You do realize you could turn your definitions toward children who are going to be born with birth defects, and live a life where they are dependent on health care their entire lives (people abort because they’re told the child’s quality of live will be miserable)...so should the parents who choose to bring such a child in the world put on the “pay as you go” plan too. And when the money runs out, just let the kid die.
Same thing with some accident victims or war injuries, health care will be required the rest of their lives...are they on the pay as you go plan too.
I’m really not against limiting some services for the elderly, but I do believe that is already happening to a degree. My dad has a heart valve problem, and he was told in a younger person they’d operate, but in an older person, they just manage the disease. Makes perfect sense to him, and me. Women don’t get mammograms or pap smears past a certain age, men don’t get PSA’s past a certain age, colonoscopies also could have an age cut off, because treatment past a certain age is more of a risk than a benefit. And I’m all for that sort of managing of costs.
I believe that even very old people should be able to get a colonoscopy if they pay for it.
Like you and me, most folks know that when it's time to go, it's time to go. However, if some atheist insists on fighting the inevitable no matter what the cost, he/she should bear that wasteful cost.