Quote from webblarsk
I have a question, and don't mean to offend anyone. But I work at a for-profit hospice. I know that with non-profit hospices donations are recieved all the time. And the non-profit hospice in my area (rural area) does fundraising all year round and recieves mega donations. Can't that money be used towards patient care? i.e. Palliative chemo and Radiation? I am just curious because with a for-profit hospice we cannot take donations or do fund raising. We can accept memorials after a patient has passed away. But that money has to be kept account of and is used for special events. i.e. Flying a family member home for a funeral, etc.... Just curious.............thanks in advance!
My hospice is a not-for-profit hospice, and we use donated monies for a lot of our patient care budget items. We are allowed to do that because unlike the for-profits, our financial focus is not on making profit
, but in raising a budget through reimbursement, private pays, fees, donations, etc. and spending it on the patients.
I don't think either one is better necessarily, but their financial goals are different.
Our board and management still have the job of seeing that the budget is spent appropriately, and yes, sometimes there are dilemmas that come up when a very expensive palliative treatment for one patient means we may not be able to do something else for many patients. But that's why we have an ethics committee.
As to whether patients should be able to choose any treatment and not worry about cost, in an ideal world, yes. But health care costs would quickly spiral completely out of control. And it's a slippery slope, yes? Who would be accorded this right? Hospice patients? Children? Everyone? And what would be covered? Everyone can agree that palliative radiation "should" be available to dying people, but how about bariatric surgery for someone not morbidly obese and with no comorbidities? Cosmetic surgery to cure a self-esteem deficit? With whom and at what procedures should we draw the line? It's a great issue for debate.