Earlier quoted context omitted.
Pacemaker?
The pacemaker is probably only designed to last for 50 or so years. I'm not an expert, looking up the statistics, that seeems to be a very generous estimation. So you want to put a power source that can last hundreds of thousands of years in a device that's going to last 50, at great expense?
Of course, if you are using the nuclear stuff, you will prefer something shorter lived, so you can use a smaller battery. But I don't see why that huge objection on using the longer lived stuff too.