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Politics- At what point should medical care end in a person's life?

Discuss Prostate Cancer

Politics- At what point should medical care end in a person's life?

Postby rodge » Sat May 25, 2013 6:38 pm

Health care costs are so high in the United States in part due to longer life expectancy and many chronic diseases. People live longer, so they have greater odds of being effected by diseases they wouldn't have known had they died earlier (example: prostate cancer, since it takes very long to manifest itself in most men who develop it).
My point: if we are serious about cutting health care costs, we can't allow people to have unlimited care, right?
So which factors should be used by government and/or the health care industry to determine what gets provided and who receives treatment?
Or should people receive limitless medical care, without restriction, for as long as they live.
I'm not trolling, I'm serious here.
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Politics- At what point should medical care end in a person's life?

Postby godfrey71 » Sat May 25, 2013 6:44 pm

Health care costs are so high in the United States in part due to longer life expectancy and many chronic diseases. People live longer, so they have greater odds of being effected by diseases they wouldn't have known had they died earlier (example: prostate cancer, since it takes very long to manifest itself in most men who develop it).
My point: if we are serious about cutting health care costs, we can't allow people to have unlimited care, right?
So which factors should be used by government and/or the health care industry to determine what gets provided and who receives treatment?
Or should people receive limitless medical care, without restriction, for as long as they live.
I'm not trolling, I'm serious here.
That's actually a very tough question. Obama's statement about "grandma needing an aspirin" raised a firestorm of "DEATH PANEL" accusations, but he was seriously trying to address this.
Do you keep giving chemotherapy when there is no expectation of helping a person?
Do you give them more and more exotic and expensive drugs when proof they really help is slim to none?
Our healthcare system needs to deal with these questions, and no system is perfect, including managed healthcare, but that's an attempt to control costs and keep it affordable for the average person.

The atmosphere where every sues every for a bzillion dollars anytime somebody dies has to stop too - people die! That's the way it is even with the best of intentions sometimes! And Doctors are not Gods who can see into the future either.
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Politics- At what point should medical care end in a person's life?

Postby mannix66 » Sat May 25, 2013 6:46 pm

Government should not be involved with healthcare because then it's letting bureaucracy in the doctor's office, instead of leaving it up to the individual, their doctor having the CHOICE of what kind of healthcare they want. Insurance companies are already raising their premiums simply because of the regulations that Obamacare is starting to put on them.

This blanket healthcare law (aka Obamacare) is a mess because not only is unconstitutional on many levels it also doesn't take into consideration the different demographics for each individual state regarding health issues, age and even budgets of each state. An example is that Idaho does not have the same budget for healthcare as New York does.

Health related issues like mesothelioma from coal mining states such as Kentucky are less common in places like California and morbid obesity is more common in Missisippi than it is in Oregon. An example of the sub-par healthcare; having a woman over 40 getting a mammogram only every 4 years under Obamacare instead of yearly under their current insurance does not make for better preventative care. One size does not and will not fit all. People should at least have choices for as long as they live. "Free" healthcare is never free and doctor's need to be able to do their job without politicians getting between them and their patients.
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Politics- At what point should medical care end in a person's life?

Postby thompson36 » Sat May 25, 2013 6:50 pm

Patients are usually pretty realistic and rational when decisions like that have to be made. Care ends when you decide it ends, and dying people usually don't want to spend their last days undergoing expensive long-shot procedures. Rationing care in this way is widely frowned upon for ethical reasons, but even if you have no ethical qualms with it, additional longevity it seems isn't even the problem.

Yes, longevity is a persistent drag on costs, but every other industrialized nation is dealing with similar (often greater) longevity, and they don't have the same issue. These out-of-control health care costs are an American problem, but increased life expectancy is a global phenomenon.

I'm not an expert on the topic by any means, but I am aware of an excellent and widely-cited paper which argues that it's the prices. The full text PDF is here
http://content.healthaffairs.org/content/22/3/89.full.pdf+html

If you're genuinely interested in this topic, I think starting with the paper above and finding the papers which cite it and argue against it would bear more fruit than focusing on longevity.
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Politics- At what point should medical care end in a person's life?

Postby cleon » Sat May 25, 2013 6:56 pm

If I'm paying premiums and " contributing " to Medicare for 50 + years , I sure as Hell had better be the one deciding when my treatment stops .

If someone else makes that decision for me you had better hope I'm in a coma because I will be taking as many of you phucks with me as I possibly can .
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Politics- At what point should medical care end in a person's life?

Postby naftalie » Sat May 25, 2013 7:02 pm

Health care costs are high only because we let providers charge what the market will bear and people will pay anything they have so that family members can be healed.
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Politics- At what point should medical care end in a person's life?

Postby dyvyr » Sat May 25, 2013 7:04 pm

Only we can answer that question for ourselves and not for anyone else. Otherwise, you have a dictatorship.
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Politics- At what point should medical care end in a person's life?

Postby lamonte4 » Sat May 25, 2013 7:12 pm

Only we can answer that question for ourselves and not for anyone else. Otherwise, you have a dictatorship.
The same criteria that has always been used, the size of your bank account.
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