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Experts Reject Age Cutoffs After Streeck’s Comments on Care for the Very Old

Experts urge decisions based on patient wishes and quality of life, not on chronological age.

Overview

  • Federal drugs commissioner Hendrik Streeck questioned very costly therapies for the very elderly in a TV discussion, drawing strong pushback from church representatives, members of his party, and specialists.
  • Streeck later wrote that he sought a conversation about responsible accompaniment at life’s end rather than a drive to cut health spending, warning of incentives that can encourage overtreatment.
  • German Nursing Association chair Markus Mai rejected any fixed age limit for therapies, emphasizing that clinical decisions should reflect individual health status and potential reasons to stop treatment.
  • Medical ethicist Jan Schildmann argued that proximity to death and diagnosis severity, not years lived, should guide care, citing research that people near death often receive very intensive treatment.
  • Both reports point to the need for a political debate on limits and costs in healthcare that explicitly rules out age thresholds, with commentary cautioning against valuing lives by cost–benefit calculations.