Re: How much is a life worth?

You_Fool
"Not your argument? It seems to me that your argument is exactly that, or am I misreading your post?"

You're proposing that I equated your proposal to "doing everything as expensive as possible." You're an idiot.

"My argument is that society has it's priorities wrong if we cannot save everyone from preventable death, or even if we don't try for unpreventable deaths."

This ignorantly ignores the fact that we can't afford to "save everyone from preventable death." Simple supply and demand. We don't have the supply to give everyone everything that could possible save their lives.

"My argument does not call for state regulation or control, though in our current societal model that is probably the only way to provide the service I want...."
"My argument is simply that we should not put a value on Human Life and we should act as such."

State control, which is admittedly what you support and "the only way" to achieve what you desire, is putting a dollar value on human life. You don't have the comprehension of the topic to understand that you're stating that what you're arguing for is immoral.

Then you go on to equivocate over your definition of "value" in this context and bicker like an 8 year old girl. Forget I said anything.





I love how you're giving us your opinion on the dollar value of human life, Einstein. You're contradicting the implications of your initial post by engaging in random musings of what you think people deserve, as if anybody cares or it's relevant to anything, ever. You actually think there's a "too much" point, and you have opinions as to what it is. This is exactly what you're pointing out Liberals do. Apparently you just want to learn more, because you agree with them.

Why all the discussion of the economy? You're afraid that if people use their own money to purchase healthcare, it'll "sink the economy?" What the hell are you even talking about?

No liberals/socialists propose "limitless" healthcare spending. They ration care and quality plummets.





And You_Fool chimes in with "Asking the value of life is the same as asking the taste of Weak Interaction," demonstrating a complete lack of understanding of the topic or basic economics!




Apparently Einstein wasn't making a point by asking the value of life, as is evident from all of the pointless bickering. Apparently he just wanted to know.

[I wish I could obey forum rules]

Re: How much is a life worth?

well i know to raise a kid from 0-18 it cost about one millions dollars so id say a million because after that the little bastard better go get a job

21:19] <&James|sunstorm> any body name james is punishble by raid or nuke
[21:19] * UnDeath is now known as James
[21:19] * James ([email protected]) Quit ( NickServ (GHOST command used by James|sunstorm) )

Re: How much is a life worth?

Kemp: The fact that we say we can't afford it means we are not focusing on what is important. Is it true that we cannot afford to save every life with the ~ $US70 x 10^5 that the world has (give or take a quizzillion or two.) We can afford it if we wanted to afford it, but people with no morality like to say we cannot and claim they have greater morals than anyone else.

Also I obviously have understanding issues as you seem to say that you didn't say what you in fact said.... I know you have issues actually having discussions, but if you make a point try and stand by it...

"Sticks and stones may break my bones, but i am Jesus"
"Nothing is worse than a fully prepared fool"

Re: How much is a life worth?

Kemp lest you forget your effectively not getting responses except to note you are not until you make a challenge thread with all the stuff you claim I have not replied to.


Fool. At what cost?

End of all driving?
End of all rnning?
End of all sex?
End of all television?
End of all computers?
End of all socialist welfare programs?


Because to spend everything in the persuit of saving all lives....



Thimk this way.

If there are 100 million early deaths a year
To save the first twenty million may only cost a dollar (say advertisements) per person saved
To save the next twenty million might cost five dollars (advertisements and laws) per person saved
To save the next ten million will cost forty dollars (regulations, laws, advdrtisements)
To save the next 8 million will cost one hundred dollars per person
To save the next 7 million will cost one thousand dollars per person
The next 6 million will cost $40,000 each
The next 5 million will cost $100,000 each
The next 4 million will cost a million dollars each
The next 3.5 million will cost ten million each.

And so forth until to save the last life take $100^(100^100,000,000) in cash.

This is a poor way (especially since my Smart Phone does not have Excel) to show a bell curve but there it is.

There is no way to afford your pipe dream.

We can mitigate death to a certain level, but we cannot end it.


