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NYT: Wasteful health care spending

Discussion in 'Sports and News' started by Dick Whitman, Aug 23, 2011.

  1. Dick Whitman

    Dick Whitman Well-Known Member

    Argument that we spend way too much federal money on health care treatment that doesn't work any better than less expensive treatments. Example: Stents. Example: Colonoscopies for people 75 and older:


    This very well-reasoned piece, by two policy academics, reminds me a little bit of the New Yorker piece last year on "death panels" by Atul Gawande, which also argued that we waste money, in that case on late-term cancer patients who would be better served with less expensive, less painful end-of-life care.
  2. Stitch

    Stitch Active Member

    Transplants and bypasses for anyone over 67.
  3. Armchair_QB

    Armchair_QB Well-Known Member

    The person who is dying might not think it's a waste of money.
  4. Dick Whitman

    Dick Whitman Well-Known Member

    It is when the data shows that people live just as long or longer with comfort care than they do with some of these practically useless treatments.
  5. Armchair_QB

    Armchair_QB Well-Known Member

    So who gets to decide if the treatment is useless?
  6. RickStain

    RickStain Well-Known Member

    Insurance corporations.

    (that seems to be the ultimate answer no matter who putting forth the overhaul plan).
  7. Armchair_QB

    Armchair_QB Well-Known Member

    Last edited by a moderator: Dec 15, 2014
  8. Dick Whitman

    Dick Whitman Well-Known Member

    Hospitals and doctors, according to the NYT op-ed. They should be making better decisions about treatment. (This probably now, policy-wise, bumps up against defensive medicine/tort reform.)
  9. Ben_Hecht

    Ben_Hecht Active Member

    We're already there. Have seen where physicians viewing an advanced-age case enduring burgeoning complications will decline performing surgery which might extend life. That's a combination of protecting a surgeon's batting average, not expending fringe resources, and making a cold-blooded percentage call . . . a form of death-paneling, in an informal way.
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