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Jon Snow

Op-Ed Contributor - Health Care's Generation Gap - NYTimes.com - 0 views

www.nytimes.com/...17dooling.html

shared by Jon Snow on 23 Aug 09 - Cached
  • Families spent their entire savings so Grandma could make yet another trip to the surgical suite on the slim-to-none chance that bypass surgery, a thoracotomy, an endoscopy or kidney dialysis might get her off the ventilator and out of the hospital in time for her 88th birthday.
  • I and other health care workers solemnly agreed that the spending spree could not continue. Taxpayers and insurance companies would eventually revolt and refuse to pay for such end-of-life care
  • Somebody would surely expose the ruse for what it was: an enormous transfer of wealth based on the pretense that getting old and dying is a medical emergency requiring high-tech intensive-care intervention and armies of specialists, which could cost $10,000 or more per day.
  • ...6 more annotations...
  • But we were wrong. Health care spending has since doubled, to around 16 percent of our gross domestic product, and in the next 25 years or so is projected to reach 31 percent of G.D.P
  • and more follow-up scans and procedures (in stand-alone clinics owned by the same doctors prescribing the tests, scans and procedures).
  • A cynic would argue that this can’t happen because children can’t vote (even if their parents can),
  • We’ll be forced to implement quick-and-dirty rules based on something simple, sensible and easily verifiable. Like age. As in: No federal funds to be spent on intensive-care medicine for anyone over 85.
  • I am not, of course, talking about euthanasia.
  • Perhaps the second duty should be to administer an ounce of prevention instead of a pound of cure.
Jon Snow

Op-Ed Columnist - Telling Grandma 'No' - NYTimes.com - 0 views

www.nytimes.com/...17douthat.html

shared by Jon Snow on 23 Aug 09 - Cached
  • and empowering an independent panel to reduce the program’s long-term costs
  • — well, he isn’t envisioning a world where seniors get worse care, but he’s certainly envisioning a world in which they receive less of it.
  • The controversy over “death panels” is just the most extreme manifestation of this debate. Obviously, the Democratic plans wouldn’t euthanize your grandmother. But they might limit the procedures that her Medicare will pay for.
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  • In this future, somebody will need to stand for the principle that Medicare can’t pay every bill and bless every procedure. Somebody will need to defend the younger generation’s promise (and its pocketbooks). Somebody will need to say “no” to retirees.
  • That’s supposed to be the Republicans’ job. They should stick to doing it.
  • Jon Snow on 23 Aug 09
     
    rise of the fascists
Fabien Cadet

Santé aux Etats-Unis : « La réforme arrive »… - 0 views

www.monde-diplomatique.fr/...009-07-15-Sante-aux-Etats-Unis

fr media health care US

shared by Fabien Cadet on 16 Jul 09 - Cached
  • Fabien Cadet on 17 Jul 09
     
    « La réforme arrive. Il nous faut réparer un système cassé. Le statu quo ne peut plus être admis », a annoncé le vice-président américain Joseph Biden le 8 juillet. Il faisait référence à la réforme du système de protection médicale, dont nul n'ignore plus qu'il accomplit le prodige d'être à la fois (de loin) le plus coûteux du monde (1) et l'un de ceux qui laissent totalement à l'écart une proportion considérable de la population (47 millions d'Américains avant la crise).
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