albaby1: "Of course, this echoes one of the thornier issues that comes up in health care reform - the fact that so much of our spending goes to treating the old-old and the sick-sick. These are patients that often require heroic expenditures of resources, but realistically can only achieve modest gains in life expectancy. Meanwhile, interventions in health care outcomes in much younger people - and especially in preventing infant mortality - can yield huge gains in life expectancy relative to resource investment.But that is not a conversation that most folks in the political arena would be willing to have. It raises all kinds of really difficult questions that have no easy answers."Political arena? Most people, IMO, do not even want to have that conversation within their family (immediate family - parents and kids and maybe grandkids, too). Regards, JAFO
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