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Everybody has a right to live only so long. The old are no longer useful. They become a burden. You should be ready to accept death. Most people are. An arbitrary age limit could be established. After all, you have a right to only so many steak dinners, so many orgasms, and so many good pleasures in life. And after you have had enough of them and you’re no longer productive, working, and contributing, then you should be ready to step aside for the next generation. Some things that would help people realize that they had lived long enough, he imagementioned several of these – I don’t remember them all – here are a few – use of very pale printing ink on forms that people .. are necessary to fill out, so that older people wouldn’t be able to read the pale ink as easily and would need to go to younger people for help. Automobile traffic patterns – there would be more high-speed traffic lanes .. traffic patterns that would .. that older people with their slower reflexes would have trouble dealing with and thus, lose some of their independence.

A big item .. was elaborated at some length was the cost of medical care would be made burdensomely high. Medical care would be connected very closely with imageone’s work but also would be made very, very high in cost so that it would simply be unavailable to people beyond a certain time. And unless they had a remarkably rich, supporting family, they would just have to do without care. And the idea was that if everybody says, “Enough! What a burden it is on the young to try to maintain the old people,” then the young would become agreeable to helping Mom and Dad along the way, provided this was done humanely and with dignity. And then the example was – there could be like a nice, farewell party, a real celebration. Mom and Dad had done a good job. And then after the party’s over they take the “demise pill.”

The next topic is Medicine. There would be profound changes in the practice of medicine. Overall, medicine would be much more tightly controlled. The observation was made, “Congress is not going to go along with national health insurance. That (in 1969),” he said, “is now, abundantly evident. But it’s not necessary. We have other ways to control health care.” These would come about more gradually, but all health care delivery would come under tight control. Medical care would be closely connected to work. If you don’t work or can’t work, you won’t have access to medical care. The days of hospitals giving away free care would gradually wind down, to where it was virtually nonexistent. Costs would be forced up so that people won’t be able to afford to go without insurance. People pay.. you pay for it, you’re entitled to it. It was only subsequently that I imagebegan to realize the extent to which you would not be paying for it. Your medical care would be paid for by others. And therefore you would gratefully accept, on bended knee, what was offered to you as a privilege. Your role being responsible for your own care would be diminished. As an aside here, this is not something that was developed at that time .. I didn’t understand it at the time as an aside, the way this works, everybody’s made dependent on insurance. And if you don’t have insurance then you pay directly; the cost of your care is enormous. The insurance company, however, paying for your care, does not pay that same amount. If you are charged, say, $600 for the use of an operating room, the insurance company does not pay $600 on your part. They pay $300 or $400. And that differential in billing has the desired effect: It enables the insurance company to pay for that which you could never pay for. They get a discount that’s unavailable to you. When you see your bill you’re grateful that the insurance company could do that. And in this way you are dependent, and virtually required to have insurance. The whole billing is fraudulent. Anyhow, continuing on now, .. access to hospitals would be tightly controlled. Identification would be needed to get into the building. The imagesecurity in and around hospitals would be established and gradually increased so that nobody without identification could get in or move around inside the building. Theft of hospital equipment, things like typewriters and microscopes and so forth would be “allowed” and exaggerated; reports of it would be exaggerated so that this would be the excuse needed to establish the need for strict security, until people got used to it. And anybody moving about the hospital would be required to wear an identification badge with photograph and.. telling why he was there .. employee or lab technician or visitor or whatever. This is to be brought in gradually, getting everybody used to the idea of identifying themselves – until it was just accepted. This need for ID to move about would start in small ways: hospitals, some businesses, but gradually expand to include everybody in all places! It was observed that hospitals can be used to confine people .. for the treatment of criminals. This did not mean, necessarily, medical treatment. At that .. at that time I did not know the word “Psycho-Prison” – is in the Soviet Union, but, without trying to recall all the details, basically, he was describing the use of hospitals both for treating the sick, and for confinement of criminals for reasons other than the medical well-being of the criminal. The definition of criminal was not given.