Now if you fail to see this I have no conclusion left except to think you are trolling, but to accept the trolling since it will only hurt socialists and leftists when more moderate people see your extremist emotional view versus my rational view.

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: How much is a life worth?

Things that cause premature death (not a full list)

Sex (Std's, heart problems, bobbiting)
Swimming (bends, asphixyation (sp?))
Driving (big list)
Eating (Food poisoning, choking)
Contact with others (flu, flesh eating viruses, to much to list)
Baseball (if hit by a fast ball at a yet unknown location on the chest it can end your heart)
Drinking (liver, others)
Smoking (lungs, others)
Football (European and American versions)
Birth Defects
Parachuting
Rafting
Sailing
Hiking
Climbing a ladder
Disobeying a dictator
Bank Robberies
Diets
Excercise
Asthma
Poisons
Diseases
Viruses
Radiation



And lest we forget: Old Age

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: How much is a life worth?

"Things that cause premature death"

"And lest we forget: Old Age"

Old Age is a cause of premature death?!?!? You have gone too far this time Grim Reaper...

I give your invention the worst score imaginable. An A minus MINUS!
~Wornstrum~

57 (edited by The Yell 24-May-2012 16:27:45)

Re: How much is a life worth?

I agree that this is going gonzo

saying the govt shouldn't buy everybody's treatment is one thing, but complaining the cost of saving everyone is too high to consider, is pretty leftwing.  I mean if somebody ELSE goes bankrupt buying little suzy a new kidney, that's none of your business; it's not a loss to "society" of money that "should have been spent on X"  unless you're a liberal


somebody loan me $0.36 -.-

hrm ok $900.36

three-day wait? You know what lemme just use this hammer

The core joke of Hitchhiker's Guide to the Galaxy is that of course no civilization would develop personal computers with instant remote database recovery, and then waste this technology to find good drinks.
Steve Jobs has ruined this joke.

Re: How much is a life worth?

No three day wait private party.

And your good with me for that loan Chris wink

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: How much is a life worth?

Disobeying a dictator
personal fav

Re: How much is a life worth?

"Kemp lest you forget your effectively not getting responses except to note you are not until you make a challenge thread with all the stuff you claim I have not replied to."

I was already effectively not getting responses. Doing what you've been doing because I pointed out you've been doing what you've been doing isn't a change. It's not noteworthy in any way.

What's your "rational" view anyway? You seem to have lost sight of it when you offered your own personal opinion of the value of human life, which you--until that point--had seemed to be holding against liberals. By engaging in the same bickering, you're asserting that you think it's legitimate and relevant to the topic of healthcare. If you think life shouldn't be given a value, as you seem to be blaming liberals for, maybe you shouldn't have given it a value yourself, you ignorant mule!

LOL ~Wornstrum~. Good stuff.

[I wish I could obey forum rules]

61 (edited by [TI] Sitting Duck 27-May-2012 16:04:23)

Re: How much is a life worth?

I don't think budgeting a set amount of resources to treat a patient is the same as putting a value on the patient's life. If an 80 year old has lung cancer and you have two treatment options:

1) Palliation costing

tweehonderd graden, dat is waarom ze me mr. fahrenheit noemen, ik reis aan de snelheid van het licht, ik ga een supersonische man van u maken

Re: How much is a life worth?

so... a 20 year old has more value than the 80 year old?

Re: How much is a life worth?

There is more to be gained both for society and for the individuals involved in treating the 20 year old than the 80 year old as the 20 year old will in all probability have longer left to live post treatment than the 80 year old. If there were only enough resources to treat one of them and not the other then it may also be seen as more "fair" to treat the 20 year old as the 80 year old has already had a long life.

I think this is very different to saying the 20 year old has more value than the 80 year old. We are not buying or selling either of them, we are allocating rations. We are accepting that at some point both of them are going to die anyway and with that in mind there is likely more to be gained by delaying the death of the 20 year old by 60 years than by delaying the death of the 80 year old by 2 years.

