How do you contain costs when you promised all your citizens "free" health care and now must deliver? Rationing is the only logical conclusion. How does such an entity actually ration care, though, especially for the elderly that are hardest-hit by such rationing? Simple. Redefine their condition so that they no longer qualify for free health care. Basically, push them outside the system via bureaucratic fiat. From Mere Rhetoric via HotAir headlines: British Health System Denies Woman Treatment For 7 Years Because "Alzheimer's Is Not A Health Condition"Can you really blame them? The woman was already over 65, and it's not like you can cure Alzheimer's anyway. If people aren't willing to make these kinds of tough sacrifices, how do they ever expect socialized medicine to work?
NHS Worcestershire ruled that Judith Roe, 74, did not qualify for NHS funding because her condition was a "social" rather than "health" problem, even though she was so ill she could not make a cup of tea and regularly left the stove on. She was forced to sell her £200,000 home to pay her £600-a-week nursing home fees, which would have been funded if she had been categorised correctly. Mrs Roe's family appealed to the Health Service Ombudsman, which ruled that Mrs Roe's assessment had been incorrect and her treatment should have been funded by the NHS...Mrs Roe, a retired church warden and school teacher, was diagnosed in 2002 with severe Alzheimer's and Parkinsons. Under English law, elderly people must pay for their own residential care unless their needs are deemed health-related. She was assessed but her needs were regarded to be social rather than health, meaning she did not qualify for funding.
More from the U.K. Telegraph: Family told by NHS: Alzheimer's is not a 'health condition'.
And there we have it. A recurring theme of a an uncaring monstrosity filled with bureaucratic inertia, policies and procedures. This simply reminds me of trips to a Secretary of State office to renew a drivers license or to get a plate for a new car. Cumbersome and carried out by employees who could care less than to be there serving your needs. This is what Obama wants to foist on the U.S?Her son, Richard, 40, urged other families in a similar situation to fight for the care they are entitled to.
"They told me I should count myself lucky because there are people that are more ill than my mother, which was an outrageous thing to say.
"The NHS doesn't want to admit elderly people have health issues because then it falls to them to pay for their care."
"We became very angry because the primary care trust was very arrogant and unhelpful."Paul Bates, chief executive of NHS Worcestershire, said: "Decisions around eligibility for continuing NHS care are extremely complex and difficult even though we have national guidance to assist us.
"The line between the need for healthcare and social care is a very thin one indeed, but the impact for the individual is the difference between free care and care which is means tested.
Each NHS trust has its own criteria for interpreting the Government's guidelines on who qualifies for free nursing care.
A spokesman refused to comment on the case, other than to say its role is to assess whether the strategic health authority's decision was based on following correct procedure, rather than the need of the patient.
Andrew Harrop, Head of Policy for Age Concern and Help the Aged, said: "The system for deciding where the line is drawn between free NHS Continuing Care, and paid for social care has been a mess for years.





And would someone in the US automatically get treatment for this? I don't think so!
ReplyDeleteThe idiocy of one NHS trust does not counter the fact that the only thing that matters in the US is your bank balance! :(
"Free Health Care" ?? -- their will be taxes to pay for a single payer. The difference is that you would pay far less than you are currently paying today. Remmember, today's taxes pay for Medicare, Medicade, Tricare, and for insurance for the workers employed by your local governments. With single payer, aside from payroll taxes, you get to NOT pay for co-pays, deductibles, limits. Our recent health care policy has a 2K / person, $4K / per family deductibe. So we get to pay for the premiums, then the 2K, Then they begin to pay for our health services, unless of course, they can wiggle out in some obscure way. It is obvious that single payer is our ONLY way out of this mess.
ReplyDeletethis story is "outrageous"? this is what Obama is trying to bring here? Actually, the outrage in this story is that the NHS tried to act as if it were an American insurance company and denied this woman's claim - that is the outrage, that they acted like us!! The family then appealed the decision ... and won - some government bureaucrats or "employees who could care less" actually found that Ms Roe was denied her free care AND GAVE IT TO HER through a reimbursement. In the USA, insurance companies make it a policy to deny claims several times because they know that most people will give up after a couple of denials and the insurance company employees and managers are paid bonuses depending on how many claims they deny!!!! In this story about the NHS, the "uncaring" bureaucrats realized the error and corrected it! This actually supports healthcare reform in the USA!! Nobody is perfect, government officials are human and make mistakes just like doctors and mechanical engineers, the original NHS panel in this instance made an error which was corrected on appeal - our system actually rewards unfairness and denial of services!!
ReplyDeleteI also suspect that there is more to this story and how they came to their decision - the NHS didn't rule that Alheimer's is not a health condition, it appears that they ruled that, in Ms Roe's case, her primary needs were social rather than medical - as stated "the system for deciding where the line is drawn between free NHS Continuing Care, and paid for social care has been a mess for years". It seems that the issue here was actually between "free" and means tested "paid for". Really, the outrage here is that they tried to act like us (denying service and maximizing profits) instead of providing the needed benefit.
sad
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