National Issues Forums Institute (NIFI) director Chris Satullo suggested the following as a possible issue for development into a deliberative framework. We welcome your comments and additional information about this issue.
The issue I'd recommend could be named, provocatively, "Do we have a duty to die?"
It's generally agreed that one of the main drivers of government spending and deficits is health care.
It's generally agreed that the most worrisome drivers of government health care spending are Medicare and Medicaid.
A little-recognized diver of Medicaid spending is skilled nursing care for the elderly, infirm poor (and, after some dubious finagling, the middle-class elderly).
A well-known driver of Medicare spending is the heroic, costly and usually futile care given to people who are near the end of life.