The "Conversation," Or Why Rationing Isn't Going to Work, Part 1

Medicare Part D - The "Conversation," Or Why Rationing Isn't Going to Work, Part 1

Good afternoon. Today, I learned about Medicare Part D - The "Conversation," Or Why Rationing Isn't Going to Work, Part 1. Which is very helpful in my experience and you. The "Conversation," Or Why Rationing Isn't Going to Work, Part 1

"Freakonomics" and the idea of applying economic theory to other arenas (like healing care) is one of my popular intellectual interests. Economists have made great contributions to understanding condition care, and inspecting that condition care is 1/6 of the Us economy, this makes a lot of sense. My first rule to judge the true motivation behind all players in the condition care deliberate upon is to "follow the money", no matter what the rhetoric.

What I said. It is not the conclusion that the real about Medicare Part D. You check this out article for home elevators that need to know is Medicare Part D.

Medicare Part D

Even in the matter of life and death, economic mental applies. Every day corporations, the military, and lawyers make judgments about how much a life is worth. Actuaries are tasked with production decisions about car safety, body armor thickness, or the value of a wrongful death based solely on economic criteria. Many economists have applied the same calculus to the cost of a life in condition care analysis.

Yet as tempting as this path might be, condition care decisions are in many ways unique, and it is these profound differences which makes the rationing envisioned by Donald Berwick a group engineering fantasy. Berwick's plan for rationing condition care depends upon being able to limit care near the end of life (where 50% of Medicare dollars are spent). Although this idea is intellectually alluring, the human factors involved are far more daunting.

The qoute revolves around something I call "the Conversation", a ritual roughly all doctors, and many patients and families have experienced. Sometime, near the end of life, a physician has to tell the outpatient or family "there is nothing more we can do", a time when healing interventions are stopped, and the outpatient is allowed to die.

Needless to say, this a conversation fraught with the most intense emotions on both sides, and involves healing knowledge, judgment, family dynamics, outpatient history, and many other factors.

My thesis is that the way this conversation happens has changed dramatically since the days of Marcus Welby, and these changes will make instituting the type of rationing roughly impossible. I will discuss the following for reasons in my next article.
The physician having "the Conversation" has changed, as well as his motivations and connection to the outpatient and family. The realities behind "the Conversation" have changed, as there is normally something that can be done. "The Conversation" depends upon a knowledge differential between the outpatient and the doctor, which is being eliminated by the internet.

I hope you have new knowledge about Medicare Part D. Where you can offer use in your evryday life. And most of all, your reaction is passed about Medicare Part D.