies That Were Trying To Hold Down Costs.

We Had A Big Controversy In The United States When There Was A Limited Number Of Dialysis Machines. In Seattle, They Appointed What They Called A 'god Committee' To Choose Who Should Get It, And That Committee Was Eventually Abandoned. Society Ended Up Paying The Whole Bill For Dialysis Instead Of Having People Make Those Decisions.

The Situation Around Terri Schiavo Was A Deeply Held Conflict Over What To Do If Someone Isn't Going To Return To Consciousness Or Competence. Who Will Decide? Even There, Where We Had Settled Legal Rules, We Still Had Disagreement. We're Torn About These Things.

We're All On A Continuous Journey To Try And Fix Our Mistakes And Flaws. And, Believe Me, I've Got Plenty Of Them.