Chronic illnesses and the ER; family expectations
Finally I found a good article. I know it's uneven across this country, but this is a factor of socioeconomics, and political will, as well as independence on the part of provincial and territorial aspects of governance, that shapes healthcare.
One widow of a prominent Canadian has ranted that her ill husband, with a chronic condition, deserved a bed before 48 hours. I'm not sure why. I have addressed this, based on the fact that those with a chronic condition, with a predictable trajectory, shouldn't be languishing in the ER. Once the disease affects the body, with particular symptoms, family members should be aware or be made aware of the issues. They should have it explained that the ER is no place for treatment or diagnosis for a condition such as ALS or Parkinson's Disease, as Herb Gray had and family must be prepared to plan for their loved ones to deteriorate. If she cannot cope at home, she needs to find a better placement.
In essence, no one want to pay more to keep spare beds available for an emergency. How does one plan for that? How does one pay for that? It's nothing to do with healthcare reform, but with paying for more beds, staff on duty, and taxpayers are not prepared to pay more.
The follow-up article in the paper said,
- Ontario has a $900-a-year health premium for anyone > $20,000 a year.
- in the U.S.~45,000 people a year die for lack of proper health care
- In the U.S. per capita cost is more than $8,600.
- U.S. surgeries can cost as much as $500,000
- U.S. brain surgery runs anywhere from $75,000 to $125,000 not counting the extras like doctors’ fees and hospital stays and convalescence.
- In the US carriers can drop your coverage for pre-existing conditions.