1. Is it worth it to spend $1mllion to extend the life of a 90 year old person for 2 days? 2. Is it worth it to spend $200 to extend the life of a 90 year old person for 6 months? Is there anyone here that would answer anything other than no to question 1 and yes to question 2? If so, please explain. But for now I'm going to assume every rational person would say no to 1 and yes to 2. So what does this prove? It proves that economics matters when it comes to healthcare decisions. And until people accept this, I don't see how there can be any meaningful discussion on the issue.