Rationing Health Care for Seniors

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HYANNIS - Eunice Kennedy Shriver remains in critical condition today at Cape Cod Hospital.

Shriver, the 88-year-old sister of Sen. Edward Kennedy, has been in the intensive care unit of the hospital for about a week. Her family, including California Gov. Arnold Schwarzenegger, the husband of Shriver's daughter, Maria, is among those who traveled to the Cape to be with her.

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There are no updates on Shriver's condition, according to a Special Olympics spokeswoman. She was last said to be in "critical but stable condition".

Shriver was admitted to the hospital after suffering a series of strokes, the Associated Press reported early this morning. The Special Olympics spokeswoman would not confirm that report.

If this were any 'regular' 88 year old woman on Cape Cod, she would already have been sent to a local SNF to die..not kept in the ICU. I am truly sorry for the Kennedy family, but this is just one example of how health care is being rationed already. It'll get even worse if Obama's plan goes through.

Specializes in Gerontology, nursing education.
My point was more about preferential treatment given to celebrities.

It's unfortunate but yes, celebrities and the wealthy do indeed get preferential treatment. I remember one time being assigned to a gentleman who was the wealthy owner of a Fortune 500 company. My head nurse (yep, it was that long ago!) told him that no matter what, if he rang his call light, for whatever reason, his would be the first one we'd answer.

I always aspired to give high quality care to my patients, regardless of their financial situation, their celebrity or their anonymity. I also answered call lights in the order in which they rang unless I knew one of the patients might have an immediate need, such as having to use the bedpan.

The wealthy patients could afford to donate huge amounts of money to the institution, so that's why they often received preferential treatment. I guess I am naive but I should think we give good care to everyone, not just celebrities, for the sake of giving good care---not for kissing up to someone in the hopes of getting a donation.

I would hope the notion of preferential treatment of celebrities and the affluent would diminish with health care reform. Not sure that's going to happen.

Specializes in burn, geriatric, rehab, wound care, ER.
MY health care decisions are mine alone. Mine and my doctor and my insurance company. I trust either one of them far more than I do the government.

You would do better to be more wary of your insurance company. Right now, they, along with other healthcare insurance lobbyists are spending $1.4 million per day to block healthcare reform -their motive -to provide you with excellent care? I think not -they want to preserve the status quo so they can continue to post profits made at the expense of the people they insure. How are these profits made?- by denying coverage to those with pre-existing conditions, raising your premiums until they are virtually unaffordable, canceling policies retroactively and denying care prescribed by your physician. Insurance horror stories abound e.g. http://www.truthout.org/article/paul-krugman-insurance-horror-stories

I get your point about celebrities getting preferential treatment -it irks me too, but you know how hospitals are about their celebrity clients. However, for me its just another example of the health care inequity that affects millions of us in the USA. I get more upset about about things like William W. McGuire, CEO of United Healthcare, receiving compensation of $125 million in 2005. I wonder how many patients were denied care to finance that.

At least with an insurance company you can appeal the process, reversing a decision in Medicare or Medicaid is almost impossible.

I don't want government to control my health care.

Specializes in burn, geriatric, rehab, wound care, ER.

What do you believe is Obama's motive for healthcare reform?

What do you believe is the healthcare insurance lobbyists motive for resisting healthcare reform?

Specializes in Oncology/Haemetology/HIV.

Shriver was admitted to the hospital after suffering a series of strokes, the Associated Press reported early this morning. The Special Olympics spokeswoman would not confirm that report.

If this were any 'regular' 88 year old woman on Cape Cod, she would already have been sent to a local SNF to die..not kept in the ICU. I am truly sorry for the Kennedy family, but this is just one example of how health care is being rationed already. It'll get even worse if Obama's plan goes through.

I have seen plenty of 90 something year olds s/p a cva, with several comorbidities spend weeks in the ICU. I have had 88 year olds with dementia, whose family insisted that they get chemo for pancreatic cancer, and would have had a whipple done if a surgeon would have done so. I have had patients that were contracted into the fetal position, have had dementia for years, whose families have insisted on them being kept on the vent for weeks. And none of them have had celebrity, money or any undue connections.

My 95 year old Grandmother, who had a living will specifying DNR status, was transferred without notifying her family, and had a pacer placed, ending up on the vent. Her private MD REFUSED to make her a DNR, despite her stated wishes, families wishes....and was kept on the vent until her death. She had no connections and little money.

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And right now, I am so tired of both sides/parties. The nation needs healthcare reform, but it does not need it "immediately" and no program that comes out this abruptly will be workable. And all this talk of death squads/fake birth certificates make the other side look even worse. They are too busy competing with one another, to actual do any good anymore, and make the whole nation look bad.

