Rationing by Any Other Name

Newspapers and magazines do not usually regurgitate ideas that have been bandied about for decades, especially when they are replayed one more time by the same leading author. Hence, it is telling that the New Republic republished in mid-2011 the brief by Daniel Callahan (this time co-authored with Sherwin Nuland). The authors call for a ceasefire in America's “war against death,” arguing that those who surrender gracefully to death “may die earlier than [is now common], but they will die better deaths.” They urge the medical profession — and ultimately, the American people — to undergo a cultural shift they argue is necessary to prevent the otherwise inevitable financial failure of our health care system. This shift will replace a “medical culture of cure” with a “culture of care.”