The last few paragraphs detail specialized long term ICU centers in the USA that treat such patients where the survival rate is low compared to non patients and the medical technology is utilized to fullest so as many patients as possible reach the one year point so the statistics look great, and then it is withdrawn after the 365 day mark (because that is the only measurement used for funding) so the care can be used on the next customer. There's one near me where any time I pass by there is usually an ambulance taking away a patient or delivering a patient (the lights and siren are never used).