Incidentally, It's kinda sad how little of the topics under discussion in "Peopleware" have actually been empirically examined in the peer-reviewed literature...
But given that we have the IT professional community that we have:
- Document that you've told your boss, and probably your boss's boss, and probably the legal department (perhaps informally and verbally initially). If you've told them, it's their problem, not yours
- Start polishing your resume. Whistleblowing usually has negative consequences for the whistleblower - and, furthermore, continuing to work for an organization which has such a lax attitude to software poses a risk to your career if you stay there.
Incidentally, your case neatly demonstrates the near-uselessness of the IEEE-ACM Software Engineering Code of Ethics, which is very long on what the ethical obligations of a software engineer are, but has nothing useful to say about what you should do where others are ordering you to act unethically.
But, hey, science.
Should we militarize the entire American workforce given that 13 Americans die every day in workplace accidents?
$30,000 would pay for 600 hours of individual tuition from such a tutor.
What do you think would improve a student's learning outcomes more?
The emitted radiation is far too dangerous for on-Earth use without tons of shielding.
To take some specific examples in the English-speaking world, in Australia, the local conservatives did manage to repeal it the first time around. The second time around, they didn't get back into government for thirteen years until they promised to keep it, and they've never seriously tried repealing it since despite long periods in power. In the UK, even that hero of the right, Margaret Thatcher, left the NHS alone. The overwhelming evidence is that once universal health care systems are introduced, they are enormously popular.
So, yeah, drag this one out into a political fight to the death. It's unlikely, but possible, you'll knock it off. But if your lot continues with this crap for too long once it's in place, you will consign yourself to electoral irrelevance; even the ridiculous malapportionment and gerrymandering that goes on in the US won't be enough to save them.
In the medium term, I won't be terribly sad at that; while sensible health care reform will ensure that millions of your fellow citizens have healthier, longer lives, it doesn't affect me directly. But a couple of your party's other insanities, particularly its delusions on climate science, do. And if you do manage to consign yourself to complete electoral irrelevance for a few terms, the United States will be able to act effectively on climate change.
Back in the real world, the doc could have told me just about anything about the cost of the operation, and I would have agreed to it.
But, because I live in a country with universal health care, in a situation where the treatment was clearly medically justified, the docs were able to go ahead and do the surgery, and we got a bill for $0.
And your notion of an "end of year shutdown" in hospitals is complete and utter bollocks. Does not happen - if there's even a hint of this kind of thing, the relevant docs go to the media, who get the requisite photos of people who've recently been treated and interviews with the docs, and the government tips in some extra funds.