Al over at What's wrong with health care boils it down.
The problems in cancer treatment reflect the problems in our health care system as a whole. Costs continue to rise as treatments improve, decisions (which we are not a party to) are being made to control costs, and patients are not fully informed as to the basis of those decisions. Since we are not fully informed, we are not fully aware of our options. Not being fully aware of our options can lead to erroneous decisions on our part. Some people may feel that their life is worth twenty five thousand dollars a year or more, but are not given a choice.