Thomas’ analysis is on point.

The “Healthcare Industrial Complex” is not referenced as such for rhetorical flair or to leverage emotional activation. “Healthcare”, as an industry, is a complex web of front line providers, systems, payors, manufacturers, distributors, salesmen, and bureaucrats — hell, even real estate developers and construction managers are critical stakeholders in healthcare delivery.

And while I concede that you would be hard-pressed to find a practitioner who believes that either end-of-life care OR physician-assisted suicide will yield them a financial windfall, it would be short-sighted to a.) limit the specter of inhumane conflicts of interest to front line providers, and b.) assume that only motivation to either delay or hasten the demise of patients would be financial gain, when, in fact, both are more likely to be leveraged as a mechanism to protect against financial loss.

Consider the ongoing and progressive transition to value-based reimbursement models, most notably by CMS, wherein providers are paid based on outcomes. It's not a stretch to imagine a struggling practice establishing an internal protocol to determine when saving a life is no longer cost-effective and then hedging that boundary when it becomes critical for their bottom line OR that same practice capitalizing on patients who have no quality of life remaining and keeping them alive in order to use their insurance payor as a payment vehicle to bolster their incoming revenue.

Working our way back up the reimbursement chain, it becomes even less difficult to imagine, say, a third-party payor refusing to approve expensive, life-saving treatment when physician-assisted suicide is a legal alternative to cost prohibitive care while alternatively, like Thomas said, a medical food distributor might be inclined to engage in payor fleecing with patients whose standard of living is set to “survive” — at best — and charging sales of their “life-sustaining” products to insurance companies who have no choice but to pay it.

I’m sure you get the idea that were we to branch out further into the secondary segments of the healthcare industrial complex, our search would yield similar readily identifiable conflicts of interest.

Thomas said, “ prohibitions on euthanasia align with the economic interests of the health care industrial complex”.

He is objectively correct — with the inverse also being true.

If only our healthcare system was not a convoluted shitshow boxing match between Humanity and the Almighty Dollar.

If only …

Mama, writer, lover, fighter — I wear my heart on my sleeve because my pants pockets are too small. www.ajkaywriter.com

Mama, writer, lover, fighter — I wear my heart on my sleeve because my pants pockets are too small. www.ajkaywriter.com