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Taking Responsibility for Death

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Susan Jaccoby brings up a major issue facing healthcare in America from personal experience. A third of the Medicare budget, she says, goes to the last year of life, and a third of this goes to the care in the last month. At the same time public opinion polls show Americans see the problem being too much medical intervention rather than too little. Especially when there is no hope except to prolong life for the patient with an highly deteriorated qulaity of life for a few months or a year, doing no service to the patient or future generations who may see their basic services cut when they most need it as a result of the unaffordable spiralling cost of Medicare. A Pew Research Center poll in 2006, shows 22 percent say a doctor should not always make efforts to save a sick person's life, and 70 percent believe that patients should be allowed to die in some situations, when it only prolongs life for a few months for instance and patients live in pain. The problem only gets worse in future years as an estimated 8.5 million Americans are expected to be over 85 years in 2030 with these same choices facing patients, their families, Medicare and the country.

Baby boomers, changing demographics in the U.S. and Medicare, Social Security programs

01/01/2011

In 2 decades the number of people on Medicare is expected to grow from 47 million in 2010 to 80 million in 2030. At the same time the proportion of the voting age population that is over 65 will go up in that period to 26% in 2030 from 17% in 2010. Seniors who vote heavily Republican, and middle aged people who expect to join the senior group will resist any changes to Medicare and Social Security benefits.

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How doctors face the choice of prolonging life without quality

02/25/2012

The need to find closure to life in an atmosphere of comfort, peace and home, and how hospitals cannot provide this. The better choice of doctors who choose quality over quantity of life- when the odds of surviving move up dramatically, say from 5% to 15% by using technological advances, but are still very low. The issue is also one of spiralling costs for an aging populaton in the U.S., when one of the options being considered is dismantling of Medicare as it was known in the years since 1950, or cutting Medicare services when they are most needed.

Grouped Articles

Why Doctors Die Differently

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Taking Responsibility for Death

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