Looking at it from a cold hard economical prospective (the eyes of a psychopathic bean counter) end of life care cost have "diminishing returns", and since the cost of health care is artificially inflated, that would be "exponential diminished returns". Since all the money contributed to the social security trust fund has been pillaged plundered misallocated and or stolen, and while the unfunded liabilities (the cost of such care in question) reached $ 270 TRILLION Dollars, an NO NADA ZERO ZILCH money left in the till, murder was the next best option. Death panels ring a bell? Shame we didn't believe them capable of such inhumane acts of horror!! But hey lucky us, they were there to make those tough decision....