Life is not infinite and neither are health care resources

tweehonderd graden, dat is waarom ze me mr. fahrenheit noemen, ik reis aan de snelheid van het licht, ik ga een supersonische man van u maken

Re: How much is a life worth?

How is that not assigning a value?  "You are both equal, but the 20 year old is more equal than the 80 year old." tongue

Make Eyes Great Again!

The Great Eye is watching you... when there's nothing good on TV...

65 (edited by Justinian I 27-May-2012 20:50:23)

Re: How much is a life worth?

Zarf is worth $1,000,000,000
SD is worth $0.02

Re: How much is a life worth?

[TI] Sitting Duck, if they earned $20,000 and saved it for such a case, killing them and stealing their wealth is hardly moral. I don't think thievery and murder are logical.

The point about not putting a value on human life is that you're an intellectual lightweight with no values, and nobody wants you making these decisions. Let them make their own financial decisions.

Government babysitting should be voluntary. I don't deserve to have some childish little men like you involved in my medical care.

[I wish I could obey forum rules]

Re: How much is a life worth?

Kemp, my understanding was that we were talking about state-provided health care so I haven't made any comment about someone funding their own health care, nor am I arguing that people can't make their own financial decisions.

Zarf, I'm not saying that they are either equal or unequal. That would only be a valid extension of my argument if the original scenario was that the choice was between keeping either of them alive for the same amount of time. What I am saying is that the allocation of a limited resource should be optimised to achieve the greatest gain and a good way to do this is to think about (1) the extension of life we are likely to achieve by treatment and (2) the quality of life we are likely to achieve by treatment. The 20 year old does not have to be considered more valuable than the 80 year old to say that a likely 60 years of life is a greater gain than a likely 1-2 years of life. We are also not putting a value on either life, we are dividing the finite resources we have in a way which appears fair.

@ both justinian and kemp: personal comments and insults are not justified and they reflect incredibly badly on the both of you. Grow up or shut up.

tweehonderd graden, dat is waarom ze me mr. fahrenheit noemen, ik reis aan de snelheid van het licht, ik ga een supersonische man van u maken

Re: How much is a life worth?

Okay... define "value."

Make Eyes Great Again!

The Great Eye is watching you... when there's nothing good on TV...

Re: How much is a life worth?

zarf and co, your going about this the wrong way..

SD didnt assign value he looked at rewards of procedure..

In this case, 80 yeard old guy gains 3 years of low quality life. ( old cant be too active etc)
20 yr old gains 60 years give or take.. he is young and so quality of life is generally higher..

Before you interject my use of 'quality of life' is not considering happiness but activeness...
Nonteless, same op gives 20 yr old guy many more years of life, hence its cost effective:

- HUMI FOR MOD!!!

Re: How much is a life worth?

Humi, define "value."

Make Eyes Great Again!

The Great Eye is watching you... when there's nothing good on TV...

71 (edited by V.Kemp 29-May-2012 02:06:03)

Re: How much is a life worth?

[TI] Sitting Duck,

"State-provided" healthcare saddles private citizens with the costs of that system, whether they use it or not. This goes a long to inhibit their financial means to purchase private healthcare and many of them are stuck with it. You can't advocate "state-provided" healthcare without causing many people to be stuck with it. You can't advocate "state-provided" healthcare without advocating the loss of freedoms and healthcare quality which I've referenced.

The free market seems pretty fair to me. You didn't question the 20 year old's intelligence, education, aspirations, or values. Is a pothead alcoholic 20 year old on welfare "worth" spending more money than an 80 year old who's provided for his family and has 10 grandkids and will live another 10-20 years because he's in great health? The fact that you're proposing that you (ie, the system outlines you've provided here) or any government system can make remotely responsible decisions in this regard isn't just stupid, it's disgusting.

If the 80 year old can afford it, providing him with what he's owed encourages others to be as productive as he was and earn (and save responsibly) so that they can enjoy more time on earth. If the 20 year old gets it because he's got years in him--regardless of whether he's earned it--he's discouraging others from being as productive because hell, they'll get what most everyone else gets anyway.

