1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Tuesday, October 04, 2005

    Playing the Sympathy Card: A nurse in England has successfully petitioned her local primary care trust to pay for her cancer treatment, even though, as a rule, they don't cover it in patients in her stage of illness. Why did they bend the rules? She's a mom:

    After a meeting with her, the trust has now decided to allow Ms Clark to have the drug on the NHS.

    The trust's chief executive, Alan Carpenter, said: 'The PCT has looked very carefully at Ms Clark's circumstances and believes it is in her best interests to receive Herceptin at this stage of her treatment.'

    Ms Clark told the BBC she was delighted with the news.

    She said: 'Because I've got exceptional needs, because I've got a child with a life-limiting condition, they felt it was extremely difficult for me.

    'He (her child) has nowhere else to go and no family of his own, so they thought it was an exceptional circumstance.'


    Good for her that she was able to convince the trust to finance a promising therapy, but does this mean they are going to enter the business of deciding whose life is more worthy? Sure seems like it.

    UPDATE: This post was the last straw for a long time reader and email correspondent:

    If you were truly speaking from a position of strength and excellence that would be one thing--but you know and I know that our health care delivery and financing system is the best in the world for some of us and dismal failure for others--all to often it breaks the heart, spirit and purse.

    I will be living in the UK next year while consulting with one of the regional NHS Trusts--there is absolutely no question regarding our technological superiority but I can tell you with certainty that they clearly have done a better job with compassion, equal access to essential psychiatric services and the provision of real support rather than tired rhetoric--I don't know about your practice but every day I see the best and worst of our system--Also, as an employer the premiums we are paying are obscene--until the following dynamics change we are not in a position to jab, knock or compare--
    --a dismal and almost useless public health system,
    --the financing of the public and private system is falling on way to few people--the essential reliance on employer based financing is increasingly an economic, policy and moral failure
    --We need tort reform--we need to practice medicine not law
    --There should be ongoing State based pilots of alternative financing strategies including variations on single payor systems--the administrative overhead in our system is embarrassing--20% +--give me a break and the list goes on

    Sorry for the rant but for me enough is enough--with warmth and regards but no more time for snarky comments.


    The post wasn't meant to slam the British system, and it certainly wasn't "snarky." It raises an important issue about the rational rationing of healthcare. It's wrong to deny a treatment to someone who is single but to pay for it for someone who is a parent, regardles of the healthcare system.

    Of course there are problems with our system, but unlike my correspondent, I don't believe the British and Canadian systems are superior. Neither do a lot of their citizens.
     

    posted by Sydney on 10/04/2005 02:03:00 PM 0 comments

    0 Comments:

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006