HOPE & CHANGE:. . .Obama Style???

iVillage Member
Registered: 04-04-2001
HOPE & CHANGE:. . .Obama Style???
99
Mon, 07-26-2010 - 2:53pm

From The Sunday Telegraph:



Axe falls on NHS services
NHS bosses have drawn up secret plans for sweeping cuts to services, with restrictions on the most basic treatments for the sick and injured.


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iVillage Member
Registered: 10-25-2006
Sat, 08-14-2010 - 9:10pm

You're wrong. I don't think that. I think more along the lines of this author:

http://managinghealthcarecosts.blogspot.com/2010/08/end-of-life-care.html

Your point that treating those illnesses that once were considered terminal, but now are curable, has led to that curability are well taken. At the same time, one must recognize that reducing end-of-life health care expenditures does not preclude continued research on those illnesses we still consider terminal.

I do think the case of childhood ALL is much different than that of an 85 yo with diabetes, high blood pressure, CHF and COPD who is stuck in a nursing home and either bedridden or wheelchair-bound; and then gets sent to the hospital for a $50,0000 "splurge" in the last week of life.

Perhaps you missed this during the health care reform debate:

http://www.cbsnews.com/stories/2009/11/19/60minutes/main5711689.shtml

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http://www.pnhp.org/news/2009/october/meet_the_new_health_.php

http://www.youtube.com/watch?v=DQTBYQlQ7yM

iVillage Member
Registered: 11-27-2009
Sun, 08-15-2010 - 11:52am

"You're wrong. I don't think that. I think more along the lines of this author:"


I apologize for interpreting the following as an argument that the costs of extending care to these patients would be better spent on other gov. programs.


<< How much should one--insurance company, individual, corporation, any entity--pay to extend a terminally-ill patient's life an additional three months?


A hundred dollars? A thousand? A million? A billion? A trillion?


Can we justify a super-high cost because it will make some pharmaceutical company or some high-tech medical equipment company a pretty profit?


Is that the best use of that money?


Shouldn't we instead be spending those millions or billions to educate our children?>>


What the author in the article you sited is promoting is advanced directives and DNR orders. He called them "POLST (Physician Order for Life Sustaining Treatment)to allow patients to designate that they don’t want resuscitation if they stop breathing or their hearts stop.

iVillage Member
Registered: 10-25-2006
Sun, 08-15-2010 - 3:08pm

<>

I believe in the general concept of evidence-based whatever--practices, medicine, guidelines--as do insurance companies and many others. I am not familiar with Emanuel's work to which you refer. Perhaps if I'd see those ages in the context he used, I'd support his position.

<>

Yes. Insurance companies ration now, by denying claims. It is the only way we'll ever slow the rising health care costs in this country.

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http://www.pnhp.org/news/2009/october/meet_the_new_health_.php

http://www.youtube.com/watch?v=DQTBYQlQ7yM

iVillage Member
Registered: 11-27-2009
Sun, 08-15-2010 - 3:37pm

your'e veering off track.

iVillage Member
Registered: 10-25-2006
Sun, 08-15-2010 - 4:29pm

Okay....I googled E. Emanuel and I pretty much agree with him. In his Lancet article, the one I think you refer to, the introduction, in bold lettering, indicates that he is addressing the allocation of scarce resources, such as organs and vaccines. He never intended his system to apply to every medical treatment out there.

He's really not an old- or disabled-person hater, as portrayed by the RW media:

http://www.nytimes.com/2009/08/25/health/policy/25zeke.html?_r=1&pagewanted=2

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http://www.pnhp.org/news/2009/october/meet_the_new_health_.php

http://www.youtube.com/watch?v=DQTBYQlQ7yM

iVillage Member
Registered: 04-04-2001
Mon, 08-16-2010 - 2:35pm

Even sadder are those who are very willing to proclaim

iVillage Member
Registered: 11-27-2009
Mon, 08-16-2010 - 4:18pm

I can't say I'm surprised.


Scare resources, vaccines are not really scarce resources.

iVillage Member
Registered: 07-15-2010
Mon, 08-16-2010 - 7:22pm
Excellent. There is so much waste right now.....we are so overtreated......

>>Luck is what you call it when preparation meets opportunity<<
iVillage Member
Registered: 07-15-2010
Mon, 08-16-2010 - 7:34pm

or gets scheduled for a hip replacement followed by triple by-pass surgery.

It's really out of control.

I think an exchange I had with my mom (as just one example) gets to the crux of the problem. I think she was 72 at the time. She's been taking sleeping pills for YEARS--freely admits to being addicted to them but hey, they allow her to sleep and she's old so she doesn't mind that. Well, she tried to wean herself off them because they seemed to cause some side effects when adding another drug to her array for another problem. Lo and behold after years of taking sleeping pills and then trying to stop...she couldn't sleep. She tried and tried and was pretty much a walking zombie due to lack of sleep.

She told her doctor about it who sent her to another city for a several day "sleep study" done at some sort of specialized sleep study center. I chided her a bit saying....hello...you don't need a sleep study, what did you think was going to happen if you stopped taking sleeping pills? You're just going to have to adapt or resume taking them. She said, "Yeah, I know. But I'm not paying for--medicare is paying. You don't think I'd be doing it if I had to pay for it."

Errr......have several stories exactly like that involving other "older citizens". They simply love the attention they receive from their wonderful doctors....and why not....it's essentially free and someone pays attention to them.

>>Luck is what you call it when preparation meets opportunity<<
iVillage Member
Registered: 02-28-2010
Mon, 08-16-2010 - 9:49pm
Soylent Green on the horizon????

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