Hmmm...I guess all those other academic papers showing that the greatest percentage of healthcare dollars go to end of life care defined as final 2 years but especially final 6 months. I am also pleased to see this analysis was in part conducted by, "we'll tell you what you want to hear as long as you pay us" BCG. Or as I know them BSG. Healthcare costs are skyrocketing because people are making a lot of money. Look back to '76 or so when the people who pushed for changes to the laws allowing for the creation of HMOs and promised enormous savings. That didn't happen. Any time you have a major consulting company telling you how to reduce healthcare costs the sound your actually hearing is money dropping in their pockets. It would be fun to skewer the article point by point but not worth the time.