Mississippi College Law Review Volume 29 Issue 2 Vol. 29 Iss. 2 Article 7 2010 A Missed Opportunity: Health Care Reform, Rhetoric, Ethics and Economics at the End of Life Joshua E. Perry Follow this and additional works at: https://dc.law.mc.edu/lawreview Part of the Law Commons Custom Citation 29 Miss. C. L. Rev. 409 (2010) This Article is brought to you for free and open access by MC Law Digital Commons. It has been accepted for inclusion in Mississippi College Law Review by an authorized editor of MC Law Digital Commons. For more information, please contact
[email protected]. A MISSED OPPORTUNITY: HEALTH CARE REFORM, RHETORIC, ETHICS AND ECONOMICS AT THE END OF LIFE Joshua E. Perry* [T]he chronically ill and those toward the end of their lives are accounting for potentially 80 percent of the total health care bill . .. [T]here is going to have to be a conversation that is guided by doctors, scientists, ethicists. And then there is going to have to be a very difficult democratic conversation that takes place. It is very difficult to imagine the country making those decisions just through the normal political channels. And that's part of why you have to have some in- dependent group that can give you guidance. It's not deter- minative, but I think [it] has to be able to give you some guidance. - Barack Obama, President of the United States' I. INTRODUCTION On January 24, 2010, my grandmother, June Fuqua Walker, did some- thing that we will all one day do.