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Denise
Moderator
Member Seraphic
since 08-22-99
Posts 23002


50 posted 01-16-2011 11:01 PM       View Profile for Denise   Edit/Delete Message      Find Poems  View IP for Denise

I'll add that to my wish list, along with waking up one day and finding out the IRS has been abolished and the Fair Tax has replaced it!

I don't think we'll se either in our lifetime.
Uncas
Member
since 07-30-2010
Posts 348


51 posted 01-17-2011 03:00 PM       View Profile for Uncas   Email Uncas   Edit/Delete Message      Find Poems  View IP for Uncas

quote:
There was a provision inserted into the Stimulus Bill creating a Federal Health Care Panel


That would be the Federal Coordinating Council for Comparative Effectiveness Research Denise.

quote:
to decide which medical treatments and drugs were medically necessary and cost effective.


Not quite. The council was established to coordinate the existing comparative research that's undertaken and to create annual reports, including recommendations to improve the collection and distribution, of comparative research data.

In plain English Denise, if bill in New York is collecting data on the effectiveness of drug A and Bob is undertaking a similar study on drug B to treat the same condition, the council is tasked with working out how to ensure that both studies are available for comparison.

They have no power to dictate to clinicians or patients which treatment is used - their job is simply to make sure that all the facts are available to those making the choice.

Sounds like a darn good idea to me.

Any more possible death panels Denise?
Denise
Moderator
Member Seraphic
since 08-22-99
Posts 23002


52 posted 01-17-2011 04:14 PM       View Profile for Denise   Edit/Delete Message      Find Poems  View IP for Denise

I would imagine that they would present their recommendations based on the data that they have studied and compared to HHS or some of the other boards or panels under HHS who will then take it to the next level of declaring certain procedures or drugs as medically necessary or not (cost effective based on age or secondary health issues), in their opinion, based on an average of outcomes, found in the studies.

It probably isn't any one board or committee, but the whole system working in tandem to eventually arrive at a consensus of acceptable and mandated protocols to be followed by physicians, hospitals and pharmaceutical companies. Somebody will be creating such protocols, otherwise why have fines and sanctions against healthcare providers in the law for not following the government mandated protocols?

It's already happened on the state level where the state refused to pay for a life saving treatment or drug for people unfortunate enough to have to be insured through the state. I read of one woman who was refused a proven lifesaving cancer drug and told that the state would only pay for end-of-life pain pills and another person was taken off a transplant list because the state refused to pay for it. I'm sure there are many such stories around the country than these two that I happened to come upon. I don't think that the federal level will be more compassionate, nor more compassionate than private insurers, for that matter.

Having the government calling all the shots regarding healthcare delivery is a very bad idea. They will be picking winners and losers just as they do under Crony Capitalism. So I would call any system where government beauraucrats formulate protocols that impacts treatment options that lead to a shortening of life a death panel, the same as I would call insurance company review boards who make the same decisions a death panel.
Juju
Member Elite
since 12-29-2003
Posts 3353
In your dreams


53 posted 01-28-2011 03:35 PM       View Profile for Juju   Email Juju   Edit/Delete Message      Find Poems   Click to visit Juju's Home Page   View IP for Juju

You know,

I have to admit I haven't done much reading on it. I like some of the things on the bill, but for the most part, I believe that this bill is just the beginning of the governments move to socialism. Very sad.

People should be allowed to make mistakes and pay for them.  

I think if uncle sam foots the bill, it would suck.

I work hard to keep healthy, I work hard to earn money and I will have to pay out more money, because others didnot.

It just annoys me.  

-Juju

-"So you found a girl
Who thinks really deep thoughts
What's so amazing about really deep thoughts " Silent all these Years, Tori Amos

Huan Yi
Member Ascendant
since 10-12-2004
Posts 6334
Waukegan


54 posted 01-29-2011 01:58 PM       View Profile for Huan Yi   Email Huan Yi   Edit/Delete Message      Find Poems  View IP for Huan Yi

.

"I work hard to keep healthy, I work hard to earn money and I will have to pay out more money, because others didnot."


Apart from politics, in a national health
care system with limited resources, why not
death panels?

The question arose out of reading:
"The Hot Spotters" by Atul Gawande
in the January 24th issue of The New Yorker.

http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande


.
Bob K
Member Elite
since 11-03-2007
Posts 3860


55 posted 02-01-2011 04:49 PM       View Profile for Bob K   Email Bob K   Edit/Delete Message      Find Poems  View IP for Bob K



    
Dear John,

          I read the New Yorker article as an invitation to death panels, the way I think you did from your comment.  I confess, though, I am unclear about your comment, so I can't be sure.  I did really enjoy the article and thought it was fascinating.

     I can't really comment on how the delivery of health care in general might be affected by the approaches talked about in the article, since my experience is more specifically in mental health care delivery.  There, it does fit pretty well, and I think the comments about (my word here) morale in chronic patients are spot on.  What's your take on the same problem with chronic patients who use the system for physical illnesses?

     You can spot areas where the system is broken without needing to kill the people who have the problems that are identified, which is I think what the article was talking about.

     I think it was also talking about morale problems not only with the patients but with the caretakers.  I thought the little story about the poor cops at the beginning of the article was very sad indeed.  Cops are generally such idealists when they go into the field, and to see them so terribly discouraged and burnt out is very sad indeed.  It's easy to overlook the care they need and are often too frightened to seek.

Anyway,  Best to you, Bob K.
Local Rebel
Member Ascendant
since 12-21-1999
Posts 5742
Southern Abstentia


56 posted 02-06-2011 04:43 PM       View Profile for Local Rebel   Email Local Rebel   Edit/Delete Message      Find Poems  View IP for Local Rebel

quote:

"I work hard to keep healthy, I work hard to earn money and I will have to pay out more money, because others didnot."



It's actually the case Juju -- that with Obamacare (and shouldn't he feel honored that a hundred years from now your descendants will still be calling their health insurance system after him?) you are actually going to be paying LESS because others did not.

You're already paying MORE.

But, what's really cool -- is that people can get primary care now -- and not have to wait until a condition becomes an emergency -- and nobody will need to die because of a lack of money.  Isn't that cool?  Isn't that more important than your pocketbook?
 
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