Karen Hitchcock said this quote

When I spoke to a colleague about Joe's report, her face registered surprise. She said, Is it possible for a death in a nursing home to be premature? Joe told me, If it were happening in any other kind of institution, to any other part of the population - workers, say, or children - there'd be an outcry, media, inquiries, swift intervention. The truth is we do not value the last months or years of a person's life. The remaining life of someone old. Particularly if they are in residential care. If we are all just economic units who lift or lean, then very little is lost when a nursing home resident or anyone getting on in their years dies prematurely. In fact money might be saved - one less nursing-home bed to fund, and the kids can finally get their hands on the house.

~ Karen Hitchcock

Medicine and society have entered into a folie a deaux regarding medicine's importance in gigantic population ills. We believe that genetics and pills and enzymes bring us health. We wait for the dementia cure (the obesity cure, the diabetes cure) rather than changing our society to decrease incidence and severity. We slash social welfare programs and access to GPs and ignore the downstream effect this will have on future generations. To reduce non-communicable disease, the actions we need to take are societal: make it easier for people to move and eat well, strengthen education, promote community participation and meaningful work. Our collective delusion is that we can have all the benefits such a society would bring without the structural supports necessary to bring it into being, that we can attain health by inventing and buying drugs. It is hard to know which is the more utopian vision: magic pills or a society serious about prevention.

~ Karen Hitchcock