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Politics : A US National Health Care System?
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To: Brumar89 who wrote (8680)8/25/2009 5:36:39 PM
From: Lane3  Read Replies (2) of 42652
 
Britain calls theirs N.I.C.E.

Finally! Finally someone has identified what the hell is being meant by "death panel." Thank you.

My own sense of the term has been that it was some sort of star chamber making determinations about funding or not funding the care of specific individuals. Which isn't being proposed, best I can tell. No one would be singling out Trig, for example.

OTOH, I had gotten the impression from the postings here that the term was being applied to the whole notion of the utilization of rationing. Protesting against rationing makes no sense to me given that rationing is inevitable in any pooled payment system where funding is limited.

So now you say the term applies to a NICE-like body "outside the normal political channels." OK.

An independent panel of "bio-ethicists" that would deny certain treatments to certain classes of patients.

Is that true of NICE? I thought they advised on standards for re cost effectiveness relative to QALY. What is it that you think they do re "classes of patients"?

"And that’s part of why you have to have some independent group that can give you guidance. It’s not determinative, but I think has to be able to give you some guidance."

Are you opposed to getting guidance from an independent group? Or are you concerned that this group will end up setting the standards rather than just offering guidance? Or would you want that group under control of the Secretary? Or are you just opposed to the whole notion that in a pooled funding environment decisions are made that the pool won't shell out $20K for an extra week of life?
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