Unfortunately, the second would ensure rising health care costs as there would then be more patients. Also, overpopulation would then be a much larger issue than health care and as such we'd have to find creative ways to cull the masses. Darwin Awards or not, the numbers would rise indefinitely.
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In the long run the only ways to control health care costs are to let old people die, or cure aging. I'd prefer the second.
Unfortunately, the second would ensure rising health care costs as there would then be more patients. Also, overpopulation would then be a much larger issue than health care and as such we'd have to find creative ways to cull the masses. Darwin Awards or not, the numbers would rise indefinitely.