Health Care Reform "The need to spend less money on the elderly at the end of life is the elephant in the room in the health-reform debate. Everyone sees it but no one wants to talk about it. At a more basic level, Americans are afraid not just of dying, but of talking and thinking about death. Until Americans learn to contemplate death as more than a scientific challenge to be overcome, our health-care system will remain unfixable." interesting perspective.... It seems like managing elderly care is taboo topic in politics. People fear the "death squad" label that gets thrown around. But seriously, at some point when people are old and dying, don't you just let it happen? What's the point of endless tests and trials when you know that you might only extend that persons life by 6 months etc, yet run up bills to insurance or medicare that's into the tens of thousands of dollars... sometime even more than that.