BMJ  2007;334:110 (20 January), doi:10.1136/bmj.39094.388588.1F

Letters

Smokers and surgery

The best time to die (to help fellow taxpayers)

The first 150 words of the full text of this article appear below.

Not too long ago an accountant told me that, from a financial perspective only, a patriotic citizen should die the moment he or she changes from a net taxpayer (a net tax asset of the state) to a net tax consumer (a net tax liability of the state).1 For many people this means one should drop dead on the way home from one's retirement party. A brother and sister acquaintance illustrate this quite well. The sister, a non-drinker, non-smoker, responsible eater lived to be 85. Since age 65 she received 20 years' retirement as a government worker, 20 years social security payments, had Medicare paid pharmaceutical charges for almost two decades of diabetes, hypertension, and raised cholesterol, outpatient office visits, and hospitalisation costs for a pneumonia, fractured hip, and sub-endocardial infarction. Her brother, a heavy smoker and drinker, literally dropped dead at 60. Up to that point he paid for . . . [Full text of this article]

Robert A Da Prato, physician

1 Portland, OR 97229, USA dapratorobert@msn.com


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