This statement is both true, and irrelevant, because who bears the burden is very important for the individual making the decision. What's being weighed is not "are the resources used to keep me alive being efficiently allocated," but rather, "will my spouse and children be irrevocably bankrupted."
What a strange thing to say. It is irrelevant from the myopic point of view of a patient receiving care, at the moment they are receiving the care. It is far from irrelevant as a matter of social policy, because society has to pay the cost even if a particular individual gets off free. Cf. negative externality [http://en.wikipedia.org/wiki/Externality#Negative].
