X-Message-Number: 27389 Date: Thu, 24 Nov 2005 08:51:02 +0100 From: Eugen Leitl <> Subject: [crippen+@pitt.edu: [ccm-l] Boutique suicide centers on the way?] --w68tqeZIDgmH0rR5 Content-Disposition: inline ----- Forwarded message from David Crippen <crippen+@pitt.edu> ----- From: David Crippen <crippen+@pitt.edu> Date: Wed, 23 Nov 2005 20:52:12 -0500 To: Subject: [ccm-l] Boutique suicide centers on the way? Article in today's USA Today about "terminal" patients travelling to Switzerland to take advantage of available Physician Assisted Suicide. Technically not available where they live, a flight to Zurich and it's all provided for both Swiss citizens and foreigners. Presumably money changes hands. Seems to be the thing to do. A British member of Parliament recently introduced a bill legalizing it in the UK. The embattled Oregon (USA) law, which it technically in force but said not to be used much, is on the Supreme Court docket and a ruling is expected early next year (Challenged by the Bush Administration). Other countries (Netherlands) are sniffing around it. This is an interesting example of the "if you build it, they will come" phenomenon. There is no stronger incentive than providing an alternative supply for a thwarted demand. It's a ready made clientele, pre-selected to cheerfully pay what the traffic will bear. And with interesting implications for critical care. How long will it be before National Health Care arrives in the USA, not out of desire but financial necessity. Those that are currently getting to-die-for health care indemnification are going to find themselves standing in line with the great unwashed for less than they take for granted now. Those entitled are not going to be happy about it, and they will, of course, enter into alternative schemes to insure continuance of their favored status. That means boutique critical care is likely to become a reality (if it isn't here already). "Clinics" in countries that need the money and have the personnel willing to work (only) for agreed upon price. Pick up patients in Lear Jets and fly them to state of the art critical care, bypassing those standing in line cheek by jowl with penniless street urchins for it. The perfect business. Pre-selected for well heeled patrons happy to shell out for service that bypasses overcrowded facilities with limited resources. I was just thinking the suicide centers may be pointing the way to a workaround of what we think we want in national health care.. -- David Crippen, MD Macintosh: Drink upstream from the herd. "When I was a kid I used to pray every night for a new bicycle. Then I realized that the Lord doesn't work that way, so I stole one and asked Him to forgive me." ---Emo Philips ----- End forwarded message ----- -- Eugen* Leitl <a href="http://leitl.org">leitl</a> ______________________________________________________________ ICBM: 48.07100, 11.36820 http://www.leitl.org 8B29F6BE: 099D 78BA 2FD3 B014 B08A 7779 75B0 2443 8B29 F6BE --w68tqeZIDgmH0rR5 Content-Description: Digital signature Content-Disposition: inline -----BEGIN PGP SIGNATURE----- Version: GnuPG v1.4.1 (GNU/Linux) iD8DBQFDhXDmdbAkQ4sp9r4RAjEtAJ4rnclxYcRQE/yX/DW1QEt+9iOg7QCgsHMX IOVzcohqT6lF4DJE4gGIyYU=3JMY -----END PGP SIGNATURE----- --w68tqeZIDgmH0rR5-- Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=27389