There are much farther-reaching implications of the moral atrocities you are advocating here. Maybe think and read a little before you post some fairy-tale nonsense about being fair and nice to everyone. Pretending everyone deserves the same things and trying to run everything to provide such "equality" results in massive losses of freedom and quality of life, on top of the outright morally repugnant things you're suggesting are ideal.

You're not god. You're not a genius. And you can't provide better healthcare for me or anyone--anywhere--than the free market can. I have no problem with safety-net programs for the poor. I have a big problem with the idiotic, ignorant, and morally atrocious things being suggested here.

[I wish I could obey forum rules]

Re: How much is a life worth?

Content > Rhetoric

The purpose of state provided healthcare is to provide for everyone, because if it was not there many people would not be able to afford healthcare and would be forced to go without. This is bad for those who would not have enough money to pay for healthcare, it's bad for employers because their staff would be less healthy and therefore less productive and it's bad for anyone who would ever worry about losing their job or falling on hard times in the future. Basically it is bad for everybody!

You are right that I can't advocate state provided healthcare without accepting that we will all have to pay a bit more tax to get it, I didn't say I could, but you haven't really shown why that is a bad thing. What are the "freedoms" we lose in the UK? The poor pay less tax than those higher up the income scale so the existence of the NHS may not affect their tax bills much anyway, the rich can afford private health care if they want it anyway and the middle classes who can't afford both the extra taxation and private health care cover only really lose the freedom to choose between healthcare providers, but is that a bad thing? I'm not convinced that the existence of multiple competing health care providers improves standards as you suggest it does (are there any impartial studies on this?). But what it does do is cause healthcare providers to spend significant proportions of their budgets on advertising or superficial aspects of healthcare. It also encourages healthcare providers to treat patients in the manner which would bring in more revenue as opposed to giving the most appropriate treatment.

You are right that I didn't question the 20 year old's intelligence, education, aspiration or values. Are you really suggesting that whether or not someone should get medical treatment should be based on their intelligence? Or possibly even worse, their values? Who would be the arbiter who decided whether someone's values are acceptable enough to be granted treatment? Would you still advocate such a judgement if it turned out that you yourself failed the test?

Whether the twenty year old smokes cannabis or drinks alcohol or is on welfare (especially if he's on welfare) is irrelevant. Possession of cannabis is a criminal offence but the denial of treatment is not a standard sentence under UK law, drinking alcohol is not illegal and the patient is free to make his own lifestyle choices in that regard (although if he chooses to seek it, help for alcoholism is available through charitable organisations and also I believe through the NHS), and so what if he is on welfare? One of the aims of the system is to provide health care for those who otherwise would not be able to afford it.

If it is likely or possible that the 80 year old could live for another 10 or 20 years then under the system I am proposing the "budget" for his treatment would be greater than if he was expected to live for 2 or 3 more years. The most favourable treatment being the one which is likely to extend life or improve life quality the most but with a maximum limit being placed on the amount of money spent per QALY in recognition of the fact that the entire pot of money in the NHS budget is finite. The fact I said he was 80 is not relevant, the important factors are how many years the patient is likely to have left to live with what quality of life. These are clinical judgements which can and should be made by doctors.

In the UK healthcare provision is not used either as a reward for good behaviour or withheld as a punishment, nor do I think it should be. Is this what you are insinuating in your third paragraph?

The system I have been describing is broadly how the NHS works in the UK, and while not perfect it does a pretty good job. There is no fairy tale, we really do have a free to use health care system, and I don't believe your claims that this impacts either our freedoms or our quality of life.

If you support safety net programs for the poor, then surely this causes a tax burden where people pay for a service they don't use? How can you be so vehemently against universal health care but still support a program for the poor? Is it not just a matter of degree? And where do you draw the line in terms of how much the government is willing to spend on a patient? How would you do it differently to me?

p.s. I never claimed to be either God or a genius, and I am humble and sensible enough to realise that there are many things about which I am ignorant, but I am not an idiot and I am pretty sure by most rationale standards I don't hold very many morally atrocious views. You should tone down your language and ease off the stupids, idiots, repugnants and disgustings. It is reflecting far worse on you than it is me.

tweehonderd graden, dat is waarom ze me mr. fahrenheit noemen, ik reis aan de snelheid van het licht, ik ga een supersonische man van u maken

Re: How much is a life worth?

