This discussion always sucks.
The real issue with the high cost of health care and the lack of health services in some areas is the same as it has always been.
Our Governments involvement in it.
When there was not a Department of Health, there were house calls.
Tort reform has helped some, here in Texas, but the government is still way too involved.
No one should care if a 99 year old doesn't want the plug pulled on them.
Some may think it is selfish, but that person has the right to stay alive, if they want to.
It's nobody else's business.