It's all about providing cover for what he REALLY wants, and that's health care rationing for the masses while rich bastards like him have all kinds of goodies no matter how sick they are.
The WSWS calls him out on his bullshit:
He claims that he is not trying to convince anyone that he is right, or saying that anyone who chooses otherwise is unethical. He then insists: “And I am not advocating 75 as the official statistic of a complete, good life in order to save resources, ration health care, or address public-policy issues arising from the increases in life expectancy.” Excuse us for rejecting this disingenuous disclaimer, based on Dr. Emanuel’s long record of promoting the “free-market” model of health care delivery.
In the same Hastings Center Report quoted above, Emanuel advises that under conditions where the “free market,” i.e., for-profit health care under capitalism, limits resources, he favors “a two-tiered health system—some citizens will receive only basic services while others will receive both basic and some discretionary health services. Within the discretionary tier, some citizens will receive very few discretionary services, other richer citizens will receive almost all available services, creating a multiple-tiered system.” According to Emanuel’s “Hope to Die at 75” vision, it is the wealthy who would have the “choice” of life-prolonging treatments for themselves and their families, while workers and the poor would be relegated to substandard palliative care in understaffed nursing homes.
Which brings us to the doctor’s conclusion, where he writes after badgering his readers on the correctness of his viewpoint: “I retain the right to change my mind and offer a vigorous and reasoned defense of living as long as possible.” What cynicism! But it is not surprising, as his argument was never really about him. Rather, the promotion of early death is a particularly sinister component of a campaign aimed at realigning health care in America even more heavily in the interest of the rich.
Eugenics has no place in any civilized society.