[TI] Sitting Duck,

You started with: "Content > Rhetoric."

You went on: "The purpose of state provided healthcare is to provide for everyone, because if it was not there many people would not be able to afford healthcare and would be forced to go without. This is bad for those who would not have enough money to pay for healthcare...."

Yet, I had just stated: "I have no problem with safety-net programs for the poor."

You're not even responding to what I said. I said that there are systemic problems with what you propose. You're just repeating theoretical garbage about what you imagine because everything I said is, apparently, over your head. I explained my objections to what you propose. I used simple language. You're just repeating yourself--things I already responded to. You're shitting all over over the forum.



"Who would be the arbiter who decided whether someone's values are acceptable enough to be granted treatment? Would you still advocate such a judgement if it turned out that you yourself failed the test?"

You JUST advocated using their age. I JUST pointed out that no system can make such judgements for shit. What you JUST said was that a 20 year old crackhead alcoholic should be given more state funds for healthcare than an 80 year old grandfather of 10 who's healthy and has worked all of his life to provide for himself and his family.

"You are right that I can't advocate state provided healthcare without accepting that we will all have to pay a bit more tax to get it, I didn't say I could, but you haven't really shown why that is a bad thing. "

I have. Very clearly. It was over your head.

"What are the "freedoms" we lose in the UK?"

I refer to you to yourself: "and the middle classes who can't afford both the extra taxation and private health care cover only really lose the freedom to choose between healthcare providers, but is that a bad thing?"

YES. Loss of freedom is a BAD thing. No wonder most of what I've said has gone over your head and been completely ignored: You don't even accept that freedom is inherently better than slavery.

"I'm not convinced that the existence of multiple competing health care providers improves standards as you suggest it does (are there any impartial studies on this?)"\

Hahahahahhahaahaha. Yeah, there's a couple. You're trolling, right? Pretty good. Props man.

"But what it does do is cause healthcare providers to spend significant proportions of their budgets on advertising or superficial aspects of healthcare. It also encourages healthcare providers to treat patients in the manner which would bring in more revenue as opposed to giving the most appropriate treatment."

There are significant problems with US healthcare, but those problems are by-and-large caused by government, not lack of it. Those problems are not caused by the free market. The free market encourages people to shop for the best value for their dollar--which negates causing healthcare providers to have to spend X on advertising. While some healthcare providers (ie crooks) are encouraged to treat patients in such a manner as to bring in more revenue, there are free market solutions to this, and government-run healthcare does not remove this incentive and often makes it worse as payments are continually reduced.

There are free market solutions to thievery and corruption. Amerika hasn't got the standard of care available to its middle class that it has by being entirely robbed blind. Our current healthcare-insurer model generally removes consumers entirely from decision-making processes. There are positively ways to get consumers more involved in their own healthcare which produce monumentally better results than getting government involved as a substitute. You're proposing that government bureaucrats can make better decisions for consumers than consumers can make for themselves. I'll be frank: That's retarded.

"Whether the twenty year old smokes cannabis or drinks alcohol or is on welfare (especially if he's on welfare) is irrelevant."

It's irrelevant to the value of him to society and his quality of him life to himself? You JUST argued that such a system should be used. You seem rather ambivalent about what you've proposed. You propose it, but you hate it?

You... again, missed the point. Rather than respond, you equivocate over whether minor/moderate alcohol/pot consumption/temporary unemployment are inherently bad. I didn't equivocate over the morality of cannabis. I said he's an alcoholic pothead on welfare, ie he has no job, he has no intention of getting a job, and he's on drugs all of the time. I said your system of "value" based on age was atrocious and inherently flawed.

