denied care and long waits that are said to plague state—run national health·care systems.After the summer of angry town halls，no politician is going to get anywhere near something that could be called a“death panel”.
H.Ever-rising health—care spending now consumes about l7 percent of the economy，At the current rote of increase。it will devour a fifth of GDP by 2018。We cannot afford to sustain a productive economy with so much.money going to health care.Over tinle，economic reality may force us to adopt a
national health·care system like Britain’s or Canada's.But before that day arrives，there are stops we can take to reduce costs without totally turning the system inside out.
I.Other initiatives ensure that the elderly get counseling about end—of-life issues.Although demagogue (蛊惑民心的政客)as a“death panel”，a program in Wisconsin to get patients to talk to their doctors about how they want to deal win death was actually an outstanding success.A study by the Archives of Intermale Medicine shows that such conversations between doctors and patients call decrease costs by about 35 percent--while improving the quality of life at the end.
J.Patients should be encouraged to draft living wills to make their end.of-life desires known.
Unfortunately，such paper can be useless if there is a family member at the bedside demanding heroic measures.“A lot of the tittle guilt is playing a role，”says Dr.David Tokharian，a surgeon and CEO of the Massachusetts General Physicians Organization.Doctors can feel guilty.too—about overtreating Patients roric Diana.recalls his unease over operating to treat a severe heart infection in a woman with two forms of metastatic(转移)cancer who was already comatose(昏迷的).The family insisted.
K.Studies show that about 70 percent of people want to die at home—but that about half die in hospitals.
There has been an important hl-crease in hospice(临终关怀病房)or palliative (缓解的)care--keeping patients with.incurable diseases as comfortable as possible while they live out the remainder of their lives.Hospice services are generally intended for the terminally ill in the last six months of life，but as a practical matter, many people receive hospice care for only a few weeks.
L.That's what my mother wanted. After convincing the doctors that she meant it--that she really was ready to die--she was transferred from the ICU to a hospice, where, five days later, she passed away. In the ICU, as they removed all the monitors and pulled out all the tubes and wires, she made a shaking motion with her hands. She seemed to be signaling goodbye to all that--I'm free to go in peace.
Receipting counseling about end-of-life issues may improve the patients' quality of life at the end.
38、 Medicare is the main reason of the majority of the uncontrolled growth in federal spending and the deficit.
39、 The aim of the hospice is to make patients with fatal illnesses comfortable.
40、 How to stop over treating patients is vital to control the costs of US health care spending.
41、 Doctors are generally expected to make their utmost effort when it comes to the lives of our own and our beloved ones.
42、 If the rising money on health care isn't reduced, it is likely that the US may not maintain a productive economy.
43、 The medicare spending on patients with similar disease varies significantly in different parts of the country.
44、 In the US, a panel of government experts was once intended to be established to cut out unnecessary treatment.
45、 A family member of the dying patients may demand heroic measures out of guilt.
46、 More health care may lead to undesirable medical results because receiving treatment in hospital itself involves risks like unpredictable complications.
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