If this is strictly a patient's choice; then health insurance providers, especially the government (medicare, medicaid) or future government programs should als

If this is strictly a patient's choice; then health insurance providers, especially the government (medicare, medicaid) or future government programs should also have a similar choice of requiring pre-consent for DNRs and to some extent bypass quality of life considerations (amputations for diabetes complications) for costs. It's also arguable that state regulated or state run health insurance should require some degree of self insurance for people making these detrimental choices.