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(Politico)   FW: Fw: FW: Sarah Palin was right all along. People are being forced out of the ICU and into these death camps called "hospice" or something   (politico.com) divider line 95
    More: Interesting, ICU, hospices, Medicare Payment Advisory Commission, palliative, JAMA  
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3826 clicks; posted to Politics » on 06 Feb 2013 at 3:50 PM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-02-06 06:38:05 AM  
Well, obviously hospice care is an add on package. We've made dying such a horrible process - there is little incentive to opt into it if there's still a remote chance.
 
2013-02-06 07:01:02 AM  
Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.
 
2013-02-06 07:07:53 AM  

Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.


That was beautiful.
 
2013-02-06 07:36:56 AM  
We have bastardized dying from a process that happens every day to a superhuman effort to keep alive a person who is dying, at the cost of many thousands of dollars. That being said, when it was my husband, I would have paid any price to keep him alive... Ahh the dilemma of life, and finances.
 
2013-02-06 07:53:01 AM  
My mother is dying. She has colon cancer and has opted not to fight it. 
When my dad was dying, back in 08, Hospice helper Mom care for him, in their own home. He passed in his bed in the TV room. 
Mom wants the same. The children are taking turns staying with her. She was given 7 months last Christmas. It's been over a year, and she's still doing ok. 
Hospice is very helpful.
 
2013-02-06 08:00:40 AM  

Earpj: My mother is dying. She has colon cancer and has opted not to fight it. 
When my dad was dying, back in 08, Hospice helper Mom care for him, in their own home. He passed in his bed in the TV room. 
Mom wants the same. The children are taking turns staying with her. She was given 7 months last Christmas. It's been over a year, and she's still doing ok. 
Hospice is very helpful.


Oh. I'm so sorry to hear about your mom.
 
2013-02-06 11:42:43 AM  

Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.


*like*
 
2013-02-06 02:38:28 PM  
By the insurance companies, since like forever. Cuts into their profit margin.
 
2013-02-06 02:38:42 PM  
Well hospice is where you go when there is no hope and all they can do is drug you up till you die. There is nothing new about it.


All and all the best plan
 
2013-02-06 02:38:44 PM  

Earpj: My mother is dying. She has colon cancer and has opted not to fight it. 
When my dad was dying, back in 08, Hospice helper Mom care for him, in their own home. He passed in his bed in the TV room. 
Mom wants the same. The children are taking turns staying with her. She was given 7 months last Christmas. It's been over a year, and she's still doing ok. 
Hospice is very helpful.


Sorry to hear that.  My pop was given "3-6 months" (lung cancer) and died 4 1/2 years later.  Most of that time was pretty good, too.  He had one session of chemo and decided he'd rather die than go through that shiat again.

Best wishes.
 
2013-02-06 02:49:39 PM  
I'd just like to say that the workers at hospice are angels of mercy and I thank them for doing the jobs they do.

/you may now commence to kicking each other again
 
2013-02-06 02:58:37 PM  
Hospice?  Sounds foreign.
 
2013-02-06 03:09:38 PM  
Comfort care has been around for a while, and usually, the pain control is administered in progressive doses.

Palliative Care is the other way to go, but the patient has more say in their pain control.
 
2013-02-06 03:11:34 PM  

basemetal: I'd just like to say that the workers at hospice are angels of mercy and I thank them for doing the jobs they do.


Yeah, this. I had a family member die in hospice, and they made the experience about as good as it could be for our whole family.
 
2013-02-06 03:25:34 PM  

cretinbob: By the insurance companies, since like forever. Cuts into their profit margin.


Yep.  Mom came right home from the hospital after a hip replacement.  I received training in how to do her rehab exercises and monitor her blood clotting etc etc.  It was a ton cheaper than having to go a rehab facility.  And she was happy and comfortable and healed faster.  I had her walking outside within a week.  That would never have happened in a rehab.
 
2013-02-06 03:26:53 PM  
Also, I know that's not hospice but the cost issue is similar.
 