If one is going to complain about bias....there really should be some actual bias involved. And in this case, there is not.

At least with an insurance company you can appeal the process, reversing a decision in Medicare or Medicaid is almost impossible.

I don't want government to control my health care.

Government through its police powers is involved at every level of health care. Gov't regulates licensure, professional training /certification, drug safety, etc. It bears repeating that the proposed structure of health care reform has absolutely nothing to do with government control of service delivery. if anything the reform proposal will bring transparency and real competition into the process. If you pop over to the activism thread you will find post after post about patients having needed care denied. Our system is seriously broken. If you look at where we are headed by 2020 family coverage will cost over 20,000/year. That money comes out of YOUR pocket.

MirrorMirror_FigureES1.gif

Equity: The U.S. ranks a clear last on all measures of equity. Americans with below-average incomes were much more likely than their counterparts in other countries to report not visiting a physician when sick, not getting a recommended test, treatment or follow-up care, not filling a prescription, or not seeing a dentist when needed because of costs. On each of these indicators, more than two-fifths of lower-income adults in the U.S. said they went without needed care because of costs in the past year.

Healthy lives: The U.S. ranks last overall with poor scores on all three indicators of healthy lives. The U.S. and U.K. had much higher death rates in 1998 from conditions amenable to medical care?with rates 25 to 50 percent higher than Canada and Australia. Overall, Australia ranks highest on healthy lives, scoring first or second on all of the indicators

http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2007/May/Mirror--Mirror-on-the-Wall--An-International-Update-on-the-Comparative-Performance-of-American-Healt.aspx

We can definitely design and implement a better system through the political process. Health insurance companies make money by delaying/denying care...........

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I guess we are reading the situation two different ways.

I live in MASS where health care is mandatory or you pay a fine. Our state is in rough fiscal shape. All our taxes have gone up including our sale tax.

Several of our critical access hospitals are in bankruptcy and may close. Nursing jobs are hard to come by. We have the longest waits for MD appointments, last I heard it is about a 90 day wait to see a specialist.

You would think it would be wonderful if everyone had health care. Do I think it is time for this to go Nation wide ? I don't think so.

I also hear that cancer survivorship is greater in the USA than the UK or Canada.

Yes, health care needs to change, but to rush through a 1000 page plan without questioning it would be stupid.

http://finance.yahoo.com/insurance/article/107408/5-freedoms-you-would-lose-in-health-care-reform.html?mod=insurance-health

1. Freedom to choose what's in your plan

2. Freedom to be rewarded for healthy living, or pay your real costs

3. Freedom to choose high-deductible coverage.

4. Freedom to keep your existing plan

5. Freedom to choose your doctors

Unfortunately I had to buy a car last week. It was the first week of cash for clunkers. I did not have a clunker but it was the most painful delivery of a car due to the government program. All the computers ground to a halt due to the government's mis management of one simple program.......all my husband kept saying now they want to manage healthcare ?

Specializes in NICU.

MY health care decisions are mine alone. Mine and my doctor and my insurance company. I trust either one of them far more than I do the government.

I'm happy that you actually have a doctor and an insurance company. Many people don't have that luxury. My son works in a restaurant, and like many other working poor, he has no insurance. That means he pays the highest rates for his medical care, and doesn't go until he's really sick.

My almost 100 y/o mother-in-law, still alert and oriented and in independent living, was admitted to the hospital with CHF a few weeks ago. We had her taken by ambulance when she was having breathing problems. 45 minutes later we had a call from the E.R. doctor, who wanted her medical history. We discussed her advance directive, and her desire for comfort measures only. Two days later she passed away. That's the way she wanted it to be.

Her doctor was also aware of her wishes, and co-operated as he should.

I hope that Eunice Shriver has an Advance Directive. And doctors and family who will go along with her wishes, no matter how much money they are willing to put into health care. I can't see that changing with any Health care Initiative.

Specializes in Neuroscience/Neuro-surgery/Med-Surgical/.
1. I do NOT appreciate your condescending tone. I do not need YOU to explain anything to me.

2. I am not on the 'right' politically speaking.

3. I spoke personally to Senator Tom Daschle. When asked if health care would be rationed, he told a joke and would not answer.

MY health care decisions are mine alone. Mine and my doctor and my insurance company. I trust either one of them far more than I do the government.

My point was more about preferential treatment given to celebrities.

What do you expect when you chose the title for this discussion? The title implies that you believe there is "already rationing of care for the elderly." If your point was about preferential treatment for the wealthy or celebrities, perhaps that is what you should have stated....

just a thought....

Specializes in dialysis (mostly) some L&D, Rehab/LTC.

Big Brother will really be watching you now.:coollook:

Yep CapeCodMermaid is on the "fishy" list now.

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