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To: flatsville who wrote (53379)	6/8/2000 12:03:00 PM
From: willcousa	Read Replies (1) \| Respond to of 99985

Flatsville - I see you know something about the healthcare situation. Nice to have your contirbution.

To: flatsville who wrote (53379)	6/8/2000 3:23:00 PM
From: Tunica Albuginea	Read Replies (1) \| Respond to of 99985

flatsville I think your stats are wrong. More likely,80% of your Medicare money gets spent in the last 1-2 years of your life. please give me a link for your stats: " One study indicted 80% of all costs under Medicare occur in the last two weeks of life " It is much more diffficult to implement Advance Medical Directives. I have tries it ( mostly unsuccessfully ), in the last several yearswith many patients. It appears very few of us are ready to die. Also there is the issue of the Social Security check: families are loath to let grandpa's check go. So they keep him going; on the ventilator; on dialysis; with enteral tube feedings; in the Intensive Care Unit; in the wards; in the Nursing Homes. In the Hills; in the valleys; in the Hall Ways of Congress. Never mind.Scratch last sentence, I got carried away, :-) TA Message #53379 from flatsville at Jun 8, 2000 11:49 AM ET OT--TA One step in containing costs is to respect the Advance Medical Directive of patients under the Patient Self-Determination Act of 1990. One study indicted 80% of all costs under Medicare occur in the last two weeks of life when it is completely pointless. People are more than willing to self-limit (decline extreme measures) at or near end of life. They are being ignored. They are receiving expense, pointless medical care without their consent and against their previously expressed wishes...prolonging their suffering and their families' suffering. Below you can follow some of the discussion re: this issue that took place over this past weekend. Message 13830257 Message 13830373 Message 13830529 Message 13830792 siliconinvestor.com.