“a system-wide mechanism”
Please define. Give details. Explain its significance to unique situations, taking into consideration the individual human being. Apply the significance to an example of how its value proves its worth to a person.
Again, I am happy to give anyone who is 100% self-funded to make whatever decisions they want to, even if it makes no sense to me or any doctor. However, if they are asking me (through private health insurance or some government form of insurance, e.g., Medicare) then, at the very least, allowing a doctor to talk to a patient and family about the costs and benefits of certain treatments seems a reasonable step.