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jclalor 12
QuoteMy point exactly, the hypothetical situation presented to Ron Paul is not a reality. ER care would cover the uninsured. The Paul question concerned an uninsured Pt with a negative prognosis for recovery but not a terminal Dx.
It is my understanding that Obamacare would not pay for extended Tx or life support. It would not be economically feasible. Managed care would indicate termination.
Honestly, since you believe that Christianity has no redeeming nature, I would suggest that you not enter into the private prayer matters of the Pt or the family.
When I pray for a Pt, I pray "in God's will" and usually focus on "strength and comfort guided by the Holy Spirit" for the Pt and the family. Bear in mind that for a Christian, death is the ultimate healing.
Again, the Bible is not a tech manual. You must have the indwelling of the Holy Spirit to understand and apply Scripture adequately. Application is not consistent in every situation. It depends on the faith of the believer.
Maybe I do not understand triage. I thought it meant to provide care to the most viable Pt first.
I really doubt that today, any ER Doc would DC stabilizing treatment on any Pt based on ability to pay. By law an ER must not discharge a Pt until they are stable. Perhaps you remember a few years back in LA, where some hospitals were "dumping" non stable Pt's on the streets. They were in huge trouble.
Your a smart man, you need to stop believing everything Sarah Palin tells you. This whole "death panel" has zero basis in fact. The whole thing started over reimbursement for Doctors to discuss advance directives. Hundreds of billions of dollars a year are spent keeping people alive during the last 3 months of their life who have no advance directive. People should be made aware that they have choices. Please provide any evidence that "Obama care"would dictate that "Managed care would indicate termination" That's nonsense.
While my contact with families is limited due to the shift I work (nocs) I would never espouse my beliefs to a family. You may be surprised to hear that on the rare occasion (whenever asked), I will help some of the kids with their questions about God and the bible by finding and showing them certain passages. I have even arranged for a few masses, baptism's and last rites to be said at bedside in the middle of the night. On one occasion, I even had my co-workers all convinced we were having an exorcism performed on a Pt that night. They were not amused, I thought it was funny.
I'm still waiting to hear someone just diagnosed, with a curable disease, pray for the ultimate healing.
Triage is always based on the viability of recovery during an extreme time of limited resources, and never based on the victims ability to pay,
RonD1120 58
Quote
I really doubt that today, any ER Doc would DC stabilizing treatment on any Pt based on ability to pay. By law an ER must not discharge a Pt until they are stable. Perhaps you remember a few years back in LA, where some hospitals were "dumping" non stable Pt's on the streets. They were in huge trouble.
Your a smart man, you need to stop believing everything Sarah Palin tells you. This whole "death panel" has zero basis in fact. The whole thing started over reimbursement for Doctors to discuss advance directives. Hundreds of billions of dollars a year are spent keeping people alive during the last 3 months of their life who have no advance directive. People should be made aware that they have choices. Please provide any evidence that "Obama care"would dictate that "Managed care would indicate termination" That's nonsense.
While my contact with families is limited due to the shift I work (nocs) I would never espouse my beliefs to a family. You may be surprised to hear that on the rare occasion (whenever asked), I will help some of the kids with their questions about God and the bible by finding and showing them certain passages. I have even arranged for a few masses, baptism's and last rites to be said at bedside in the middle of the night. On one occasion, I even had my co-workers all convinced we were having an exorcism performed on a Pt that night. They were not amused, I thought it was funny.
I'm still waiting to hear someone just diagnosed, with a curable disease, pray for the ultimate healing.
Triage is always based on the viability of recovery during an extreme time of limited resources, and never based on the victims ability to pay,
It seems our discussion parameters keep expanding to take in another what if. My position is based on an uninsured Pt with a negative prognosis but not a terminal Dx. I maintain he took a risk by not purchasing insurance that he could have afforded and he is ultimately responsible.
When my mother went into long term care she had a negative prognosis. Her Dx was vascular dementia and heart disease. I prayed that the Lord would take her home. It took over two years and the last couple of months I don't think she always recognized me and in the end I doubt if she knew her name. She developed dysphasia and could not communicate.
Her advance directive, recorded in 1982 or so, was for no life support only comfort measures and DNR. She understood that when the time comes, just go. It took much much longer than we expected but it was in God's timing.
The thing that confuses me so much is, we had/have a medical system that was/is working. Why do/did we need Obamacare?
BTW, I think the exorcism is funny. I love gallows humor. Had I been there, I would have backed you up.
If you believe the conservative boogeyman version, then perhaps. If you believe what's actually written in the law, then you're completely wrong.
- Dan G
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