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Thread: Single-payer health care means you might be denied surgery for being too fat

  1. #41
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    Quote Originally Posted by HCProf View Post
    My Mom first became sick with chronic kidney disease at 80 which progressed rapidly the last 5 years of her life. She died during therapeutic dialysis from heart failure. During this 5 year period, in and out of ICU, Medicare never denied her anything, even when there was no hope. Medicare could have easily denied her the therapeutic dialysis as her final expenses were way beyond six figures and placed her in hospice. Medicare allowed her to fight for her life. Therapeutic dialysis is continuous dialysis over a period of days under heaving observation in a ICU environment. She had a staff with her the entire 4 days she received dialysis. I have never seen a patient required to get a second opinion for anything before treatment was approved. I have worked with Medicare patients for 20 years. Thousands of them. I am not disputing this happens, but it would be rare.
    I would be happy to tell you the circumstances, and who the provider was if you PM me.
    Thanks from HCProf

  2. #42
    Galactic Ruler Spookycolt's Avatar
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    Quote Originally Posted by Djinn View Post
    And in post #22, I debunked your claim (as well as Fox News' claim), and showed that the rule change is NOT as described in the OP.
    What about this claim of theirs is false?

    announced it will ban obese patients from many surgeries for up to a year.

  3. #43
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    Quote Originally Posted by Spookycolt View Post
    I never mentioned Canada did I?
    Well, the thread title is about single payer health, so that would include Canada.

  4. #44
    Galactic Ruler Spookycolt's Avatar
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    Quote Originally Posted by Lemonade View Post
    Well the thread title is about single payer health, so that would include Canada.
    No its about a policy in the UK.

    Did you bother reading the OP before you started trolling it?

  5. #45
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    Quote Originally Posted by Spookycolt View Post
    No its about a policy in the UK.

    Did you bother reading the OP before you started trolling it?
    Why do you call people who are not even being rude to you trolls? Do you want more people to just follow you around hounding you on this forum?

  6. #46
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    Quote Originally Posted by RNG View Post
    The other thing that all these fright wing stories on the evils of single payer omit is that often the so called delays are done in the best interest of the patient.

    There is a definite increase is risk when they slice and dice an obese individual. If it is non-critical surgery, it is in the patient's best interest to try and force them to lose weight.

    The patient so often, in this day and age are expecting instant gratification and when they don't get it they whine or yell. Of course, some sleaze reporter wanting a sensationalist article issued in some sleaze media will jump on their manufactured poutrage on carefully selected elements of the real story.
    Here's what webmd says:

    "March 14, 2007 -- Obese people have a much higher risk of potentially deadly complications following surgery, a new study shows.

    Researchers found obese patients had a significantly higher risk of postoperative complications, such as heart attack, wound infection, nerve injury, and urinary tract infections.

    In addition, the study showed morbidly obese patients (patients more than 100 pounds over their ideal weight) were nearly twice as likely to die as a result of complications following noncardiac surgery."

    https://www.webmd.com/diet/news/2007...gher-for-obese

  7. #47
    Council Member Djinn's Avatar
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    Quote Originally Posted by Spookycolt View Post
    What about this claim of theirs is false?
    It's misleading.

    Metro UK: "Vale of York Care Commissioning Group, who introduced the restrictions, said it will make people wait up to a year for non-essential surgery if they’re overweight."

    FOX News: "To save money, the U.K. National Health Service recently announced it will ban obese patients from many surgeries for up to a year."

    Changing the specific "non-essential surgeries" to the generalized "many surgeries" insinuates that the U.K. medical system is delaying life-saving surgeries to obese people, thereby demonizing the U.K. health care system.

  8. #48
    Wrinkly Member Dangermouse's Avatar
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    Quote Originally Posted by Spookycolt View Post
    Um, this is about the UK, has nothing to do with Canada.

    Plus I gave a link to the organization in Britain that makes these rules.

    It appears I am not the one with little brainpower is it?
    The organisation, ultimately "making the rules" is the hostile Conservative government. The local CCG clinical commissioning group is the one deciding how the less-than-inflation "increased" cash allocation will be best spent.

    http://www.valeofyorkccg.nhs.uk/about-us/about-the-ccg/

    These are heavily Doctor-led, and community GP's at that. They "buy" services from the local hospitals who compete to exist in this brave new fake market, with increasing competition from outside private contractors outwith the NHS, who provide the services under the NHS brand name.
    As I said the OP has latched on to one programme which is actually health-based and not financial. If you need urgent surgery for, say appendicitis, or a broken bone, and you're fat, you'll be operated on immediately, but your statistical chances of survival or complete recovery will be less than that of a person of average weight.
    Last edited by Dangermouse; 9th October 2017 at 09:34 AM.

  9. #49
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    Quote Originally Posted by labrea View Post
    Here's what webmd says:

    "March 14, 2007 -- Obese people have a much higher risk of potentially deadly complications following surgery, a new study shows.

    Researchers found obese patients had a significantly higher risk of postoperative complications, such as heart attack, wound infection, nerve injury, and urinary tract infections.

    In addition, the study showed morbidly obese patients (patients more than 100 pounds over their ideal weight) were nearly twice as likely to die as a result of complications following noncardiac surgery."

    https://www.webmd.com/diet/news/2007...gher-for-obese
    Obese patients have those complications plus a lot more that goes along with weight loss surgery. Many develop gall bladder problems, blood chemistry issues such as iron levels, ulcers in the pouch that is created from the stomach, dental problems, hair loss, etc. Then you have failure of the surgery because many have gained the weight back due to continued poor eating habits. It takes time to determine if this surgery is going to be successful.

  10. #50
    Wrinkly Member Dangermouse's Avatar
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    Quote Originally Posted by Spookycolt View Post
    No its about a policy in the UK.

    Did you bother reading the OP before you started trolling it?
    It's about a policy in a small part of the UK.

    "Our footprint covers an area of approximately 857 square miles that runs broadly north to south through North Yorkshire. It is mainly rural with a number of small market towns and the main urban centre of York and it covers three local authority boundaries - North Yorkshire County Council, City of York Council and East Riding of Yorkshire Council.The Vale of York is a comparatively affluent area but with pockets of significant deprivation in the York, Selby and Sherburn-in-Elmet areas. "

    857 sq miles from a group of nations of
    93627.8429 sq miles.
    Last edited by Dangermouse; 9th October 2017 at 09:38 AM.
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