Palliative Medicine

  • David Cundiff
  • Mary Ellen McCarthy


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.


Palliative Care Cancer Pain Hospice Care Palliative Medicine Schedule Drug 
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  1. 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. 2.
    Faulty Diagnosis, a Public Agenda Foundation Report cited in Medical Benefits, July 15,1992. p. 11.Google Scholar
  3. 3.
    Lublitz JD and Riley GF: Trends in Medicare payments in the last year of life. New England Journal of Medicine 1993; 328:1092–1096.CrossRefGoogle Scholar
  4. 4.
    Health Care Financing Administration, personal communication.Google Scholar
  5. 5.
    Kidder D: The effects of hospice coverage on Medicare expenditures. HSR Health Services Research 1992; 27:195–216.Google Scholar
  6. 6.
    McClusker J, Stoddard AM, and Sorensen AA: Do HMOs reduce hospitalization of terminal cancer patients. Inquiry 1988; 25: 263–270.Google Scholar
  7. 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. 8.
    Cundiff D: Euthanasia is Not the AnswerA Hospice Physician’s View. Humana: Totowa, NJ, 1992.Google Scholar
  9. 9.
    Schneiderman LJ, Kronick R, Kaplan RM, Anderson JP, and Langer RD: Effects of offering advanced directives on medical yreatments and vosts. Annals of Internal Medicine 1992; 117: 599–606.PubMedGoogle Scholar

Copyright information

© Humana Press Inc. 1994

Authors and Affiliations

  • David Cundiff
  • Mary Ellen McCarthy

There are no affiliations available

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