Because trauma leads to debilitation more often than death, and debilitation is costly not only to quality of life for the individual, but economically to society in general. Think of it like this, if a person is going to live, they should be able to live fully and productively as free from pain and impairment as possible, if a person is going to die, the need to be allowed to die. That's how you have to handle it when you live under the natural order of resource production to maintain a sustainable population/resource balance. What we have right now is a conflict in ethics, where we take away the ability of nature to control our population, yet we don't assist nature to a reflective degree in the production of the resources to provide for this burgeoning population. Right now we are killing ourselves with kindness, driving ourselves towards extinction with good intentions because we are not coming through with the required resources to deal with the outcome of those actions.
You can't have Healthcare say "Everyone must live" at the same time all the rest of the economic sector says "We must regard profits first, and sure profits lie in the past way of doing things". The two systems of though are incongruous. If you want to live in the past you have to create the population of the past as well as the rest of the conditions.
If we want to keep doing medicine as we do it, we have to start producing the resources to deal with it. In order to do that, we need to start Urban Agriculture and Energy co-ops. Recycle all those big old structures that use to be our industrial heart, now lay vacant, and make them into urban Kibutz type settings complete with living accommodation and medical/social center. We have to invest in the new generation of Solid Oxide Fuel Cell technology that allows us to use our current reserves of natural gas to provide power to the community more efficiently, cleanly, and profitably to the community, not only that they provide fresh produce year rounding the local area to service grocers and restaurants. These operations can make money, how much? Who know, they could make a fortune and change the global economic and energy system and revolutionize the economy, we can't know till we try.
At minimum though it would produce a reduction in social services costs and provide a positive community benefit in not only opportunity to be creative rather than destructive and provide a safe positive living area in some of the worst off communities in our country.Once Medicine takes mankind out of the regulation of natural processes, well, then Medicine now has an obligation to deal with the consequences of their actions to be completely honest to their Hippocratic oath. We really need to start looking at the big picture, because population is heading towards critical.
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