2013-02-06 03:55:18 PM  
So my girlfriend wanted to stay at the Lizzy Borden hospice this summer but I think one of these places would be much better and have more of a chance of being haunted
 
2013-02-06 03:55:39 PM  

Bontesla: We've made dying such a horrible process - there is little incentive to opt into it...


Good point. I'm going to opt-out of dying, thanks.
 
2013-02-06 03:58:15 PM  

silo123j: We have bastardized dying from a process that happens every day to a superhuman effort to keep alive a person who is dying, at the cost of many thousands of dollars. That being said, when it was my husband, I would have paid any price to keep him alive... Ahh the dilemma of life, and finances.


and when it was mine, I would have given every dime I had to let him go sooner....no one should spend their last weeks/days like that if they don't want to!
 
2013-02-06 04:00:24 PM  

SisterMaryElephant: silo123j: We have bastardized dying from a process that happens every day to a superhuman effort to keep alive a person who is dying, at the cost of many thousands of dollars. That being said, when it was my husband, I would have paid any price to keep him alive... Ahh the dilemma of life, and finances.

and when it was mine, I would have given every dime I had to let him go sooner....no one should spend their last weeks/days like that if they don't want to!


That's why I respect Hunter S Thompson. He lived a life he was very happy with and ended it on his own terms.
 
2013-02-06 04:05:24 PM  

Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.


She's got the look down

i.huffpost.com

/wtf, governor
 
2013-02-06 04:06:36 PM  
Grandma (@93) was finally starting to lose her faculties.  From what I understand to get medicare to pay part of the nursing home care, we had to have her in the hospital a few days.  They found a baseball size chunk of brain cancer in her.  She went from the hospital to hospice.  We visited her as much as we could.  It was painful to see her go when she wasn't recognizing much. There were a few moments of clarity when she asked my wife how she was doing and was asking where our dog was and fell back asleep.  We used to bring our dog over to my parents on sundays where 3 generations of Van Cheeses would play cards.  It only took her a month to go.  She was single through the depression.  She was very strong willed and opinionated and did not ever want to be in a nursing home.  She got her wish.

/hospice is a good thing.
 
2013-02-06 04:07:16 PM  

vernonFL: basemetal: I'd just like to say that the workers at hospice are angels of mercy and I thank them for doing the jobs they do.

Yeah, this. I had a family member die in hospice, and they made the experience about as good as it could be for our whole family.


Came to say this as well. My dad passed away from Lou Gehrig's disease (DIAF you horrible awful shiatty disease) in December. They do such an amazing job for such a tiny amount of pay. They weren't forthcoming about it but I pried it out of one of the nurses that she was getting something like $12/hr to do something I wouldn't do for 10 times that amount.
 
2013-02-06 04:12:56 PM  

Earpj: My mother is dying. She has colon cancer and has opted not to fight it. 
When my dad was dying, back in 08, Hospice helper Mom care for him, in their own home. He passed in his bed in the TV room. 
Mom wants the same. The children are taking turns staying with her. She was given 7 months last Christmas. It's been over a year, and she's still doing ok. 
Hospice is very helpful.


Goddammit all. I'm so sorry. I haven't face losing a parent yet.
 
2013-02-06 04:14:01 PM  

HotWingConspiracy: Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.

She's got the look down

[i.huffpost.com image 570x783]

/wtf, governor


Hey, she's finally reading something at her level, cut her some slack!
 
2013-02-06 04:14:34 PM  

silo123j: We have bastardized dying from a process that happens every day to a superhuman effort to keep alive a person who is dying, at the cost of many thousands of dollars. That being said, when it was my husband, I would have paid any price to keep him alive... Ahh the dilemma of life, and finances.


And yet we consider it "humane" to assist our pets with the act of dying.
 
2013-02-06 04:14:56 PM  
If I don't have the money to keep me pumped full of drugs in my own home when i am dying, I will start doing heroin.
 
2013-02-06 04:15:09 PM  
The hospice folks are simply fantastic. They were there for my entire family when my dad was dying of cancer a couple of years ago.

