National health services all over Europe are facing an increase of costs as longevity increases. It is only a matter of time before state health services encourage those considered “too old” to expedite their exit from life and save them from the costly obligations of providing care. The first stage is when some medical services are denied for those considered too old and these initial indicators are already visible. Expensive treatments will be the first to go. I have already posted about prostate cancer treatment being denied to those considered too old (over 70) in some parts of Sweden. Physicians already discourage elderly patients – perhaps unconsciously – from expensive or long treatment as a matter of routine.
And now I read that patients over 75 are going to be encouraged by the UK NHS to start planning their exits. Private health insurance premiums for the elderly are already on the rise. Perhaps the over 75s will be uninsurable soon. Ostensibly it is just to get them to sign a “non-resuscitation” declaration – but it is the start. Next they will be asked to choose their preferred method of assisted dying. The sad part is that this is no longer about providing care or about dying with some semblance of dignity. It is all about saving cost.
And if you ever read about an over 75 who was not resuscitated after suffering complications from an ingrowing toe-nail, you can at least be sure that a great deal of money was saved.
Doctors are being told to ask all patients over 75 if they will agree to a ‘do not resuscitate’ order. New NHS guidelines urge GPs to draw up end-of-life plans for over-75s, as well as younger patients suffering from cancer, dementia, heart disease or serious lung conditions.
They are also being told to ask whether the patient wants doctors to try to resuscitate them if their health suddenly deteriorates.
The NHS says the guidance will improve patients’ end-of-life care, but medical professionals say it is ‘blatantly wrong’ and will frighten the elderly into thinking they are being ‘written off’.
In some surgeries, nurses are cold-calling patients over 75 or with long-term conditions and asking them over the phone if they have ‘thought about resuscitation’.
Non-resuscitation is the new euphemism for assisted death. And it is also only a little further along this road before the assisted death is not even a voluntary choice but is mandated for all who are past a certain age and have the misfortune to be hospitalised. A mandatory death age to follow a mandatory retirement age. Maybe those past the mandatory age of death will not be actively terminated in their own homes but woe betide them if they are ever hospitalised.
The k2p blog 