A Hospice Step in the Right Direction
When I had the great honor of interviewing Dame Cecily Saunders, founder of the modern hospice movement, she criticized the American "way" of hospice, noting that unlike the UK, we had created a system where hospice is seen as an "abandon hope all ye who enter here," circumstance because patients in hospice care are not permitted to also seek life-sustaining or curative care. Saunders complained that too often this means that people enter hospice too late to receive the full benefit--a problem recognized universally by hospice professionals.
Now, some insurance companies are changing that. From the story in the NYT: "But now, some hospice programs and private health insurers are taking a new approach that may persuade more patients to get hospice care for the last months of life. These programs give patients the medical comfort and social support traditionally available through hospice care, while at the same time letting them receive sophisticated medical treatments that may slow or even halt their disease."
This is just what the doctor ordered. Now, let's hope the bureaucrats that rule Medicare get the message.
Labels: Hospice. Dame Cecily Saunders


4 Comments:
Wesley, I remember you once mentioned that hospice programs vary in their willingness to have a patient with a feeding tube because of fears that Medicare wouldn't pay for it. Would this sort of "open access" hospice make it more likely that hospice would provide ANH by easing worries about payment?
It would seem to compel that result.
This hits home because my father in law is going thru this right now.
He doesn't have terminal cancer where they give a prognosis but his heart disease is advancing and weakening him.
Sure we want to make him comfortable and respect his wishes to make his passage, but also there are medications that may stop progression and give him more time that hopefully can be quality with friends and family as the Lord provides a path and opportunity.
The biggest problem with hospice is that people see it as a last-ditch effort to get someone comfortable before death, and that's not really what it's about - it's about living your life to the very last days. Our system makes it hard to get involved with hospice programs until they can't do much to help.
It sounds like someone's finally rethinking our approach toward hospice care.
Robert B:
I'll pray for your father-in-law. Everyone ought to have the chance to make every moment a quality moment.
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