"In the UK healthcare provision is not used either as a reward for good behaviour or withheld as a punishment, nor do I think it should be. Is this what you are insinuating in your third paragraph?"

My point, clearly stated, is that stealing people's freedom from them and distributing it to them as you see fit damages incentives for productivity. The free market rewards productivity--for both the consumer to earn more wealth and the providers of healthcare to develop better techniques/equipment--incentivizing (along with many other  things) more productivity by everyone and more advancements in medical science as a whole. What you propose dampens both positive effects on standard of living and mankind's scientific advancement in general.

"If you support safety net programs for the poor, then surely this causes a tax burden where people pay for a service they don't use? How can you be so vehemently against universal health care but still support a program for the poor? Is it not just a matter of degree? And where do you draw the line in terms of how much the government is willing to spend on a patient? How would you do it differently to me?"

If they make enough money to purchase quality catastrophic care on their own, then they shouldn't be society's problem or burden. The free market sets this price, which isn't all that bad. It's made worse by corrupt government involvement right now in Amerika--It could be better. Amerika's healthcare system has major problems, but they're virtually all the result of corrupt government overreach, not the free market. Most of the poor in Amerika on welfare have cable TV, air conditioning, and cell phones. Decent healthcare is not that out of reach for low-to-middle income earners if they want it.

If you've had such bad luck and made such poor decisions that you're scrubbing pots at the age of 40 and can't afford healthcare, I don't have a problem subsidizing your purchase of healthcare in the free market through government assistance. If you're a middle-income earner at 40 and you can afford healthcare, but you'd rather pay for an overly expensive car and save up for a boat, I'd tell you to go [cluck] yourself. That's where I draw the line. I don't know where that line would be at the current time, and it depends on dependents as well, but it's a far cry from "universal" healthcare in which everyone is paying for a huge garbage system which results in poor care like England has with its NHS.

And if you don't think Amerika has better high-end healthcare available than England, even to its middle-class who aren't fools, I'd like to share something with you: Hahahahahahahahahahahaha big_smile

"p.s. I never claimed to be either God or a genius, and I am humble and sensible enough to realise that there are many things about which I am ignorant, but I am not an idiot and I am pretty sure by most rationale standards I don't hold very many morally atrocious views. You should tone down your language and ease off the stupids, idiots, repugnants and disgustings. It is reflecting far worse on you than it is me."

You aren't even responding to what I said. I could give a damn if I'm being polite. I figure you're probably a troll, because you're ignoring my arguments or you really don't understand them, as simple as they are. I do agree that discourse should ideally be civil and polite, but there are limitations.

For instance, I can only respond to a stupid, cocky 12 year old for so long before questioning if this is a good place for him to share his intellectual drivel. IMHO, a lack of stupid, cocky 12 year olds is a good thing, and my slightly less-than-warm reception would benefit the entire forum. Obviously, you enjoy "exchanges" with stupid, cocky 12 year olds. Agree to disagree.

You describe yourself as humble and sensible enough to realize your limitations. But you're arrogant enough to be proposing rationing of care based on government standards. But you're arrogant enough to gloss over not understanding my moral objections to such a system.

I'm hardly alone in believing freedom is inherently better than slavery. The more you ignore the arguments I've made in favor of freedom (against the bureaucratic tyranny you propose), it's not me it reflects poorly upon.

[I wish I could obey forum rules]

Re: How much is a life worth?

Funny how you_fool disappeared after my big retort to him, lol

Everything bad in the economy is now Obama's fault. Every job lost, all the debt, all the lost retirement funds. All Obama. Are you happy now? We all get to blame Obama!
Kemp currently not being responded to until he makes CONCISE posts.
Avogardo and Noir ignored by me for life so people know why I do not respond to them. (Informational)

Re: How much is a life worth?

Kemp, you are not impressing anyone with your throwaway insults.

