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Private equity finally delivered Sarah Palin’s death panels

Hospices are unregulated, heavily subsidized charnel houses.

Cory Doctorow
7 min readApr 26, 2023
An industrial meat grinder, fed by a conveyor belt. A dead, elderly man is traveling up the conveyor, headed for the grinder’s intake. The grinder is labelled ‘HOSPICE’ in drippy Hallowe’en lettering. It sits in a spreading pool of blood. Image: Seydelmann (modified) https://commons.wikimedia.org/wiki/File:GW300_1.jpg CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0/deed.en

Remember “death panels”? Sarah Palin promised us that universal healthcare was a prelude to a Stalinist nightmare in which unaccountable bureaucrats decided who lived or died based on a cost-benefit analysis of what it would cost to keep you alive versus how much your life was worth.

Palin was right that any kind of healthcare rationing runs the risk of this kind of calculus, where we weight spending $10,000 to extend a young, healthy person’s life by 40 years against $1,000 to extend an elderly, disabled person’s life by a mere two years.

It’s a ghastly, nightmarish prospect — as anyone who uses the private healthcare system knows very well. More than 27m Americans have no health insurance, and millions more have been tricked into buying scam “cost-sharing” systems run by evangelical grifters:

https://www.nytimes.com/2020/01/02/health/christian-health-care-insurance.html

But for the millions of Americans *with* insurance, death panels are an everyday occurrence, or at least a lurking concern. Anyone who pays attention knows that insurers have entire departments designed to mass-reject legitimate claims and stall patients who demand that the…

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Cory Doctorow
Cory Doctorow

Written by Cory Doctorow

Writer, blogger, activist. Blog: https://pluralistic.net; Mailing list: https://pluralistic.net/plura-list; Mastodon: @pluralistic@mamot.fr

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