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As the presidential candidates make their cases to the nation, health care is taking up a lot of talking points. But one subject that's less likely to be debated forthrightly is end-of-life care.

A big driver of U.S. health care expenditure is what's spent in the last year of life. Those who argue in favor of rationing that care say the country cannot afford to provide unlimited health care — either the government or insurance companies have to ration end-of-life care as a policy response.

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