|WikiProject Medicine||(Rated Start-class, Mid-importance)|
|WikiProject Death||(Rated C-class, Mid-importance)|
WikiProject class rating
This article was automatically assessed because at least one WikiProject had rated the article as stub, and the rating on other projects was brought up to Stub class. BetacommandBot 03:58, 10 November 2007 (UTC)
Needs lots of work
It seems to me that I've seen several articles on this general topic in the last few days. Terminal illness, for example. Should we review these and find ways to improve them as a coherent group? WhatamIdoing (talk) 20:45, 18 December 2007 (UTC)
The appalling problem with your current page is that at no stage do you seem to consider that physicians are merely 'service providers', and that the decision that a patient is at the 'end of their life' and not worthy of any further treatment can only be made BY THE PATIENT - you are expressing an archaic view that patients have to accept whatever prognosis they are given, and can't just walk away and seek attention from practitioners who are as game for a shot at life extension as they are. The level of deliberate 'upstaging' of cancer in elderly patients in the uk , for example, is disgraceful. There is absolutely no evidence that cancer treatments are any less effective in 'elderly ' patients than in the young, and fitness to undergo them are the main criteria for efficacy and survival - sadly, the performance indicator of fitness for treatment (the Karnofsky status') is subjective, and can be fiddled by any practitioner whose waiting list is attracting complaints from Managerial Employers. The entire 'liverpool pathway' scheme is full of drugs that hasten death under the guise of relieving symptoms - informed consent to cease treatments means that patients are told the truth, but here in the uk, elderly citizens will be told a load of old hooey, and sadly, are of a generation who trust authority absolutely. I dont like the notion that there is anything called 'end of life' - 'palliative medicine' can include dialysis for example, and keep someone alive for a decade, but if a patient is 70, as things stand, they can be told they are at the 'end of their life' if they live in an area with a shortage of dialysis provision, and have to accept it. —Preceding unsigned comment added by Sheriffspayne (talk • contribs) 15:33, 22 August 2008 (UTC)
I'd like to add a link to a Survivorship A to Z article on end-of-life issues - the article is here. It provides additional information and resources for people experiencing end-of-life issues. What do you think?
I made the above proposal nearly three weeks ago - if no one objects, I'm going to add the aforementioned link to the "external links" section of this article. Thanks.
US national perspective - dispute
The Congress of the USA had hoped that the 1991 Patient Self Determination Act together with the 1986 Hospice Care Entitlement that is reimbursed by Medicare would greatly reduce expensive end-of-life care in Intensive Care and Critical Units of US Acute Care Hospitals when elderly/disabled terminal patients on Medicare would freely choose to shorten their lives to shorten their suffering from terminal illnesses and die in their own personal residences or in nursing-home residences. However, since the physicians and for-profit clinics were not placed under the provisions of the 1991 PSDA and the states didn't implement the goals of the 1991 PSDA in state laws, the Hospice Entitlement paid for out of the Medicare Purse has failed to achieve the savings anticipated in the 1991 PSDA.
I was unable to find a neutral source for any of this and I have serious doubts on substantial parts of this, such as Congressional intent. In addition, style seems to be off - we don't use, e.g., "Congress of the USA", conjunctions, or "Medicare Purse". L235 (t / c / ping in reply) 22:14, 28 September 2015 (UTC)