I’m all for reform, vote accordingly.

How does that help someone, right this instant?

I do not think it’s a false dichotomy. That implies I could choose to have US medicine reform and choose not to.

And while some people actually do advocate killing others, I’m not. I’m speaking for myself, in a situation where survival beyond days is impossible but hospitals will still incur huge charges. And I’m also not talking about “no heroic measures”.