America's health care crisis is very much a crisis of how we treat elderly people:
Note that the surge in American spending starts before Medicare kicks in.
Americans do "heroic" spending to add an extra few months to a life without making the quality of that life better, and often making it worse.
This has been my experience with various family members, who endured painful procedures and expensive hospitalizations. Without these they might have passed to the new world a few months sooner, but their enjoyment of life in this world might have been much better--at home, hooked to a morphine pump.
How do we make the transition to death with dignity?
One option is to pay people! A hospice worker for the insurance company could offer this deal: "If we do all the fancy modern interventions, your last four months of life will cost $400,000. On the other hand, we could split that with you. We'll give you $200,000 to simply walk away (with marijuana brownies to cover the pain). We'll save money and your heirs will, too."
It sounds crude and crass to bribe someone to die earlier. Instead, it could be viewed as the reward for dying with dignity.
If it were me I would love to die thinking I could donate a large chunk of cash to worthwhile people and causes. What a way to go!