Health Care for End of Life : Health Care System Failing

Planning for end of life when one has the options of choosing of how it will take place is critical to enjoying your last years without destructive health accommodation that will burden others with having to impact their lives and  will be financially ruinous.

Health care will be center stage for everyone but most are not ready to tackle the problem including congress. They suffer the same mental block like everyone else, this is not important enough right now, we'll look at later. In fact, the reality is, much later.

But the chances of most young people planning for the end of life years can be connected directly to how they plan to just live when the they retire, they ignore it. More then 50% of retirees are not financially adequately ready to live without a paycheck each month.

I wonder who will pay the tab for all of those that are living the good life now and then suck on the system later to just survive?

Panel Urges Overhauling Health Care at End of Life
Source: New York Times, "Panel Urges Overhauling Health Care at End of Life," September 17, 2014.

September 23, 2014

The country's system for handling end-of-life care is largely broken and should be overhauled at almost every level, a national panel concluded in a report released on Wednesday, according to the New York Times.

According to some, the system is geared towards simply doing more toward the end of life which can be costly and not consistent with what the patients actually want. A report by a nonpartisan committee that was appointed by the Institute of Medicine has some recommendations for dealing with end of life care:

• First, Reimburse health care providers for conversations on advanced care planning.
• Restructuring Medicare, Medicaid, and other health care delivery programs.
• Eliminate perverse financial incentives that encourage expensive hospital procedures when low-tech services like pain management and home health care are available.
• Finally, accredited medical schools and groups as well as health providers should greatly increase training in palliative care.

Some recommendations, like changing the reimbursement structure so that Medicare would pay for home health services would require congressional action. In all, however ,the 507-page report, titled "Dying in America," said its recommendations would improve the overall quality of care and save a significant amount of money for our health care system.

Some critics argue that end-of-life choices that stem from the standpoint of economic savings would prompt the medical establishment to pressure people into rejecting life-sustaining treatment. However, in a survey of doctors about their own end-of-life care, many wish to be at home and simply free from pain. The conclusion of the study would not necessarily prompt premature deaths, but instead provide more choices for an increasingly diverse set of wants from a growing American population.

To accommodate this shift to more end-of-life planning, higher health education needs to be completely revolutionized to teach more palliative care skills and teaching. As it stands, many doctors are uncomfortable or ill-equipped to deal with the subject.