Nearly a third of all Medicare spending goes toward care of patients in their last year of life. Yet, as discussed in Section I, much of this intensive, costly, high technology care is inappropriate, adding to pain and suffering, rather than relieving it. The alternative, palliative care, another expression for hospice, is medical care that focuses on pain and symptom management for the terminally ill.
KeywordsToxicity Morphine Barium Resi Tate
Unable to display preview. Download preview PDF.
- 1.Stout H: Clinton’s health care plan must face huge costs of a person’s last days. Wall Street Journal, April 22,1993, p. 1.Google Scholar
- 2.Faulty Diagnosis, a Public Agenda Foundation Report cited in Medical Benefits, July 15,1992. p. 11.Google Scholar
- 4.Health Care Financing Administration, personal communication.Google Scholar
- 5.Kidder D: The effects of hospice coverage on Medicare expenditures. HSR Health Services Research 1992; 27:195–216.Google Scholar
- 6.McClusker J, Stoddard AM, and Sorensen AA: Do HMOs reduce hospitalization of terminal cancer patients. Inquiry 1988; 25: 263–270.Google Scholar
- 7.Hugher SL, et al: A randomized trial of the cost effectiveness of VA hospital-based home care for the terminally ill. Health Services Research. 1992; 26: 810–817.Google Scholar
- 8.Cundiff D: Euthanasia is Not the Answer—A Hospice Physician’s View. Humana: Totowa, NJ, 1992.Google Scholar