Two Healthcare Questions

clayinaustin

Charter Member
But first a little background...

Healthcare expenditures in the United States exceeded $2 trillion in 2006 and are expected to rise rapidly during the next decade. A disproportionate share is spent at the end of life (EOL). Thirty percent of Medicare expenditures are attributable to 5% of beneficiaries who die each year; about one-third of the expenditures in the last year of life is spent in the last month. Previous investigations have found that most of these costs result from lifesustaining care (eg, mechanical ventilator use and resuscitation), with acute care in the final 30 days of life accounting for 78% of costs incurred in the final year of life.

http://www.compassionandchoices.org//documents/EOL_Health_Care_Study_2009.pdf

If my estate (and my family) had to pay for 100% of the cost of keeping me alive in my final days (months), I would have a living-will that would say "pull the plug". I would rather die (I'm going to die anyway) than to cause my estate (and my family) this incredible financial hardship.

With this mindset, I would not want the country to pay to keep me (or anyone else) alive during my final days (months).

So here are my questions...

Would you bankrupt your family to keep you alive an extra week, month, year?

Do you think the country should go bankrupt to keep its dying citizens alive for an extra week, month, year?
 
No. No.

And everyone should have a will, doesn't matter how old or how young. Sht happens, you never know when your day will come.
 
I agree in theory. But what percentage of these people had a fighting chance to survive. Who says when is enough? I am not a fan of tossing our elderly to the side, but what care is enough care, and who makes the call? The family? Lots of emotions there. The Dr? With lawyers at every corner just looking for a reason to sue. The hospital? See Dr. The government? Helth insurance companies? Maybe the best choice, but WOW is that scary! Just what we need is the government running MORE of our lives. Every one has an opinion. Few have an answer.
 
Who says when is enough? who makes the call?

In my example, I (the patient) say when "enough is enough". In the larger sense, the person paying the bill says when "enough is enough". So, the question becomes "Who is paying the bill?" The patient? The insurance company? The hospital? The government, i.e. the taxpayer?

Surely you must agree that the finanically responsible party has some say in this, right?

If the government is paying for this, then I (the taxpayer) want some say in this!

Maybe we need a law requiring everyone to have both a (death) will and a living will.
 
In my example, I (the patient) say when "enough is enough". In the larger sense, the person paying the bill says when "enough is enough". So, the question becomes "Who is paying the bill?" The patient? The insurance company? The hospital? The government, i.e. the taxpayer?

Surely you must agree that the finanically responsible party has some say in this, right?

If the government is paying for this, then I (the taxpayer) want some say in this!

Maybe we need a law requiring everyone to have both a (death) will and a living will.

I do agree totally.

I think this is a very good idea. Maybe some thing set up when you get your drivers license?
 
So here are my questions...

Would you bankrupt your family to keep you alive an extra week, month, year?

Do you think the country should go bankrupt to keep its dying citizens alive for an extra week, month, year?

Better yet...you should get a tax deduction for having a living will with a pull the plug provision? Could be in the form of an estate tax credit issued after the plug is pulled. Now that is creative health care reform!
 
Better yet...you should get a tax deduction for having a living will with a pull the plug provision? Could be in the form of an estate tax credit issued after the plug is pulled. Now that is creative health care reform!


:sifone::rofl: Where do I sign up for that one??!!:sifone::rofl:
 
Clay I agree in theory with you but we as a country need to tread lightly on this.There is way to much room for abuse any time you take the patient out of the primary decision making role.
 
I've seen similar proposals for healthy life credits. You get X amount of money for your life. If you use it all up by the time your 50, see ya.......

If you don't drink, smoke, eat healthy, etc. and never get sick. You got a million bucks saved up for when it does happen.

I don't think any of those things work. It has become a society where a week extra life at a million bucks is worth it to the guy/gal who gets the week. If they had to pay for it themselves, or their kids, then what????

There is no good way to do it. No black and white choice. No right or wrong. Right now the insurance companies make the tough choices with the family and regulatory agencies involved. If this passes, it will even out so that those who now have no choice will get the same choices as everybody else, except politicians. ANd those same politicians who don't/won't live by the same rules they place on everyone else, will make those decisions for all.

Sounds like utopia to me.......:ack2:
 
I've seen similar proposals for healthy life credits. You get X amount of money for your life. If you use it all up by the time your 50, see ya.......

If you don't drink, smoke, eat healthy, etc. and never get sick. You got a million bucks saved up for when it does happen.

I don't think any of those things work. It has become a society where a week extra life at a million bucks is worth it to the guy/gal who gets the week. If they had to pay for it themselves, or their kids, then what????

There is no good way to do it. No black and white choice. No right or wrong. Right now the insurance companies make the tough choices with the family and regulatory agencies involved. If this passes, it will even out so that those who now have no choice will get the same choices as everybody else, except politicians. ANd those same politicians who don't/won't live by the same rules they place on everyone else, will make those decisions for all.

Sounds like utopia to me.......:ack2:
:ack2:
 
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