@burntbonez- At 91, she might not have paid into Medicare, but her spouse did. Nowadays, most people work and pay into Medicare. The problem is that Medicare didn’t count on so many people living so long after retirement. Thus, it is underfunded. But the healthcare issues of the USA are for another discussion…
My decision does not change whether she is self-pay, has private insurance, MediCare(for the elderly and/or disabled), MedicAid (public assistance health care), or charity care… if a patient and her health care team decide that dialysis is an option for her, then I’m ok with her going for it.
The only time I question an aggressive life-prolonging medical approach is when the patient is in prison serving a life sentence… when someone has wronged another member (or members) of society that it was decided to lock them away for as long as that live, I don’t think there should be aggressive medical care at the expense of the taxpayers. Pain management I’m OK with, but I’m sure others would say that if they caused pain to others, they deserve to suffer as well.