Who Should Decide the Survivability of Newborns? - page 4
Who should be permitted to make the final judgment of what treatment is in the best interest of the child?... Read More
Jun 10, '09Specialty: 10 year(s) of experience in NICU ; From: US ; Joined: Jan '08; Posts: 1,725; Likes: 2,279I think the big picture also has to include room for the future and technology. 30 years ago, half the kids wouldn't've survived or had as good outcomes, I'm willing to bet. Who's to say what the next 30 years will bring?
For me, 23 weeks I would resuscitate, anything below that, no. But, if my baby had grade 3 or 4 IVH, I would probably hold him/her and let him/her die in my arms and for other things depending on the clinical situation.
Jun 11, '09Occupation: RN/ADN Specialty: LTC, psych, M/S, developmental disabilie ; From: US ; Joined: May '05; Posts: 1,292; Likes: 1,150Quote from krltdyIf I may ask - how did you qualify for medicaid? Did you own a house or have substantial assets? Maybe i don't understand the system but i am most concerned for people who make too much to qualify for medicaid but don't have enough to pay 6k a day for NICU. but it sounds like a NICU baby qualifies for medicaid no matter what the parents income is and even if they have insurance??Our bill just for the nicu was approx. 6k/day. We did have very good insurance, so the medicaid picked up whatever our insurance didn't. It was really helpful to us b/c my daughter was on a very expensive formula ($48.00/can), and medicaid covered that, her copays for dr. visits (97 in 1 year), Rx copays, O2, 3 surgeries, all kinds of things. Our total bills for the past 2 years add up to almost 2 million dollars. If it weren't for the medicaid, we would've lost everything.
Jun 11, '09Occupation: Student Specialty: none yet! ; From: US ; Joined: Jan '09; Posts: 138; Likes: 36We qualified b/c my daughter was born weighing under 1200 grams (I believe that was the limit). We both had very good jobs, a home and vehicles. It is not lifetime Medicaid though. Her pediatrician decides when she doesn't need it anymore. We had Medicaid for about a year.
Jun 11, '09Joined: Jul '06; Posts: 1,813; Likes: 1,630I do not know if my friend's daughter was eligible for Medicaid, but she was eligible for SSI from the day she was born until the day she left the hospital, 2 1/2 months later. She was eligible because she met Social Security's definition of not living with them. That being the case, she may also have been Medicaid-eligible; I never asked and they didn't tell me.
I have no idea how much money they got from SSI; however much it was, it gave them that much less to worry about.
Some states have lists of medical conditions where a person who has them is automatically eligible for Medicaid regardless of income or assets. The most common are hemophilia, ALS, and certain very expensive to treat metabolic diseases like Gaucher's or Fabry's. Medicaid may only pay for that disease, but at least they are covered. Extreme prematurity or very low birth weight might be one of them.
Jun 11, '09Occupation: Student Specialty: none yet! ; From: US ; Joined: Jan '09; Posts: 138; Likes: 36If you get SSI, you're automatically eligible for Medicaid, which is what really helped us. We received $30.00 (yes, thirty)/month SSI while she was in the nicu, so really, it's not a lot of money. Low birth weight automatically qualifies for SSI.