/ Shout out to Lutheran Hospice of Chambersburg, PA
 
2013-02-06 04:15:55 PM  
Seems like a better end than comatose in a hospital, unaware that your family is bankrupting itself keeping your heart beating and synapses firing.
 
2013-02-06 04:17:59 PM  
Sarah Palin was right

Jesus H. Christ Subby... I choked so hard when I read that that I almost ended up in the ICU.
 
2013-02-06 04:20:49 PM  

Eddie Adams from Torrance: Sarah Palin was right

Jesus H. Christ Subby... I choked so hard when I read that that I almost ended up in the ICU.


Ignorant Counter Universe?

That's the only place Sarah Palin is right.
 
2013-02-06 04:23:00 PM  
"dying is not a crime"

of course some of you will remember Jack Kevorkian, i was always confused as to why he got in so much trouble.

I am starting to have a great dislike for the american health care industry as a whole however i would like to point out that i have nothing but respect for those caregivers who assist with the end of life suffering & not just end of life but the ones who assist in rehabilitation from procedures too.

rtaylor92
They weren't forthcoming about it but I pried it out of one of the nurses that she was getting something like $12/hr to do something I wouldn't do for 10 times that amount.

these people are angels (or as close to angels as humanly possible) & they should be compensated better than they are for what they do.
 
2013-02-06 04:23:42 PM  
My mother-in-law passed away in hospice on Jan. 7th from lung cancer that was discovered the day after Christmas. My grandmother passed away 10 hours later (different hospice facility) from pneumonia. As hard as it was to go through both at once, I was ever so thankful for all that the hospice facilities and nurses did to help my mother-in-law and grandmother  have comfort and dignity the last days of their lives. It's a job I could never do, and am so grateful for those who have the ability to work there and deal with the dying every day.
 
2013-02-06 04:24:19 PM  
The real death panels are called insurance adjusters.......and Palin is still a twat.
 
2013-02-06 04:26:02 PM  

silo123j: We have bastardized dying from a process that happens every day to a superhuman effort to keep alive a person who is dying, at the cost of many thousands of dollars. That being said, when it was my husband, I would have paid any price to keep him alive... Ahh the dilemma of life, and finances.


But, when it gets down to it; is it worth your entire life savings to keep him alive, in pain, for one more day?  At that point, is it about him or you?
 
2013-02-06 04:26:23 PM  

basemetal: I'd just like to say that the workers at hospice are angels of mercy and I thank them for doing the jobs they do.


ditto (and to everyone else who said like wise)

They were a godsend to us when my mother was slipping away.  Full blown dementia, non-ambulatory, combative, incontinent...  Very distressing.  Learned a bunch I skills from them that I dearly hope never to use again. But they were great to her and to us those last months.

I DNRTFA, but if some Teatards are derping about Hospice they can EABORadioactiveD and fark off and die.

Without hospice.
 
2013-02-06 04:27:12 PM  

Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.


Perfect.
 
2013-02-06 04:28:40 PM  
If a study were to be done, and it won't.  It would prove that more people are likely to die from decisions by the insurance companies than a single payer national health system.  This includes people who died after being denied care or who decided not to lose the house vs getting care in an emergency room.

Now about hospice.   My father was in the status of hospice in his nursing home, he didn't actually go anywhere.  All that changed was that we met with a chaplain.
 
2013-02-06 04:31:57 PM  
<b>FTA:</b> <i>So people who were near death - and on trajectories where doctors can often, although not always, know the patient is near the end - went from a regular hospital bed to the ICU and then to hospice.</i>


My two cents as a medical resident: The medical staff more often than not recognizes when a patient should be Do Not Resuscitate/Do Not Intubate and when they should pursue hospice options. However, the pushback typically comes from the families who keep on thinking (understandably) that "My loved one will recover from this once he gets past this little speedbump!" A not-insignificant part of the population places too much faith in the life-sustaining abilities of modern medicine, and so a lot of the medical staff's efforts go toward frank discussions of prognosis, code status, goals of treatment, and advance planning. But as much as we can try to recommend patients and their families toward hospice, the decision is ultimately theirs. Forget hospice - I can't tell you the number of patients I've had who have only been made DNR/DNI a few hours before death or (more horrifyingly) in the middle of coding them.
 
