I'm gobsmacked. One cannot write this without completely ignoring the concept that any sort of social contract is not merely payment for a lifetime of services (assumed to be) rendered, but a continuing compact of the future with the past. I find this line of reasoning to be quite absurd, I'm afraid.
Apparently, I missed the memo. The last I knew, the precise terms of what was included in the social contract was still being vigorously debated.
Sulla, would you be so kind as to post the memo that actually defined the "social contract" as you did above?
"lives of questionable quality" is disturbing. It is disturbing for reasons that should be obvious.
You can't see where a doctor might question the morality of what their actions that "saved" a premie only to leave it deaf, blind, unable to eat normally, with the maximum cognitive abilities of a infant, never to run, play, love? Back to the "social contract," who contracted to give that child a million dollars of medical care when other parties to the contract do not have basic care?
Second, this highlights the central problem with the social provision of health care. What you have here is as someone (who is not otherwise known for deep thinking) said, a death panel. Ultimately, you have a bureaucratic process that weighs some social criteria to determine the degree of health care. Please tell me you have at least some trepidation about this. Or are you convinced that good people like you will make the right decisions?
Very good; you've landed upon a central problem, not necessarily "the" central problem. Do you have solutions? Profound recommendations? You have clearly expressed your displeasure with what we have, but you have presented no options. You don't like the bureaucratic process. What alterantive do you propose? You don't want social criteria to determine the degree health care. What criteria would you use?
Let's put Sulla in charge, and tell us if you are very happy with that promotion. Explain to the American people your solutions. You have X amount of dollars and XX amount of need. Who loses and why?
Because right now, to me, you seem like the average American: you want to whine about the reality; you want to attack the positions and decision-making processes of those trying to make extremely difficult decisions, yet you present no alternatives.