User Panel
User Panel
User Panel
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Posted: 11/5/2015 7:45:36 PM EDT
[#1]
I'd consider how they got hep c as the normal is IV drug use, and snorting IIRC. If it was due to a transfusions prior to 1992 they would get first, IV drug users last if at all. Is there a way to ascertain which ones will have the best outcome. If so those first others too bad.
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Posted: 11/5/2015 7:49:10 PM EDT
[#2]
Lets look at this from the Affordable Care Act viewpoint. You should put them on the now cheaper old treatments like pegasys, ribavirin, and victrelis. If they complete the treatment, then great. If not, then In a few years, the cost of a liver transplant might come down, or they might die from something else. Either way, the ACA just saved your budget.
(no, I am not kidding you about this answer, either...) |
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Posted: 11/5/2015 7:49:42 PM EDT
[#3]
Quoted:
Hypothetical numbers of course since I am ER based Say you are providing care to 1000 patients in an HMO system and have a budget of $1,500,000.00 Ten patients have hepatitis C and sign up for treatment at $100,000 each which uses $1,000,000 of budget Do you treat them One of my old residents I taught asked me this last night I don't have an answer I don't think you have a choice, brah. |
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Posted: 11/5/2015 10:36:30 PM EDT
[#4]
Bump for night crew
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Posted: 11/5/2015 10:40:05 PM EDT
[#5]
Crowder did a video years ago on socialized health care
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Posted: 11/6/2015 8:06:27 AM EDT
[#6]
Morning bump
I fail to believe there are folks without opinions There will be some painful choices in healthcare the coming years |
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Posted: 11/6/2015 8:09:01 AM EDT
[#7]
Is there currently an option not to treat them? (legally speaking)
Or is your question more about the morals and ethics of treating them at the expense of others? |
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Posted: 11/6/2015 8:52:02 AM EDT
[#8]
Quote HistoryQuoted:
Is there currently an option not to treat them? (legally speaking) Or is your question more about the morals and ethics of treating them at the expense of others? My question has more to do with ethics and morals Should this Dr treat 500 pts with Diabetes and hypertension or one with Hep C? Kind of along the thoughts of the mothers at Stalingrad who let the weakest child die of starvation so the lesser weak child might live And there is always an option to not treat |
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