This is what Sir Humphrey might call a courageous post, as it strikes me as an honest depiction of the frustration of an ICU doctor with patients do nothing to improve their health, on the contrary. Quote:
More importantly, I wondered if we could ever draw a line, where we say enough is enough, where we say you do not get a second chance at life so that you can just kill yourself in the end, where we say there comes a point when heroic measures cannot cure how people want to live their lives. Before medical school I always thought that medicine was made to promote health, but in the light of reality I have learned that my job in the ICU today is really to prolong death, so that in the end people can crash and burn a bigger flame, taking much needed resources with them.
No easy policy or program solutions and addition plays a role in making it hard for some to change their behaviour. I wonder, system-wide, how many people like this are ‘draining the system’ and how this compares to patients in their last few years of life where most articles I have read account for the bulk of healthcare expenses.