Its not a battle at all. Its when people get old and everyone knows they are going to die soon but they, or their family, or their doctor who is afraid of getting sued insists on heroic measures to keep them alive as long as possible that the costs go up fast. Dying with dignity has often become quaint and I think its because many people fear death because they lack faith in a God of their understanding. Would a more religious society decrease the cost of healthcare? Or a more atheist one where the government says, 'you get what you get and you don't throw a fit and when its time to die that is it.'