2013-02-06 04:32:07 PM  
There are few graceful ways to die.
 
2013-02-06 04:32:08 PM  

Prank Call of Cthulhu: Sarah Palin thinks "hospice" is the lesser-known slutty Spice Girl.


*slow clap, swell to raucous applause*
 
2013-02-06 04:43:45 PM  

James F. Campbell: There are few graceful ways to die.


Driving a BMW convertible off the top of Mount Rushmore  and crashing through the windshield of an invading Russian attack helicopter is one.
 
2013-02-06 04:44:42 PM  
So the article basically says "We've squeezed all the money out of this terminal patient, now ship them off to some other facility where they can die cheap."

Hospice care is fantastic, and if you gotta go in a horrible degenerative way, that's the way to do it.  The problem is with hospitals and doctors taking all of these ridiculous measures to keep said terminal patient around for a few more weeks of insurance payments quality life.
 
2013-02-06 04:44:57 PM  
I've always heard Linda Hamilton had a twin sister...

i.huffpost.com     fitisthenewblack.files.wordpress.com
 
2013-02-06 04:48:50 PM  

Uncle Pim: I've always heard Linda Hamilton had a twin sister...

[i.huffpost.com image 252x344]     [fitisthenewblack.files.wordpress.com image 264x300]


She's got nothing on Linda Hamilton.

Nothing.
 
2013-02-06 04:48:54 PM  
Damn you, McCain.
 
2013-02-06 04:52:25 PM  
If you're wondering why entry into Hospice care is so farked up, the answer is hidden right at the top of the article:
"Policymakers and advisers, including the Medicare Payment Advisory Commission, the small number of patients who use hospice care for many months, often in nursing homes, which is expensive."

Medicare and some of the congressional oversight bodies, particularly in the late '90s and early 2000's, are VERY aggressive about going after Hospice facilities for having patients who lived TOO LONG.

They had a real problem with the literally dozens and hundreds of patients who went into Hospice care in horrible pain and dying of end-stage, degenerative illnesses like Cancer, Kidney, and Heart Disease.  Once under palliative care, with good management of pain and other symptoms (but no hope of "cure"), and with their cultural/spiritual/familial needs cared for as well, their bodies died quite a bit slower.   People who would have "usually" died in six months, died in 12 months instead.

Oddly enough, little things like being in so much pain that you can't stand to be awake, persistent nausea from useless chemotherapy, and Hospital food don't actually keep you alive as long as being comfortable and able to eat your wife's cooking from your own bed at home.

The government's response to these people taking too long to die?  Investigate the Hospices (including FBI interrogations of the Doctors, Nurses, and Pharmacists; conduct multi-YEAR long audits of patient records; and threaten lawsuits for up to millions of dollars in back Medicare payments)
 
2013-02-06 04:53:38 PM  

The Stealth Hippopotamus: Well hospice is where you go when there is no hope and all they can do is drug you up till you die. There is nothing new about it.


All and all the best plan


When my wife died in '05, this is exactly what they said it was. You aren't supposed to be there long and they isn't supposed to be any chance of recovery. Just a room with a view and a nice place to die. They were awesome
 
2013-02-06 04:53:42 PM  

Ed Finnerty: Uncle Pim: I've always heard Linda Hamilton had a twin sister...

[i.huffpost.com image 252x344]     [fitisthenewblack.files.wordpress.com image 264x300]

She's got nothing on Linda Hamilton.

Nothing.



Yea, AK-47s are totally socialist communist.My bad.
 
2013-02-06 04:58:02 PM  
Also, one is batshiat crazy, paranoid, and should probably be locked up in a mental institution, and the other one just acted that way in Terminator 2.
 
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