But the vast cuts proposed by the Republicans would force us to stop trying very early, or in many instances deny people the opportunity even to try to save a life.
This is, of course, false.
Currently, all systems in the US, private or government, pay for more care, particularly at the end of life, than you find in other nationalized systems. In the US, for example, if you’re a cancer patient with only a 10% chance of survival from ongoing treatment, you’ll get a second round of chemo. In Europe, you’ll be in pallative care after the first.
Cuts by the Republicans (which are not “vast”, unless somebody has redefined the term recently), if all things are left alone, could indeed drop American standards of end of life care back to world standards.
But, of course, the state that you live in would still have the option to raise taxes and cover the difference with a plan of their own.
Which, when you think about it, is kinda how the US was supposed to operate, from the get-go. Less centralized government, more state government.