I would rather my tax dollars go to vulnerable people than to creating a buffer for often relatively wealthy older people so they can preserve their estates. End of life care is a fundamentally different issue than care for other people. I don’t want medical issues to bankrupt someone who has productive life ahead of them. At the same time, if we pay for end of life care for people who often have hundreds of thousands of dollars to their name, that’s less tax dollars we can spend on other things.