I realised that you had said you supported safety nets for the poor but I believe you are contradicting yourself, which I challenged you on in the previous post but you still haven't rectified. You are not happy with tax payers paying for health care which they might not use but then advocate tax payers paying for health care which they might not use. My point was that whether the state pays for everybody or whether the state just pays for "the poor" however you want to define that is just a matter of degree, and you still require some method to decide who gets treated and how much you are willing to spend on them. This is independent of whether the treatment comes from a public service, such as the NHS, or is sourced from an open market. So your original criticism that I made a different judgement between the 20 year old and the 80 year old is hypocritical because you are going to have to make the same decisions or support a decision making system yourself.

"You JUST advocated using their age. I JUST pointed out that no system can make such judgements for shit. What you JUST said was that a 20 year old crackhead alcoholic should be given more state funds for healthcare than an 80 year old grandfather of 10 who's healthy and has worked all of his life to provide for himself and his family."

I thought this was an interesting statement. Firstly, I didn't advocate using their age, I was advocating using the number of years by which life could be extended. I chose an 80 year old and a 20 year old because in most cases the 20 year old would have longer left to live beyond treatment than the 80 year old. My point would be the same if it were two 20 year olds but one who is healthy other than the condition for which he is being treated and one who also has another terminal illness he will not survive. I explained why I didn't think your example's cannabis or alcohol consumption should stop them being treated.

"You're just repeating yourself--things I already responded to"

If you really think this is the case perhaps you should re-read your "responses" and critically assess whether you have really formulated an argument or whether you have just stated something with no supporting logic. Calling someone a retard is not an argument. Let's take an example:

"YES. Loss of freedom is a BAD thing. No wonder most of what I've said has gone over your head and been completely ignored: You don't even accept that freedom is inherently better than slavery."

This is not showing that the loss of freedom you claim exists by having to pay taxes to pay for healthcare (which you advocate doing anyway to pay for the poor), this is just stating an opinion as fact. Likening paying taxes to slavery is unfounded hyperbole.

"You're proposing that government bureaucrats can make better decisions for consumers than consumers can make for themselves". No I'm not, I'm proposing that a group of experts make evidence based judgements on what is or isn't good value for money and what is or isn't affordable given the known size of the total pot of money available. These recommendations are interpreted locally by doctors in consultation with the patients who do get a say in the treatment they receive.

"It's irrelevant to the value of him to society and his quality of him life to himself? You JUST argued that such a system should be used. You seem rather ambivalent about what you've proposed. You propose it, but you hate it?"

And now we get back to "value"! Yes, I do believe the "value" of an individual to society should not be considered because I don't believe there is a good way to measure it. I do think the individual's quality of life should be taken into account as I have said repeatedly but while I think quality of life is an extremely difficult thing to quantify it has to be related to concepts such as pain due to medical conditions rather than a judgement of the decisions the person has made in their life or whether they drink alcohol because that is completely objective, open to abuse, and critically impedes on people's freedom to live how they want.

I am not proposing rationing of care, I am accepting that rationing of care is an inevitability because the healthcare budget is finite, and with that in mind I am advocating a method of rationing. I'm sure even your beloved health insurance companies must have some measure of value for money  when deciding what they will or won't pay out for.

Frankly I have no idea whether "high end healthcare" is better in the USA or UK or anywhere, but I am not attempting to have a competition.

I can neither say I enjoy or don't enjoy exchanges with stupid, cocky 12 year olds. Unless this is one now I'm not sure I have ever had one. I do enjoy exchanging ideas and world views because it helps me shape my own views, whether by reading and responding to something I agree with or equally something I decide to disagree with. Equally being challenged on my views can either affirm them or perhaps change my mind.

I think it is time to draw this conversation to a close because it is clearly not going anywhere, and is not fulfilling my aims in terms of having my own views challenged, changed or affirmed. We both have the freedom to live in the country of our choice and can go wherever the health care system or any other factor is just the way we like it. Feel free to try to make me think again, that is exactly what I want to get out of this.

tweehonderd graden, dat is waarom ze me mr. fahrenheit noemen, ik reis aan de snelheid van het licht, ik ga een supersonische man van u maken