I heard from a friend of mine in Nashville that they are thinking of closing the specialty burn unit at one of the hospitals there due to the number of meth cookers whose labs have blown up in their faces. Of course, they have no insurance and no money. They often require multiple surgeries and a lot of specialized care with their hospitalizations often running into the millions of dollars. So what about it? Is it ethical to offer palliative end of life care only to meth cookers and just let them die, or does someone owe them millions of dollars in care?